Evaluation of lower urinary tract symptoms and how bothersome it was with or without urinary incontinence in apparently healthy persons of both sexes

Abstract

We evaluated the effect of urinary incontinence on the degree of being bothersome in apparently healthy males and females by a questionnaire survery. From March to May, 2003 apparently healthy subjects underwent multiphasic health screening after informed of the nature of this study and were asked to fill out the questionnaires of International Prostate Symptom Score (IPSS) with IPSS QOL index (IPSS-QI) and the short form version of the Urogenital Distress Inventory (UDI-6). The data were subjected to analytical studies. Of the 388 participants who responded completely to both questionnaires, 172 (44.3%) had urinary incontinence; 143 were women (36.9%) and 29 men (7.5%). The mean age of the women was 46.0 years (range 18.0 to 76.0) and that of men was 47.5 years (range 22.0 to 76.0). Compared with continent participants, women and men with mixed urinary incontinence had a significantly higher IPSS severity (P = 0.0002 and P = 0.0014, respectively). In terms of contribution on QOL impairment, the women and men with mixed urinary incontinence considered it significantly more bothersome compared with continent participants (P = 0.0004 and P = 0.0003, respectively). These data showed that urinary incontinence was relatively common among apparently healthy women, but not men, and type of incontinence had a different impact on the degree of being bothersome in both sexes.

健康診断のために当院の健診センターを訪れた男女に, 国際前立腺症状スコア(IPSS)と生活の質の指標(IPSS-QI)および泌尿生殖器関連困窮度調査表(UDI-6)を用いたアンケート調査を行い, 通常の日常生活を送っている人々における下部尿路症状(LUTS)と尿失禁症状の出現頻度, および尿失禁症状のLUTSとIPSS-QIに与える影響を検討した。対象となった388人の中, 172人(44.3%)が何らかの尿失禁症状を有していた。その中143人が女性(36.9%)で, 29人が男性(7.5%)であった。女性の平均年齢は46.0歳, 男性の平均年齢は47.5歳であった。尿禁制者に比べ, 混合性尿失禁を有する男女においてIPSS重篤度は有意に高く, 一方, 生活の質に及ぼす影響では, 混合性尿失禁を有する男女は, 尿禁制者に比べ有意に強い困窮度を訴えていた。得られた結果は, 尿失禁は通常の日常生活を送る女性においては, 男性とは異なり, 比較的ありふれた症状であり, また尿失禁の型は異なる困窮度を男女共に与えることを示していた。(著者抄録)