José Miguel Gómez de Vicente , Luis López-Fando , Luis Martínez-Piñeiro
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Frequency (Q1: 0-5), amount (Q2: 0-6), impact in quality of life (Q3: 0-10) as well as total ICIQ-UI scores were compared between patients who claimed to also have leakage for no obvious reason (LforNOR) or all the time (LAT) and those who did not. UI patterns were stratified according to its severity.</p></div><div><h3>Results:</h3><p>203 males and 357 females were studied. Scores for frequency, amount, impact on quality of life and total ICIQ-UI scores were significantly higher for women who LAT (4.7 vs 3.3, 5.4 vs 3.4, 9.3 vs 6.8 and 19.4 vs 13.4 respectively, all with p<0.001) or LforNOR (4.1 vs 3.4, 4.5 vs 3.5, 8.6 vs 6.7 and 17.1 vs 13.6, all with p<0.001). In men, mean Q1, Q2, Q3 and total ICIQ-UI scores were also higher in those with LAT (4.6 vs 2.9, 5 vs 2.8, 9.1 vs 5.3 and 18.7 vs 11 respectively, all with p<0.001) and LforNOR (3.9 vs 2.8, 4.2 vs 2.7, 7.6 vs 5.2 and 15.6 vs 10.7 all with p<0.001). ICIQ-UI scores were also significantly higher when controlling for UI pattern with or without LforNOR or LAT. Stratification of incontinence severity by UI patterns with or without these two types of leakage had clinical consistency as most patients with LforNOR and LAT had higher ICIQ-UI scores.</p></div><div><h3>Conclusion:</h3><p>Leaking for no obvious reason and leaking all the time are clinical markers of incontinence severity.</p></div>","PeriodicalId":100330,"journal":{"name":"Continence Reports","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Leaking all the time and for no obvious reason are clinical markers of incontinence severity: A cross-sectional study\",\"authors\":\"José Miguel Gómez de Vicente , Luis López-Fando , Luis Martínez-Piñeiro\",\"doi\":\"10.1016/j.contre.2023.100029\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction:</h3><p>Leaking for no obvious reason and leaking all the time are unusual urinary incontinence patterns. They are often associated to most severe incontinence cases. However, its real impact in severity and impact on quality of life has not been extensively studied</p></div><div><h3>Objective:</h3><p>To determine the influence on severity and impact on quality of life of these two types of urinary leakage in patients with stress, urgency or mixed UI based on ICIQ-UI questionnaire.</p></div><div><h3>Study design:</h3><p>We performed a retrospective analysis of the ICIQ-UI questionnaire in 560 non-neurogenic patients complaining of UI. Patients were classified according to their UI pattern into stress, urgency or mixed UI. Frequency (Q1: 0-5), amount (Q2: 0-6), impact in quality of life (Q3: 0-10) as well as total ICIQ-UI scores were compared between patients who claimed to also have leakage for no obvious reason (LforNOR) or all the time (LAT) and those who did not. UI patterns were stratified according to its severity.</p></div><div><h3>Results:</h3><p>203 males and 357 females were studied. Scores for frequency, amount, impact on quality of life and total ICIQ-UI scores were significantly higher for women who LAT (4.7 vs 3.3, 5.4 vs 3.4, 9.3 vs 6.8 and 19.4 vs 13.4 respectively, all with p<0.001) or LforNOR (4.1 vs 3.4, 4.5 vs 3.5, 8.6 vs 6.7 and 17.1 vs 13.6, all with p<0.001). In men, mean Q1, Q2, Q3 and total ICIQ-UI scores were also higher in those with LAT (4.6 vs 2.9, 5 vs 2.8, 9.1 vs 5.3 and 18.7 vs 11 respectively, all with p<0.001) and LforNOR (3.9 vs 2.8, 4.2 vs 2.7, 7.6 vs 5.2 and 15.6 vs 10.7 all with p<0.001). ICIQ-UI scores were also significantly higher when controlling for UI pattern with or without LforNOR or LAT. Stratification of incontinence severity by UI patterns with or without these two types of leakage had clinical consistency as most patients with LforNOR and LAT had higher ICIQ-UI scores.</p></div><div><h3>Conclusion:</h3><p>Leaking for no obvious reason and leaking all the time are clinical markers of incontinence severity.</p></div>\",\"PeriodicalId\":100330,\"journal\":{\"name\":\"Continence Reports\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Continence Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772974523000091\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Continence Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772974523000091","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
导语：无明显原因的尿失禁和一直尿失禁是不寻常的尿失禁模式。它们通常与最严重的失禁病例有关。然而，其在严重程度和对生活质量的影响方面的真正影响尚未得到广泛研究。目的：基于ICIQ-UI问卷，确定压力型、紧迫型或混合型UI患者这两种类型的尿漏对严重程度和生活质量的影响。研究设计：我们对560名抱怨UI的非神经源性患者的ICIQ-UI问卷进行了回顾性分析。根据患者的UI模式将其分为压力型、紧急型或混合型UI。比较声称无明显原因（LforNOR）或所有时间（LAT）也有渗漏的患者和没有渗漏的患者的频率（Q1:0-5）、数量（Q2:0-6）、生活质量影响（Q3:0-10）以及ICIQ-UI总分。UI模式根据其严重程度进行分层。结果：男性203例，女性357例。LAT（分别为4.7 vs 3.3、5.4 vs 3.4、9.3 vs 6.8和19.4 vs 13.4，均p＜0.001）或LforNOR（4.1 vs 3.4、4.5 vs 3.5、8.6 vs 6.7和17.1 vs 13.6，均p＞0.001）的女性的频率、数量、对生活质量的影响和ICIQ-UI总分显著较高，LAT患者（分别为4.6 vs 2.9、5 vs 2.8、9.1 vs 5.3和18.7 vs 11，均p＜0.001）和LforNOR患者（3.9 vs 2.8、4.2 vs 2.7、7.6 vs 5.2和15.6 vs 10.7，均p＞0.001）的Q3和总ICIQ-UI得分也较高。根据有或没有这两种类型渗漏的UI模式对失禁严重程度进行分层具有临床一致性，因为大多数LforNOR和LAT患者的ICIQ-UI评分较高。结论：无明显原因渗漏和一直渗漏是尿失禁严重程度的临床标志。
Leaking all the time and for no obvious reason are clinical markers of incontinence severity: A cross-sectional study
Introduction:
Leaking for no obvious reason and leaking all the time are unusual urinary incontinence patterns. They are often associated to most severe incontinence cases. However, its real impact in severity and impact on quality of life has not been extensively studied
Objective:
To determine the influence on severity and impact on quality of life of these two types of urinary leakage in patients with stress, urgency or mixed UI based on ICIQ-UI questionnaire.
Study design:
We performed a retrospective analysis of the ICIQ-UI questionnaire in 560 non-neurogenic patients complaining of UI. Patients were classified according to their UI pattern into stress, urgency or mixed UI. Frequency (Q1: 0-5), amount (Q2: 0-6), impact in quality of life (Q3: 0-10) as well as total ICIQ-UI scores were compared between patients who claimed to also have leakage for no obvious reason (LforNOR) or all the time (LAT) and those who did not. UI patterns were stratified according to its severity.
Results:
203 males and 357 females were studied. Scores for frequency, amount, impact on quality of life and total ICIQ-UI scores were significantly higher for women who LAT (4.7 vs 3.3, 5.4 vs 3.4, 9.3 vs 6.8 and 19.4 vs 13.4 respectively, all with p<0.001) or LforNOR (4.1 vs 3.4, 4.5 vs 3.5, 8.6 vs 6.7 and 17.1 vs 13.6, all with p<0.001). In men, mean Q1, Q2, Q3 and total ICIQ-UI scores were also higher in those with LAT (4.6 vs 2.9, 5 vs 2.8, 9.1 vs 5.3 and 18.7 vs 11 respectively, all with p<0.001) and LforNOR (3.9 vs 2.8, 4.2 vs 2.7, 7.6 vs 5.2 and 15.6 vs 10.7 all with p<0.001). ICIQ-UI scores were also significantly higher when controlling for UI pattern with or without LforNOR or LAT. Stratification of incontinence severity by UI patterns with or without these two types of leakage had clinical consistency as most patients with LforNOR and LAT had higher ICIQ-UI scores.
Conclusion:
Leaking for no obvious reason and leaking all the time are clinical markers of incontinence severity.
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