Seasonal Variation of Overactive Bladder Symptoms in Female Patients
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Purpose: To evaluate seasonal variations of overactive bladder (OAB) symptoms in women who visited hospital clinics. Methods: Medical records of female patients treated for OAB symptoms from January 2011 to December 2017 were retrospectively reviewed. Patients with pyuria at the first visit, those who did not complete the questionnaire, and those with <3 overactive bladder symptom scores (OABSS) were excluded. Uroflowmetric parameters, 3-day micturition diary, and OABSS were analyzed. Results: A total of 582 patients with OAB symptoms who visited the hospital were enrolled in this study. Patients were grouped into 1 of the 3 season groups (cold, intermediate, and hot) depending on the average temperature of the month that the patient first visited the urologic department outpatient clinic. The total OABSS was significantly different between the 3 season groups (cold [7.25±3.20] vs. intermediate [6.24±3.40] vs. hot [5.51±3.20], P=0.001). The proportion of patients who had moderate OAB symptoms (6≤OABSS) was higher in the cold season group (56.2%) than in the other season groups (intermediate, 42.1%; hot, 31.8%; P=0.002). Differences in the number of micturitions (12.12±4.56 vs. 10.95±4.39, P=0.021) and number of urgent urinary incontinence episodes (2.06±0.94 vs. 2.48±0.87, P=0.001) between the cold and hot season groups were also significant. However, differences in the nocturia episode, total daytime voided volume, and mean voided volume between season groups were not significant. Conclusions: Different urinary symptoms and uroflowmetric parameters were correlated with seasonal variation. OAB symptoms might be worse in cold season than in other seasons.
Abstract
Purpose: To evaluate seasonal variations of overactive bladder (OAB) symptoms in women who visited hospital clinics. Methods: Medical records of female patients treated for OAB symptoms from January 2011 to December 2017 were retrospectively reviewed. Patients with pyuria at the first visit, those who did not complete the questionnaire, and those with <3 overactive bladder symptom scores (OABSS) were excluded. Uroflowmetric parameters, 3-day micturition diary, and OABSS were analyzed. Results: A total of 582 patients with OAB symptoms who visited the hospital were enrolled in this study. Patients were grouped into 1 of the 3 season groups (cold, intermediate, and hot) depending on the average temperature of the month that the patient first visited the urologic department outpatient clinic. The total OABSS was significantly different between the 3 season groups (cold [7.25±3.20] vs. intermediate [6.24±3.40] vs. hot [5.51±3.20], P=0.001). The proportion of patients who had moderate OAB symptoms (6≤OABSS) was higher in the cold season group (56.2%) than in the other season groups (intermediate, 42.1%; hot, 31.8%; P=0.002). Differences in the number of micturitions (12.12±4.56 vs. 10.95±4.39, P=0.021) and number of urgent urinary incontinence episodes (2.06±0.94 vs. 2.48±0.87, P=0.001) between the cold and hot season groups were also significant. However, differences in the nocturia episode, total daytime voided volume, and mean voided volume between season groups were not significant. Conclusions: Different urinary symptoms and uroflowmetric parameters were correlated with seasonal variation. OAB symptoms might be worse in cold season than in other seasons.
참고문헌 (29)
- Fei-Chi Chuang, "The Overactive Bladder Symptom Score, International Prostate Symptom Score–Storage Subscore, and Urgency Severity Score in Patients With Overactive Bladder and Hypersensitive Bladder: Which Scoring System is Best?", International Neurourology Journal, 22(2), pp.99~106 (2018), 대한배뇨장애요실금학회
- Teleman PM, "Overactive bladder : prevalence, risk factors and relation to stress incontinence in middle-aged women", BJOG, 111, pp.600~604 (2004)
- Irwin DE, "Worldwide prevalence estimates of lower urinary tract symptoms, overactive bladder, urinary incontinence and bladder outlet obstruction", BJU Int, 108, pp.1132~1138 (2011)
- Chapple CR, "The role of urinary urgency and its measurement in the overactive bladder symptom syndrome : current concepts and future prospects", BJU Int, 95, pp.335~340 (2005)
- Wein AJ, "Campbell-Walsh urology: expert consult premium" (2011), Elsevier Health Sciences
- Lohsiriwat S, "Effect of caffeine on bladder function in patients with overactive bladder symptoms", Urol Ann, 3, pp.14~18 (2011)
- Kim SY, "Analysis of the prevalence of and factors associated with overactive bladder in adult Korean women", PLoS One, 12, pp.e0185592~ (2017)
- Imamura T, "Cold environmental stress induces detrusor overactivity via resiniferatoxin-sensitive nerves in conscious rats", Neurourol Urodyn, 27, pp.348~352 (2008)
- Imamura T, "A galenical produced from Ba-Wei-Die-Huang-Wan(THC-002)provides resistance to the cold stress-induced detrusor overactivity in conscious rats", Neurourol Urodyn, 32, pp.486~492 (2013)
- Imamura T, "Muscarinic receptors mediate cold stress-induced detrusor overactivity in type 2 diabetes mellitus rats", Int J Urol, 21, pp.1051~1058 (2014)
- Ishizuka O, "Cold stress and urinary frequency", Low Urin Tract Symptoms, 4(Suppl 1), pp.67~74 (2012)
- Yoshimura K, "Seasonal alterations in nocturia and other storage symptoms in three Japanese communities", Urology, 69, pp.864~870 (2007)
- 김보균, "Impact of Several Types of Stresses on Short-term Memory and Apoptosis in the Hippocampus of Rats", International Neurourology Journal, 17(3), pp.114~120 (2013), 대한배뇨장애요실금학회[DOI]
- Ockene IS, "Seasonal variation in serum cholesterol levels : treatment implications and possible mechanisms", Arch Intern Med, 164, pp.863~870 (2004)
- Wilkinson P, "Vulnerability to winter mortality in elderly people in Britain : population based study", BMJ, 329, pp.647~ (2004)
- Lee KS, "Effect of climatic parameters on acute urinary retention incidence", Low Urin Tract Symptoms, 10, pp.297~302 (2018)
- Shim SR, "Association between ambient temperature and lower urinary tract symptoms : a hospital-based cross-sectional analysis", Low Urin Tract Symptoms, 10, pp.38~44 (2018)
- 최호철, "Seasonal Variation of Urinary Symptoms in Korean Men with Lower Urinary Tract Symptoms and Benign Prostatic Hyperplasia", The World Journal of Men's Health, 33(2), pp.81~87 (2015), 대한남성과학회
- Cartwright R, "Is there seasonal variation in symptom severity, uroflowmetry and frequency-volume chart parameters in men with lower urinary tract symptoms?", Scott Med J, 59, pp.162~166 (2014)
- Watanabe T, "Seasonal changes in symptom score and uroflowmetry in patients with lower urinary tract symptoms", Scand J Urol Nephrol, 41, pp.521~526 (2007)
- Mears SA, "Voluntary water intake during and following moderate exercise in the cold", Int J Sport Nutr Exerc Metab, 24, pp.47~58 (2014)
- Roehrborn CG, "Alpha1-adrenergic receptors and their inhibitors in lower urinary tract symptoms and benign prostatic hyperplasia", J Urol, 171, pp.1029~1035 (2004)
- LeBlanc J, "Mechanisms of adaptation to cold", Int J Sports Med, 13(Suppl 1), pp.S169~172 (1992)
- Abe J, "TRPM8 protein localization in trigeminal ganglion and taste papillae", Brain Res Mol Brain Res, 136, pp.91~98 (2005)
- Okazawa M, "Noxious heat receptors present in cold-sensory cells in rats", Neurosci Lett, 359, pp.33~36 (2004)
- Colburn RW, "Attenuated cold sensitivity in TRPM8 null mice", Neuron, 54, pp.379~386 (2007)
- Dhaka A, "TRPM8 is required for cold sensation in mice", Neuron, 54, pp.371~378 (2007)
- Shibata Y, "TRPM8-expressing dorsal root ganglion neurons project dichotomizing axons to both skin and bladder in rats", Neuroreport, 22, pp.61~67 (2011)
- Mukerji G, "Cool and menthol receptor TRPM8 in human urinary bladder disorders and clinical correlations", BMC Urol, 6, pp.6~ (2006)