title: Physical and sexual abuse in patients with overactive bladder: is there an association?
abstract: The known sequelae of sexual abuse include acute and chronic injury. The purpose of this study was to evaluate the association of overactive bladder symptoms (OABs) with a history of physical or sexual abuse. Two hundred and forty-three women who attended the gynaecological out-patient clinic or the urogynaecological clinic were recruited for our study. Based on their clinical examination, they were assigned to three groups of patients with either OAB or with stress urinary incontinence (SUI) without concomitant urgency symptoms (SUI), or without history of incontinence (control group). Afterwards, they completed an anonymous questionnaire about bladder function and physical/sexual violence. Significantly more women (30.6%, 26/85) with OAB had previously been physically or sexually abused than women with SUI (17.8%, 18/101) and of the control group (17.5%, 10/57). Our study showed that significantly more women with OAB report physical and sexual abuse than subjects with stress incontinence or no urinary complaints. Women with stress incontinence had the same rate of self-reported physical/sexual abuse as continent controls.
authors.affiliation: Department of Obstetrics and Gynecology, Maistrasse, Ludwig Maximilians University Munich, Munich, Germany. katharina.jundt@med.uni-muenchen.de
authors.forename: Katharina
authors.initials: K
authors.lastname: Jundt
authors.forename: Inka
authors.initials: I
authors.lastname: Scheer
authors.forename: Barbara
authors.initials: B
authors.lastname: Schiessl
authors.forename: Katrin
authors.initials: K
authors.lastname: Pohl
authors.forename: Kristin
authors.initials: K
authors.lastname: Haertl
authors.forename: Ursula M
authors.initials: UM
authors.lastname: Peschers
mesh_terms: D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D017579:Domestic Violence / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008875:Middle Aged; D012307:Risk Factors; D012742:Sex Offenses / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D053201:Urinary Bladder, Overactive / Q000150:complications*; D014550:Urinary Incontinence, Stress / Q000150:complications*