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Tytuł:
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Effect of aging on lower urinary tract symptoms and urodynamic parameters in women.
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Autorzy:
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Lau HH; Department of Medicine, Mackay Medical College, New Taipei, 252, Taiwan; Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, 104, Taiwan; Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital, Hsinchu, Hsinchu, 300, Taiwan.
Su TH; Department of Medicine, Mackay Medical College, New Taipei, 252, Taiwan; Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, 104, Taiwan; Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital, Hsinchu, Hsinchu, 300, Taiwan.
Huang WC; Department of Medicine, Mackay Medical College, New Taipei, 252, Taiwan; Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, 104, Taiwan; Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan. Electronic address: .
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Źródło:
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Taiwanese journal of obstetrics & gynecology [Taiwan J Obstet Gynecol] 2021 May; Vol. 60 (3), pp. 513-516.
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Typ publikacji:
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Journal Article; Observational Study
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Język:
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English
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Imprint Name(s):
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Publication: 2007- : Taipei, Taiwan : Elsevier
Original Publication: Hong Kong : Elsevier (Singapore)
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MeSH Terms:
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Aging/*physiology
Lower Urinary Tract Symptoms/*etiology
Urination/*physiology
Urodynamics/*physiology
Aged ; Cohort Studies ; Female ; Humans ; Middle Aged ; Urethra/physiopathology ; Urinary Bladder/physiopathology
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Contributed Indexing:
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Keywords: Age factors; Lower urinary tract symptoms; Pelvic organ prolapse; Stress urinary incontinence; Urodynamics
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Entry Date(s):
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Date Created: 20210510 Date Completed: 20211020 Latest Revision: 20211020
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Update Code:
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20240105
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DOI:
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10.1016/j.tjog.2021.03.022
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PMID:
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33966738
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Objective: Lower urinary tract symptoms (LUTS) are common in women. However, due to multifactorial etiologies, it is difficult to determine the prevalence, and functional changes with age. The aim of this study is to assess the effect of age on female LUTS, urethral and bladder function after their midlife.
Materials and Methods: This was an observational cohort study conducted at a tertiary referral medical center. Women who visited for bothersome LUTS, valid quality of life questionnaires, and urodynamic tests were recruited into the this study. Patients The patients were divided into four groups (<50, 50-59, 60-69, and >69 years). All LUTS, and urodynamic parameters were reviewed, and compared between groups.
Results: A total of 364 women were enrolled and analyzed. The urodynamic tests showed the that maximal cystometric bladder capacity, the average and maximal urine flow rate, and pressure of detrusor contractility at maximal urine flow rate were all significantly decreased with age. Besides, the voiding time, and post-voiding residual urine volume significantly increased with age. For urethral competence, the maximal urethral closure pressure deteriorated with age. All storage symptoms did not change with age, except for nocturnal enuresis. However, the effect of age on some voiding symptoms significantly increased with age, including straining to void, hesitancy, and intermittency.
Conclusions: Lower urinary tract symptoms, bladder and urethral functions change with age, particularly voiding function. Physicians should be aware of the aging process when counseling and before implementing management strategies, particularly for older people.
Competing Interests: Declaration of competing interest None.
(Copyright © 2021. Published by Elsevier B.V.)
