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The spectrum and etiologies of lower urinary tract symptoms in postmenopausal women

Current Urology 2023年第3期17卷 179-183页

作者： Vishrut Bharti Rajesh K.Tiwari Sanjay Gupta rohit upadhyay Manoj K.Singh Deelip K.Singh Department of Urology Indira GandhiInstitute of Medical SciencesPatnaIndia

Background:Although the prevalence of lower urinary tract symptoms(LUTS)is high in the female population,it is even higher in post-menopausal *** frequency,severity,and etiology of LUTS vary among populations and *** study aimed to define the characteristics of LUTS in postmenopausal women and their underlying *** and methods:Overall,74 postmenopausal patients presenting with LUTS in the urological outpatient department were included in the study.A detailed evaluation of LUTS and their underlying etiologies was *** were divided into 2 groups based on age(65 years),and the variation in different factors was compared across the *** were compared using the t test and 1-way analysis of ***:Nocturia was the most common symptom(89.2%)followed by frequency(83.8%).Among voiding LUTS,the most common was a weak stream(63.5%).Frequency,nocturia,urgency,urge urinary incontinence(UI),stress UI,and nocturnal enuresis were more common in patients older than 65 *** and urge UI were recognized to be the most bothersome symptoms by 37%of the study population followed by straining(32%).The mean storage scores,incontinence scores,and quality of life(QoL)scores for patients younger than 65 years and 65 years or older were 6.9 and 8.5(p<0.01),1.8 and 4.1(p<0.01),4.9 and 6.1,*** most common diagnosis was bladder outlet obstruction due to urethral/meatal stenosis(40.5%)followed by an overactive bladder(32.4%),urinary tract infection(10.8%),cystocele(8.1%),urethral prolapse(4.1%),and urethral caruncle(4.1%).Conclusions:Storage LUTS were the most common and increased in both frequency and severity with *** QoL was also more severely affected in older postmenopausal *** outlet obstruction due to meatal with or without distal urethral stenosis was the most common underlying cause of LUTS followed by an overactive *** bladder had the most severe impact on pat

关键词： Female urology Lower urinary tract symptoms Postmenopausal health Etiology

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