Psychiatric disorders and sexual trauma are associated with lower urinary tract symptoms

Oct 20, 2009

Depression, anxiety disorders and sexual trauma have all been implicated as risk factors in lower urinary tract symptoms (LUTS) such as incontinence and overactive bladder. The exact nature of these associations is unknown. In a study published online in The Journal of Urology, researchers from the Division of Urology, Virginia Commonwealth University School of Medicine and the Hunter Holmes McGuire Veterans Affairs Hospital, Richmond, Virginia, explored the possible association of LUTS with those factors.

Two questionnaires, the Urogenital Distress Inventory-6 and Incontinence Impact Questionnaire-7, were administered to 121 women referred to a specialized clinic for evaluation of lower symptoms. These data were then analyzed according to psychiatric comorbidities, history of sexual trauma, age, race and obstetric history. Baseline incidence of psychiatric comorbidity and sexual trauma was also compared to a control population of 1,298 women from the Veterans Affairs primary care clinic.

Women referred for evaluation of lower urinary tract symptoms had higher rates of psychiatric comorbidities (64.5% vs. 25.9%) and sexual trauma (49.6% vs. 20.1%) compared to those in the primary care clinic. Separate analysis showed that women younger than 50 years and with a history of miscarriage had higher Urogenital Distress Inventory-6 scores, while higher Incontinence Impact Questionnaire-7 scores were associated only with psychiatric comorbidities and history of miscarriage.

Writing in the article, Adam P. Klausner, MD, and colleagues state, "This is the first study to our knowledge to characterize the association of psychiatric comorbidities and sexual trauma with the type, severity and quality of life impact of LUTS in women using validated surveys. The prevalence of psychiatric comorbidities and sexual trauma is high in women veterans presenting for evaluation of LUTS." Dr. Klausner is an associate professor and the Director of Neurourology, Female Urology, and Voiding Dysfunction at Virginia Commonwealth University Medical Center.

More information: The article is "The Influence of Psychiatric Comorbidities and Sexual Trauma on Lower Urinary Tract Symptoms in Women Veterans" by Adam P. Klausner, Diane Ibanez, Ashley B. King, Daniel Willis, Benjamin Herrick, Luke Wolfe and B. Mayer Grob. It is published online (DOI:10.1016/j.juro.2009.08.035) and will appear in The Journal of Urology, Volume 182, Issue 6 (December 2009) published by Elsevier.

Source: Elsevier Health Sciences

Explore further: Texas hospital isolates patient for Ebola tests

add to favorites email to friend print save as pdf

Related Stories

Female sex offenders often have mental problems

May 14, 2008

Women who commit sexual offences are just as likely to have mental problems or drug addictions as other violent female criminals. This according to the largest study ever conducted of women convicted of sexual offences in ...

Recommended for you

Families wait in agony for word on Ebola patients

1 hour ago

First the ring tone echoed outside the barbed-wire-topped walls of the Ebola clinic. Then came the wails of grief, as news spread that 31-year-old Rose Johnson was dead just days after she was brought here ...

China to open first high security bio laboratory

2 hours ago

China's first high-security biosafety laboratory will be ready for use by December, in a move hailed as a "crucial" moment in the fight against pathogens such as the Ebola virus, officials said Tuesday.

US Ebola labs, parts for clinic arrive in Liberia

3 hours ago

U.S. mobile Ebola labs should be up and running in Liberia this week, and American troops have broken ground for a field hospital, as the international community races to increase the ability to care for ...

Ebola-hit Liberia staring into the abyss

7 hours ago

With its collapsed health service, sick and poorly equipped security forces and broken economy, Ebola-hit Liberia finds itself on the brink of complete societal breakdown, experts warn.

User comments : 0