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Urodynamic and questionnaire findings in urinary incontinent women with and without diabetes. Data from a health study

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Introduction and hypothesis: Our aim was to compare urodynamic findings in urinary incontinent (UI) women with and without diabetes. Methods: In the extensive Lolland-Falster Health Study, women with lower urinary tract symptoms were offered urodynamic testing. After excluding 6 women with incomplete urodynamic testing and 88 women without UI, our analysis ended up including 417 women (31 with and 386 without diabetes). Student’s t-test and chi-squared test were used to compare differences of urodynamic findings. Urodynamic testing consisted of a 2-day bladder diary, post-void residual urine volume, filling cystometry, pressure-flow study, cough stress test, and uroflowmetry. Three experienced physicians in urogynecology evaluated all urodynamic findings leading to an overall conclusion of the test results. Results: Self-reported data showed that compared to incontinent women without diabetes, incontinent women with diabetes had more frequent leakage, a larger amount of leakage, and a higher ICIQ score. A positive ICS Uniform cough stress test was more prevalent in women with diabetes. There were no significant differences in other urodynamic findings or overall conclusion between the two groups. Controlling for age and BMI did not affect our findings. Conclusions: Women with diabetes complained more about UI, had a higher ICIQ score, and had a positive ICS Uniform cough stress test more often than women without diabetes. Based on these findings, we recommend to include the history of urinary incontinence in the care of women with diabetes. This sample consists of women from a comprehensive health study with different severity of UI. Therefore, it can serve as a reference cohort for future studies.

OriginalsprogEngelsk
TidsskriftInternational Urogynecology Journal
Vol/bind32
Udgave nummer10
Sider (fra-til)2847-2856
Antal sider10
ISSN0937-3462
DOI
StatusUdgivet - okt. 2021

Bibliografisk note

Funding Information:
This study was funded by Nykøbing Falster Hospital; Department of Gynecology and Obstetrics, Nykøbing Falster Hospital; Region Zealand Health Research Fund; Department of Gynecology and Obstetrics, Zealand University Hospital, Roskilde; Production, Research and Innovation, Region Zealand; "Cutting the Edge” prize from Astellas to co-supervisor Lea Laird Andersen; Edith and Henrik Henriksens Memorial Fund; King Christian X's memorial Fund; Grosserer L.F. Foghts Fund; Aase and Ejnar Danielsen Fund; AP Møller Fund.

Funding Information:
The authors thank the women participating and contributing with valuable data for this study. Another acknowledgment and thanks go to the three specialist nurses for contributing with the assessment of the many urodynamic tests: Jette Fauerholm, Lene B?nnelykke, and Jytte Pedersen, and to the Department of Gynecology and Obstetrics, Nyk?bing Falster Hospital, for lending us urodynamic equipment for our test. The Lolland-Falster Health Study (LOFUS), Nyk?bing Falster Hospital, Denmark, is a collaboration between Lolland and Guldborgsund Municipalities, Region Zealand, and Nyk?bing Falster Hospital. The authors are grateful to LOFUS for collaborating and making the LOFUS research data available. However, LOFUS bears no responsibility for analyses or interpretations conducted within this study.

Publisher Copyright:
© 2021, The International Urogynecological Association.

ID: 68764446