Üriner inkontinansı olan genç ve yaşlı kadınlarda noktüri ile ilişkili faktörlerin değerlendirilmesi

Amaç: Üriner inkontinanslı (Üİ) genç ve yaşlı kadınlarda noktüriyi etkileyen faktörleri değerlendirmek. Gereç ve Yöntemler: Kasım 2021-Mart 2022 tarihleri arasında Üİ şikâyeti ile üroloji polikliniğine başvuran kadınlar çalışmaya dahil edildi. Demografik veriler, antropometrik ölçümler, ilaçlar ve komorbiditeler kaydedildi. Yaşam kalitelerini değerlendirmek için ICIQ-SF testi uygulandı. Geceleri ≥2 idrar yapma ihtiyacı ile uyanan hastalarda noktüri var olarak kabul edildi. Bulgular: Çalışmaya 92 kadın dahil edildi. Hastalar <60 yaş (n=47) ve ≥60 yaş (n=45) olarak 2 gruba ayrıldı. Bel çevresi ve vücut kitle indeksi ≥60 yaş hastalarda daha yüksekti (sırasıyla; p= <0,001, p= 0,034). Kullanılan ilaç sayısı yaşlı grupta daha fazlaydı (p= <0,001). Diüretik ve antikolinerjik ilaç kullanımı yaşlı grupta genç gruba göre daha yüksekti (sırasıyla; p= <0,001, p= 0,006). Tip 2 Diabetes Mellitus'lu (DM) hasta sayısı ve komorbidite sayısı yaşlı grupta daha fazlaydı (sırasıyla; p= 0,002, p= 0,025). Noktürisi olan ve olmayan genç grupta antropometrik ölçümler, kullanılan ilaçlar ve komorbiditeler açısından fark bulunmadı. Noktürisi olan yaşlı grupta ilaç sayısı ve Tip 2 DM olan hasta sayısı noktürisi olmayan yaşlı gruba göre anlamlı olarak daha yüksekti (sırasıyla; p= 0.04, p= 0.036). Sonuç: Çalışmamızın sonuçları, klinisyenlerin özellikle Üİ'li yaşlı kadınlarda noktüri riskini azaltmak için kullanılan ilaç sayısını ve Tip 2 DM varlığını değerlendirmesinin önemini vurgulamaktadır.

Anahtar Kelimeler:

Yaşlı, noktüri, risk faktörleri, üriner inkontinans, kadın

Assessment of associated factors with nocturia in young and older urinary incontinent

Objective: To assess the factors affecting nocturia in young and older women with urinary incontinence (UI).Material and Methods: Women who applied to the urology outpatient clinic with the UI complaint between November 2021-March 2022 were included. Demographic data, anthropometric measurements, medications and comorbidities were recorded. The ICIQ-SF test was applied to evaluate their quality of life. Patients who have been waking up at night with the need to urinate ≥2 were considered to have nocturia.Results: Ninety-two women were included. Two groups were created as patients <60 years (n=47) and ≥60 years (n=45). The body mass index and waist circumference were higher in patients ≥60 years (respectively; p= 0.034, p= <0.001). Using of diuretic and anticholinergic medications was higher than in the younger group (respectively; p= <0.001, p= 0.006). The total number of medications was higher in the older group (p= <0.001). The number of comorbidities and the number of patients with Type 2 Diabetes Mellitus (DM) were higher in the older group (respectively; p= 0.002, p= 0.025). No difference was found in the young group with and without nocturia in terms of anthropometric measurements, medications used, and comorbidities. The number of medications and the number of Type 2 DM patients were significantly higher in the older group with nocturia (respectively; p= 0.04, p= 0.036). Conclusion: Type 2 DM and multiple medication use are risk factors for nocturia in older women with UI. Evaluation and management of these risk factors may contribute to better clinical outcomes.

Keywords:

Aged, nocturia, risk factors, urinary incontinence, women,

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