1867 LOWER URINARY TRACT SYMPTOMS AND PELVIC PAIN IN YOUNG WOMEN AND THE EFFECTS OF PEDIATRIC VOIDING DYSFUNCTION

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology1 Apr 20111867 LOWER URINARY TRACT SYMPTOMS AND PELVIC PAIN IN YOUNG WOMEN AND THE EFFECTS OF PEDIATRIC VOIDING DYSFUNCTION W. Stuart Reynolds, Roger Dmochowski, and Harriette Scarpero W. Stuart ReynoldsW. Stuart Reynolds Nashville, TN More articles by this author , Roger DmochowskiRoger Dmochowski Nashville, TN More articles by this author , and Harriette ScarperoHarriette Scarpero Nashville, TN More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.1949AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Little is known about pelvic floor symptoms in young nulliparous women, particularly related to etiology and associated conditions. We performed an email-based survey at our institution collecting information on lower urinary tract (LUTS) and pelvic symptoms specifically in young women ascertaining the prevalence of pelvic symptoms (specifically frequency-urgency, urinary incontinence and pelvic pain or painful urination) and associated conditions. We hypothesized that women with pelvic floor symptoms would have an increased rate of childhood voiding and elimination disorders. METHODS Women older than 18 were anonymously recruited to complete an online questionnaire circulated by email to faculty, staff and students at our university medical center. Information regarding demographic information, medical and gynecologic history, voiding and pelvic symptoms and quality of life was obtained. RESULTS 811 respondents, aged 18–40, were analyzed for this study. Overall, 474 (58%) have symptoms either “frequently” or “all the time” and were considered to have pelvic floor dysfunction (PFD): 59 (7%) experience frequency/urgency; 334 (41%) experience urinary incontinence; and 81 (10%) experience pelvic pain. Of those with incontinence, 23% reported pure stress incontinence, 11% pure urge incontinence, and 14% mixed incontinence. Overall, 299 (37%) women reported a history of pediatric voiding or elimination dysfunction, either bedwetting (8%), frequency/incontinence (3%), urinary tract infections (17%), or constipation/encopresis (9%). 208 (44%) of patients with PFD had a history of pediatric dysfunction while only 91 (27%) with no PFD had a similar history (p<0.001). Patients with PFD vs. without PFD more frequently reported childhood bedwetting (9% vs. 7%), frequency/incontinence (4% vs. 1%), UTI (20% vs.12%), and constipation (11% vs.7%) [p<0.001]. A history of any pediatric dysfunction was associated with an increased prevalence of PFD (adjusted OR 1.94, 95% CI [1.42, 2.63]), when corrected for overall health, mode of delivery, exercise and endometriosis on multivariate regression analysis. CONCLUSIONS Pelvic symptoms (LUTS and pelvic pain) are common in women aged 18–40 years and appear to be associated with a history of childhood voiding and elimination disorders. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e749 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information W. Stuart Reynolds Nashville, TN More articles by this author Roger Dmochowski Nashville, TN More articles by this author Harriette Scarpero Nashville, TN More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...