MP79-01 DO ABNORMAL TOILETING BEHAVIORS CONTRIBUTE TO WORSE URINARY SYMPTOMS IN WOMEN?

Abstract

You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction II1 Apr 2018MP79-01 DO ABNORMAL TOILETING BEHAVIORS CONTRIBUTE TO WORSE URINARY SYMPTOMS IN WOMEN? Casey G Kowalik, Adam Daily, Sophia Delpe, W. Stuart Reynolds, Melissa R. Kaufman, and Roger R. Dmochowski Casey G KowalikCasey G Kowalik More articles by this author , Adam DailyAdam Daily More articles by this author , Sophia DelpeSophia Delpe More articles by this author , W. Stuart ReynoldsW. Stuart Reynolds More articles by this author , Melissa R. KaufmanMelissa R. Kaufman More articles by this author , and Roger R. DmochowskiRoger R. Dmochowski More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2669AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Lower urinary tract symptoms are common in women and presumably relate to four recognized domains of toileting behaviors, including 1) place, 2) timing, 3) position, and 4) style. However, little is still known about the associations between abnormal or dysfunctional toileting behaviors and urinary symptoms. Our aim was to investigate whether increased lower urinary tract symptoms, specifically overactive bladder (OAB), are correlated with increased self-report of dysfunctional toileting behaviors in a community-based sample of women. METHODS In this cross-sectional study, we recruited 2,215 community women to complete online, validated questionnaires, including the Toileting Behavior Scale (TBS) and International Consultation on Incontinence Questionnaire-Overactive bladder (ICIQ-OAB). Dysfunctional behavior questions were grouped by premature voiding (voiding without the need to urinate), delayed voiding, and straining to void. Pearson correlation was used to examine the strength of associations between ICIQ-OAB and dysfunctional toileting behavior scores. RESULTS The average age was 47.3 (range: 18-89). All except 3 women (99.9%) reported a place preference for voiding, with 10.5% (n=233) always avoiding public restrooms. Overall, 79.9% (n=1,770) reported premature voiding, 64.5% (n=1,429) straining to void, and 97.8% (n=2,166) delayed voiding. Reasons for delaying urination at least sometimes were ″busy″ (84.5%, n= 1,873) or ″at work″ (37.6%, n= 832). There were significant positive correlations between ICIQ-OAB scores and all dysfunctional toileting behaviors, with the strongest correlation being premature voiding (r=0.364, p<0.001). CONCLUSIONS Nearly all women in our sample endorsed dysfunctional toileting behaviors with voiding. There was correlation of toileting behaviors and lower urinary tract symptoms. Women with worse OAB symptoms were most likely to void pre-emptively, in the absence of desire, although many also reported straining to void and delaying voiding. Further study is needed to explore the effects of dysfunctional toileting behaviors on the development or worsening of lower urinary tract symptoms in adult women. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1080 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Casey G Kowalik More articles by this author Adam Daily More articles by this author Sophia Delpe More articles by this author W. Stuart Reynolds More articles by this author Melissa R. Kaufman More articles by this author Roger R. Dmochowski More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...