title: Analysis of clinical interventional strategy for women with urinary incontinence complicated with diabetes mellitus.
abstract: OBJECTIVE
  This study aims to investigate clinical therapeutic measures for women with urinary incontinence (UI) complicated with diabetes mellitus (DM).
  
  
  METHODS
  We performed a retrospective cohort study, including 462 female patients with UI complicated with DM (group A) and 901 patients with UI without DM (group B). Both A and B groups were divided into three subgroups according to their UI types (pure stress UI, mixed UI dominated by urge UI, and by overactive bladder syndrome) and received corresponding treatments. The subjective and objective effective rates were analyzed statistically.
  
  
  RESULTS
  The overall subjective effective rates were 62.99% and 85.23% and the overall objective effective rates were 67.53% and 87.24% for groups A and groups B, respectively; the subjective and objective effective rates were 73.68% and 89.47% for group A1 (patients with pure stress UI in group A). There was no statistical difference in group A1 between subjective and objective effective rates.
  
  
  CONCLUSIONS
  Unsatisfactory clinical therapeutic efficacy was observed in women with UI complicated with DM; surgical operation should be deliberated cautiously for women with SUI complicated with DM.
authors.affiliation: Department of Gynecology and Pelvic floor disease, the Affiliated Shengjing Hospital of China Medical University, Shenyang 110004, People's Republic of China.
authors.forename: Yu-xin
authors.initials: YX
authors.lastname: Zhang
authors.forename: Hai-nan
authors.initials: HN
authors.lastname: Xu
authors.forename: Zhi-jun
authors.initials: ZJ
authors.lastname: Xia
authors.forename: Bo
authors.initials: B
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001521:Behavior Therapy; D015331:Cohort Studies; D048909:Diabetes Complications / Q000150:complications*; D004358:Drug Therapy; D061345:Early Medical Intervention / Q000379:methods*; D005260:Female; D013509:Gynecologic Surgical Procedures; D006801:Humans; D008875:Middle Aged; D026741:Physical Therapy Modalities; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000209:etiology / Q000628:therapy; D014549:Urinary Incontinence / Q000209:etiology / Q000628:therapy*; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000628:therapy*; D053202:Urinary Incontinence, Urge / Q000209:etiology / Q000628:therapy*