Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women

Abstract Patients with overactive bladder syndrome-wet (OAB-wet) experience urgency urinary incontinence, particularly urinary frequency and nocturia. Nocturnal enuresis (NE) is less addressed among OAB-wet patients. The study evaluated the prevalence of NE, lower urinary tract symptoms (LUTS), urod...

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Main Authors: Kuan Chong Ng, Jeff Shih-Chieh Chueh, Shang-Jen Chang
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84031-w
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author Kuan Chong Ng
Jeff Shih-Chieh Chueh
Shang-Jen Chang
author_facet Kuan Chong Ng
Jeff Shih-Chieh Chueh
Shang-Jen Chang
author_sort Kuan Chong Ng
collection DOAJ
description Abstract Patients with overactive bladder syndrome-wet (OAB-wet) experience urgency urinary incontinence, particularly urinary frequency and nocturia. Nocturnal enuresis (NE) is less addressed among OAB-wet patients. The study evaluated the prevalence of NE, lower urinary tract symptoms (LUTS), urodynamic factors, and social factors in OAB-wet patient. Over three years, adult women with urgency urinary incontinence were enrolled. A comprehensive questionnaire, including baseline characteristics, LUTS, fatigue, stress, and partner relationship was completed by the participants. NE was defined as complaint of intermittent incontinence that occurs during the main sleep period. Urodynamics was performed on every patient to assess bladder function. Of 203 OAB-wet patients (age: 64.45 years), 46.4% had NE. Patients with NE had higher scores of intermittency, slow stream, straining, hesitancy, post micturition dribble, nocturia, and stress urinary incontinence than non-NE. NE patients had a more parity numbers, diuretic, hypnotic, and prokinetic use, and smoking. NE patients more likely reported fatigue, anxiety, and distress. Urodynamic studies revealed more detrusor overactivity, detrusor underactivity, and low bladder compliance in NE patients. In conclusion, OAB-wet women with NE had more detrusor overactivity, detrusor underactivity, and a lower compliance bladder on urodynamic studies than those without NE. NE impacts the patients’ life in aggravating fatigues, anxiety, and distress in OAB-wet women.
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spelling doaj-art-d7329b88643048a9ae51e5b9cc14569c2025-01-05T12:15:57ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-024-84031-wRisk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet womenKuan Chong Ng0Jeff Shih-Chieh Chueh1Shang-Jen Chang2Department of Urology, National Taiwan University HospitalDepartment of Urology, National Taiwan University HospitalDepartment of Urology, National Taiwan University HospitalAbstract Patients with overactive bladder syndrome-wet (OAB-wet) experience urgency urinary incontinence, particularly urinary frequency and nocturia. Nocturnal enuresis (NE) is less addressed among OAB-wet patients. The study evaluated the prevalence of NE, lower urinary tract symptoms (LUTS), urodynamic factors, and social factors in OAB-wet patient. Over three years, adult women with urgency urinary incontinence were enrolled. A comprehensive questionnaire, including baseline characteristics, LUTS, fatigue, stress, and partner relationship was completed by the participants. NE was defined as complaint of intermittent incontinence that occurs during the main sleep period. Urodynamics was performed on every patient to assess bladder function. Of 203 OAB-wet patients (age: 64.45 years), 46.4% had NE. Patients with NE had higher scores of intermittency, slow stream, straining, hesitancy, post micturition dribble, nocturia, and stress urinary incontinence than non-NE. NE patients had a more parity numbers, diuretic, hypnotic, and prokinetic use, and smoking. NE patients more likely reported fatigue, anxiety, and distress. Urodynamic studies revealed more detrusor overactivity, detrusor underactivity, and low bladder compliance in NE patients. In conclusion, OAB-wet women with NE had more detrusor overactivity, detrusor underactivity, and a lower compliance bladder on urodynamic studies than those without NE. NE impacts the patients’ life in aggravating fatigues, anxiety, and distress in OAB-wet women.https://doi.org/10.1038/s41598-024-84031-wNocturnal enuresisOveractive bladderWomenIncontinence
spellingShingle Kuan Chong Ng
Jeff Shih-Chieh Chueh
Shang-Jen Chang
Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
Scientific Reports
Nocturnal enuresis
Overactive bladder
Women
Incontinence
title Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
title_full Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
title_fullStr Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
title_full_unstemmed Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
title_short Risk factors, urodynamic characteristics, and distress associated with nocturnal enuresis in overactive bladder -wet women
title_sort risk factors urodynamic characteristics and distress associated with nocturnal enuresis in overactive bladder wet women
topic Nocturnal enuresis
Overactive bladder
Women
Incontinence
url https://doi.org/10.1038/s41598-024-84031-w
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AT shangjenchang riskfactorsurodynamiccharacteristicsanddistressassociatedwithnocturnalenuresisinoveractivebladderwetwomen