Document Detail


Reproductive factors associated with nocturia and urinary urgency in women: a population-based study in Finland.
MedLine Citation:
PMID:  18486094     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The objective of this study was to evaluate the association of nocturia and urinary urgency with reproductive factors, including parity, the postpartum period, the menopause, hormone replacement therapy, hysterectomy, and surgery for stress urinary incontinence (SUI). STUDY DESIGN: In 2003-2004, questionnaires eliciting urinary symptoms, reproductive factors, SUI surgery, and potential confounders were mailed to 3000 randomly selected women aged 18-79 years, identified from the Finnish Population Register. Nocturia was defined as 2 or more voids/night. Sudden compelling desire to urinate often or always (scale of never, rarely, often, always) was regarded as urgency. Pregnant and puerperal (6 weeks after delivery) women and those reporting urinary tract infection were excluded. RESULTS: Responses totaled 2002 (67%). Parity, postpartum (defined as six weeks to one year after delivery) and postmenopausal periods were associated with increased nocturia and SUI surgery with increased urgency (adjusted for age, comorbidity, medication, anthropometric, sociodemographic and lifestyle factors). Hormone therapy and hysterectomy were associated with neither symptom. CONCLUSION: Reproductive factors associated with nocturia differed from those related to urgency.
Authors:
Kari A O Tikkinen; Anssi Auvinen; Aila Tiitinen; Antti Valpas; Theodore M Johnson; Teuvo L J Tammela
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2008-05-19
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  199     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2008 Aug 
Date Detail:
Created Date:  2008-08-04     Completed Date:  2008-08-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153.e1-12     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, Tampere University Hospital, Tampere, Finland. kari.tikkinen@fimnet.fi
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Aged
Effect Modifiers (Epidemiology)
Estrogen Replacement Therapy / statistics & numerical data
Female
Finland / epidemiology
Humans
Hysterectomy
Menopause*
Middle Aged
Multivariate Analysis
Nocturia / epidemiology*
Odds Ratio
Parity*
Pregnancy
Questionnaires
Risk Factors
Urinary Incontinence, Stress / surgery
Urinary Incontinence, Urge / epidemiology*
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2008 Aug;199(2):205-6   [PMID:  18674664 ]
Am J Obstet Gynecol. 2008 Aug;199(2):e1-3   [PMID:  18674651 ]

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