MP81-04 STRESS AND OVERACTIVE BLADDR SYMPTOMS

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Female Urology1 Apr 2015MP81-04 STRESS AND OVERACTIVE BLADDR SYMPTOMS H. Henry Lai, Vivien Gardner, Joel Vetter, and Gerald Andriole H. Henry LaiH. Henry Lai More articles by this author , Vivien GardnerVivien Gardner More articles by this author , Joel VetterJoel Vetter More articles by this author , and Gerald AndrioleGerald Andriole More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2882AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The relationship between psychological stress and interstitial cystitis (IC/BPS) has been well described. Even though there are some overlaps of symptoms between OAB (overactive bladder) and IC/BPS, there have been very few studies that specifically investigated the relationship between psychological stress and urinary symptoms in OAB patients who do not have pelvic pain. The objectives of this study were to: (1) compare perceived stress levels in patients with OAB to IC/BPS and controls, and (2) examine the association between the level of psychological stress and the severity of OAB symptoms, and its impact on quality of life in patients. METHODS Patients diagnosed with OAB (n=51) or IC/BPS (n=27), and age−matched healthy controls (n=30) participated in a prospective study that inquired about their perceived stress levels using the 10−item perceived stress scale (PSS). Among OAB patients, their responses on the PSS was correlated to self−reported OAB symptoms using the following questionnaires: 1) international consultation on incontinence –urinary incontinence (ICIQ−UI), 2) international consultation on incontinence –overactive bladder (ICIQ−OAB), 3) OAB−q short form, 4) urogenital distress inventory short form (UDI−6), 5) incontinence impact questionnaire short form (IIQ−7), 6) urgency severity scale (USS), 7) numeric rating scales of urgency symptom, and 8) frequency symptom. RESULTS OAB patients reported stress levels that were as high as IC/BPS (median 17.0 versus 18.0, p=0.892), and significantly higher than healthy controls (17.0, versus 7.5, p=0.001). Among OAB patients, there was a positive correlation between stress levels and urinary incontinence symptoms (ICIQ−UI, p=0.007), and impacts on quality of life (UDI−6, IIQ−7, OAB−q QoL subscale; p=0.028, 0.005, 0.029, respectively, see Table). No significant correlation was observed between stress levels and urinary urgency or frequency symptoms (ICIQ−OAB, USS, numeric ratings of urgency and frequency). CONCLUSIONS OAB patients reported perceived stress levels that were as high as IC/BPS, and significantly higher than healthy controls. There was a positive correlation between perceived stress levels and urinary incontinence symptoms, and its impacts on quality of life among OAB patients. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e1029 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information H. Henry Lai More articles by this author Vivien Gardner More articles by this author Joel Vetter More articles by this author Gerald Andriole More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...