ISSN ONLINE: 2558-815X
ISSN PRINT: 1584-9244
ISSN-L: 1584-9244

Overactive bladder: correlation between urodynamic values and psycho-emotional indices in women


Introduction. Overactive bladder (OAB) is a syndrome consisting in symptoms of urinary urgency, with or without urge incontinence, often associated with urinary frequency and nocturia, in the absence of a pathological cause. Compared to men, women have a higher susceptibility to develop symptoms of OAB and, additionally, women tend to have an increased prevalence of depression and anxiety.
The objective of the study was to determine the interrelation of OAB symptoms with psychoemotional indices, urodynamic values, and quality of life.
Material and methods. A retrospective clinical study of 28 patients with OAB symptoms was conducted using the data available from chart reviews. All patients completed an ICIQ-OAB questionnaire, a 24-hour voiding diary, and the health-related quality of life questionnaire. The psychoemotional state was evaluated using the PHQ-9 (Patient Health Questionnaire) and GAD-7 (General Anxiety Disorder-short form) questionnaires and the level of stress disorder was analyzed using PTSD (posttraumatic stress disorder questionnaire).
Results. In patients with mild to moderate levels of mood changes, there was a statistically significant difference demonstrating higher maximum detrusor pressure (p<0.05) compared to patients with no psychological disorders (62.95±42.48 cmH2O). Patients with detrusor overactivity (DO) confirmed on urodynamic tests were positively correlated (R2=0,86) with mild anxiety in 50% of cases and mood changes in 35.7% of cases.
Conclusions. The comparison of psychometric parameters with clinical and urodynamic results revealed an association between the GAD-7 and PHQ-9 scores and DO. Mild and moderate degrees of change of mood and anxiety are prevalent in women with OAB and correlate with the severity of OAB symptoms, detrusor overactivity, and lower quality of life.
Keywords: overactive, urinary bladder, urodynamics, anxiety, stress.

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Address for correspondence:
Mihaela IVANOV
Department of Urology and Surgical Nephrology, “Nicolae Testemitanu” State University of Medicine and Pharmacy, Chisinau, Republic of Moldova
Address: 165 Stefan cel Mare si Sfint Av., Chisinau 2004, Republic of Moldova


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Ivanov M, Colasurdo J, Galescu A, Lacusta V, Ceban E. Overactive bladder: correlation between urodynamic values and psycho-emotional indices
in women. Arch Balk Med Union. 2023;58(4):358-367.