Arife Zuhal DEĞİRMENCİOĞLU, Semra KOCAÖZ, Rabiye ÇIRPAN

Kadınlarda alt üriner sistem semptomlarının prevalansı ve etkileyen faktörler

Amaç: Bu araştırma, kadınlarda alt üriner sistem semptomları (LUTS)’nın prevalansını ve bunu etkileyen risk faktörlerin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Kesitsel tipte olan bu çalışma, bir eğitim ve araştırma hastanesinin dahiliye polikliniklerine muayene olmak amacıyla gelen 377 kadınla yapılmıştır. Veriler, bir anket formu ve “Bristol Kadın Alt Üriner Sistem Semptomları-Kısa Form (BKAÜSS-KF)” ile toplanmıştır. Bulgular: Kadınlarda en az bir LUTS’un görülme prevalansı %92.3’dır. Menopozal durum, kronik öksürük, anne veya kız kardeşte stres üriner inkontinans (SUİ) olma durumu, iri bebek doğumu ve önceki gebeliğinde SUİ varlığı ile BKAÜSS-KF toplam puanları arasında istatistiksel olarak anlamlı bir ilişki olduğu saptanmıştır . Sonuç: Kadınlarda en fazla depolamayla ilgili semptomların görüldüğü, LUTS’un seksüel hayatı ve yaşam kalitesini olumsuz yönde etkilediği tespit edilmiştir. Bu nedenle yapılacak olan eğitimlerle sağlık profesyonellerinin bu konudaki duyarlılıklarının artırılması ve kadınların LUTS’un risk faktörleri, önlenmesi, tanı ve tedavisi hakkında bilinçlendirilmesi gerekmektedir.

Anahtar Kelimeler:

Alt üriner sistem semptomları, prevalans, risk faktörleri, kadınlar

Prevalence of lower urinary tract symptoms and influencing factors in women

Purpose: This study was conducted to determine the prevalence of LUTS in women and the influencing risk factors. Materials and Methods: This cross-sectional study was conducted with 377 women who presented to the internal medicine outpatient departments of a training and research hospital for examination. The data were collected with a questionnaire form and the “Bristol Female Lower Urinary Tract Symptoms-Short Form (BFLUTS-SF)”. Results: The prevalence of at least one LUTS in women was 92.3%. A statistically significant relationship was found between the menopausal status, chronic cough, stress urinary incontinence (SUI) presence in the mother or sister, the presence of a large baby and SUI in a previous pregnancy, and the BFLUTS-SF total scores. Conclusion: We found that storage-related symptoms were most common in these women, and LUTS affected the sexual life and quality of life negatively. Therefore, it is necessary to increase the sensitivity of health professionals to this issue, and to raise the awareness of women about the risk factors, prevention, diagnosis and treatment of LUTS with future training.

Keywords:

Lower urinary tract symptoms, prevalence, risk factors, women,

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