title: Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence.
abstract: OBJECTIVE
  The aim of this study was to assess the impact of patient-perceived disease severity (PPDS) on the quality of life (QoL) of women with urinary incontinence (UI) and to identify factors predicting PPDS.
  
  
  METHODS
  A total of 109 women (mean age 54.9; range 31-77) with stress UI combined with or without urge UI were included in the primary analyses. The incontinence quality of life (I-QoL) devised during the course of this study was used to assess the QOL impact of UI.
  
  
  RESULTS
  PPDS of women with UI increased as I-QoL scores decreased (P<0.001). When analyzed by patient characteristics and objective test results, PPDS increased only with the number of episodes (P=0.005) and pad test weight increased (P=0.010). By multivariate regression analysis, patients who complained of UI "three to four times a day or more" had 6.4-fold higher risk (P=0.027) of perceiving that their symptoms were more severe than those who complained of a UI "one to two times per week or less." Patients with a pad test weight of >25 g had a 4.7-fold higher risk of perceiving their symptoms were more severe than those with a pad test weight of <15 g.
  
  
  CONCLUSIONS
  Our results suggest that the frequency of UI episodes and the volume of urine loss are associated with PPDS. In addition, the I-QoL scores deteriorated significantly as the PPDS of incontinence increased. Thus, PPDS may impact on the QoL of women with stress UI combined with or without urge UI.
authors.affiliation: Department of Urology, Seoul National University College of Medicine and Seoul National University Hospital, Seoul, Korea.
authors.forename: Seung-June
authors.initials: SJ
authors.lastname: Oh
authors.forename: Ja Hyeon
authors.initials: JH
authors.lastname: Ku
authors.forename: Sung Kyu
authors.initials: SK
authors.lastname: Hong
authors.forename: Soo Woong
authors.initials: SW
authors.lastname: Kim
authors.forename: Jae-Seung
authors.initials: JS
authors.lastname: Paick
authors.forename: Hwancheol
authors.initials: H
authors.lastname: Son
mesh_terms: D000367:Age Factors; D005260:Female; D006801:Humans; D008593:Menopause / Q000502:physiology; D008875:Middle Aged; D011788:Quality of Life; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014463:Ultrasonography; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014549:Urinary Incontinence / Q000000981:diagnostic imaging / Q000523:psychology*; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging / Q000523:psychology*; D014554:Urination / Q000502:physiology