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Association of uterine leiomyoma and overactive bladder syndrome
Author(s) -
Koch Marianne,
Rauchenwald Tina,
Kivaranovic Danijel,
Schwab Stephanie,
Umek Wolfgang,
Koelbl Heinz,
Rauchenwald Michael,
Helmy Samir
Publication year - 2018
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1002/ijgo.12545
Subject(s) - medicine , uterine leiomyoma , leiomyoma , overactive bladder , gynecology , urology , cohort , obstetrics , surgery , pathology , alternative medicine
Objective To assess associations between anterior and/or fundal uterine leiomyoma and overactive bladder syndrome. Methods The present cohort study recruited women diagnosed with fundal/anterior uterine leiomyoma by standardized transvaginal ultrasonography at the Medical University of Vienna, Austria, between January 1, 2010, and December 31, 2013, in addition to an age‐matched control group of women without uterine leiomyoma. The International Consultation on Incontinence Questionnaire Overactive Bladder Module (ICIQ‐OAB) was mailed to all eligible participants. The main outcome was the ICIQ‐OAB sum score. Results Among 304 questionnaires sent out, 129 were returned. After the exclusion of incomplete datasets, 80 women were included in the analysis (uterine leiomyoma group, 43; control group, 37). The mean ± SD ICIQ‐OAB sum score was 9.7 ± 10.2 for women with uterine leiomyoma and 4.2 ± 5.3 for women in the control group; thus, the ICIQ‐OAB sum score was on average 5.5 points higher in the uterine leiomyoma group ( P =0.003). The Spearman correlation coefficient between the total volume of leiomyoma per woman and the ICIQ‐OAB sum score was 0.072 ( P =0.645). Conclusion The study found a significant association between anterior and/or fundal leiomyoma and overactive bladder syndrome. The presence of uterine leiomyoma should be ruled out during the evaluation of overactive bladder.