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Int J Gynaecol Obstet. 2018 Sep;142(3):365-369. doi: 10.1002/ijgo.12545. Epub 2018 Jun 28.

Association of uterine leiomyoma and overactive bladder syndrome.

Author information

1
Department of Obstetrics and Gynecology, Clinical Division of General Gynecology and Gynecologic Oncology, Medical University of Vienna, Vienna, Austria.
2
Karl Landsteiner Institut fuer Spezielle Gynaekologie und Geburtshilfe, Vienna, Austria.
3
Center for Medical Statistics, Informatics and Intelligent Systems, Medical University of Vienna, Vienna, Austria.
4
Department of Obstetrics and Gynecology, St. Josef Spital, Vienna, Austria.
5
Karl Landsteiner Institut fuer Diagnostik und Therapie in der Frauenheilkunde, Vienna, Austria.
6
Department of Urology and Andrology, Sozialmedizinisches Zentrum Ost- Donauspital, Vienna, Austria.

Abstract

OBJECTIVE:

To assess associations between anterior and/or fundal uterine leiomyoma and overactive bladder syndrome.

METHODS:

The present cohort study recruited women diagnosed with fundal/anterior uterine leiomyoma by standardized transvaginal ultrasonography at the Medical University of Vienna, Austria, between January 1, 2010, and December 31, 2013, in addition to an age-matched control group of women without uterine leiomyoma. The International Consultation on Incontinence Questionnaire Overactive Bladder Module (ICIQ-OAB) was mailed to all eligible participants. The main outcome was the ICIQ-OAB sum score.

RESULTS:

Among 304 questionnaires sent out, 129 were returned. After the exclusion of incomplete datasets, 80 women were included in the analysis (uterine leiomyoma group, 43; control group, 37). The mean ± SD ICIQ-OAB sum score was 9.7 ± 10.2 for women with uterine leiomyoma and 4.2 ± 5.3 for women in the control group; thus, the ICIQ-OAB sum score was on average 5.5 points higher in the uterine leiomyoma group (P=0.003). The Spearman correlation coefficient between the total volume of leiomyoma per woman and the ICIQ-OAB sum score was 0.072 (P=0.645).

CONCLUSION:

The study found a significant association between anterior and/or fundal leiomyoma and overactive bladder syndrome. The presence of uterine leiomyoma should be ruled out during the evaluation of overactive bladder.

KEYWORDS:

Benign pelvic tumor; Fibroid; Incontinence; Lower urinary tract symptoms; Overactive bladder syndrome; Transvaginal ultrasonography; Uterine leiomyoma

PMID:
29862495
DOI:
10.1002/ijgo.12545
[Indexed for MEDLINE]

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