AUTHOR : Lee ji Yeon,Song Misoon
INFORMATION : page. 60~68 / 2017 Vol.19 No.2
요실금은 불수의적인 요누출의 호소(the complaint of any involuntary loss of urine)로 정의되며, 크게 복압성, 절박성, 복합성의 세 가지 유형으로 분류된다. 복압성 요실금은 신체적 운동이나 재채기, 기침할 때 나타나는 요실금이며, 절박성 요실금은 갑작스럽게 요의가 느껴지면서 나타나는 요실금이고, 복합성 요실금은 복압성과 절박성 요실금이 혼합된 유형이다.
Purpose: The purpose of this study was to analyze the relationship between lower urinary tract symptoms and urodynamic parameters to investigate the characteristics of mixed urinary incontinence (MUI) and stress urinary incontinence (SUI). Methods: The subjects were 318 women with MUI and 128 women with SUI. Data were collected retrospectively from electronic medical records including Bristol Female Lower Urinary Tract Symptoms-Scored Form (BFLUTS-SF), Incontinence Quality of Life Instrument (I-QOL), voiding diaries, and urodynamic parameters. Results: Compared with the SUI group, the MUI group was older and showed lower I-QOL and more severe urinary tract symptoms. The MUI group had more urinary frequency, more nocturia, and a higher urgency score than the SUI group. In the correlation analysis, the greatest difference between the two groups was that urgency was associated with Qmax, maximal cystometric capacity, and detrusor condition over activity only in the MUI group (r=-.175, p=.004; r=-.281, p<.001; r=.232, p<.001, respectively). Conclusion: As a result of this study, we propose that a customized management program that emphasizes the control of pelvic floor for the MUI group, and one that effectively strengthens the weak pelvic floor for the SUI group.
복합성 요실금,복압성 요실금,하부요로증상,요역동학 검사