title: Urodynamic study and quality of life in patients with fibromyalgia and lower urinary tract symptoms.
abstract: The aim of this study was to evaluate clinical and urodynamic observations on women with fibromyalgia (FM) and lower urinary tract symptoms (LUTS). Fifty-one patients with FM and LUTS and 50 patients with LUTS without FM answered questions about urinary symptoms and also two questionnaires about quality of life measures: "Medical Outcomes Study 36-Item Short-Form Health Survey" and "King's Health Questionnaire". The urodynamic parameters evaluated were the following: maximum cystometric capacity, urine loss due to cough, Valsalva leak point pressure, and detrusor overactivity (DO). The groups were homogeneous concerning age, parity, body mass index, and genital prolapse. Symptoms such as increase of urinary frequency (p=0.007) and urge urinary incontinence (p=0.004) were statistically more common in the FM group. DO was the statistically most common urodynamic observation in patients with FM (p=0.02). Regarding the questionnaires about quality of life, the patients with fibromyalgia and LUTS had the worst results in all fields. In conclusion, patients with FM and LUTS have detrusor overactivity more often as well as an increase of urinary frequency, contributing to the quality of life worsening.
authors.affiliation: Sector of Urogynecology, Federal University of São Paulo, São Paulo, Brazil. dramaita@gmail.com
authors.forename: Maíta Poli
authors.initials: MP
authors.lastname: de Araújo
authors.forename: Alex Carvalho
authors.initials: AC
authors.lastname: Faria
authors.forename: Claudia Cristina
authors.initials: CC
authors.lastname: Takano
authors.forename: Emerson
authors.initials: E
authors.lastname: de Oliveira
authors.forename: Marair Gracio Ferreira
authors.initials: MG
authors.lastname: Sartori
authors.forename: Daniel Feldman
authors.initials: DF
authors.lastname: Pollak
authors.forename: Manoel Joâo Batista Castello
authors.initials: MJ
authors.lastname: Girão
mesh_terms: D000328:Adult; D015992:Body Mass Index; D015897:Comorbidity; D005260:Female; D005356:Fibromyalgia / Q000453:epidemiology* / Q000503:physiopathology*; D006305:Health Status Indicators; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D011788:Quality of Life; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000503:physiopathology; D014555:Urination Disorders / Q000453:epidemiology* / Q000503:physiopathology*; D014563:Urodynamics; D014596:Uterine Prolapse / Q000453:epidemiology