title: Assessment of symptoms of urinary incontinence in women with polycystic ovary syndrome.
abstract: OBJECTIVE
  The pelvic floor muscles are sensitive to androgens, and due to hyperandrogenism, women with polycystic ovary syndrome can have increased mass in these muscles compared to controls. The aim of this study is to compare reports of urine leakage and quality of life between women with and without polycystic ovary syndrome.
  
  
  METHODS
  One hundred thirteen 18-to 40-year-old nulliparous women with polycystic ovary syndrome or without the disease (controls) were recruited at the University Hospital of School Medicine of São Paulo University at Ribeirão Preto City, Brazil. The subjects were not taking any hormonal medication, had not undergone previous pelvic surgery and did not exercise their pelvic floor muscles. The women were divided into the following four groups: I-polycystic ovary syndrome with normal body mass index (n = 18), II-polycystic ovary syndrome with body mass index >25 (n = 32), III-controls with normal body mass index (n = 29), and IV-controls with Body Mass Index >25 (n = 34). Quality of life was evaluated using the SF-36 questionnaire, and the subjects with urinary complaints also completed the International Consultation on Incontinence Questionnaire Short Form to evaluate the severity of their urinary incontinence.
  
  
  RESULTS
  The replies to the International Consultation on Incontinence Questionnaire Short Form revealed a significant difference in urinary function between groups, with 24% of the subjects in group IV reporting urinary incontinence. The mean scores for the SF-36 questionnaire revealed that group II had the lowest quality of life.
  
  
  CONCLUSIONS
  The control obese group (IV) reported a higher prevalence of urinary incontinence. There was no difference in the reported frequency of urine loss between the polycystic ovary syndrome and control groups with normal body mass index or between the polycystic ovary syndrome and control groups with body mass index >25.
authors.affiliation: Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Thais
authors.initials: T
authors.lastname: Montezuma
authors.forename: Flávia Ignácio
authors.initials: FI
authors.lastname: Antônio
authors.forename: Ana Carolina Japur de Sá
authors.initials: AC
authors.lastname: Rosa e Silva
authors.forename: Marcos Felipe Silva de
authors.initials: MF
authors.lastname: Sá
authors.forename: Rui Alberto
authors.initials: RA
authors.lastname: Ferriani
authors.forename: Cristine Homsi Jorge
authors.initials: CH
authors.lastname: Ferreira
mesh_terms: D000293:Adolescent; D000328:Adult; D015992:Body Mass Index; D016022:Case-Control Studies; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D009765:Obesity / Q000150:complications / Q000453:epidemiology*; D017773:Pelvic Floor; D011085:Polycystic Ovary Syndrome / Q000150:complications / Q000453:epidemiology*; D011788:Quality of Life; D014549:Urinary Incontinence / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult
references.citation: Fam Pract. 1999 Oct;16(5):506-9
references.pmid: 10533948
references.citation: Eur J Pediatr Surg. 2002 Oct;12(5):312-7
references.pmid: 12469257
references.citation: J Urol. 2005 Jul;174(1):190-5
references.pmid: 15947625
references.citation: Fertil Steril. 2003 Apr;79(4):925-31
references.pmid: 12749432
references.citation: Med Care. 1993 Mar;31(3):247-63
references.pmid: 8450681
references.citation: Rev Lat Am Enfermagem. 1994 Jul;2(2):5-20
references.pmid: 7921279
references.citation: Int Urol Nephrol. 2011 Dec;43(4):1003-8
references.pmid: 21442470
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 1997;8(6):323-6
references.pmid: 9609328
references.citation: Rev Saude Publica. 1997 Jun;31(3):236-46
references.pmid: 9515260
references.citation: Clin Endocrinol (Oxf). 2008 Dec;69(6):831-44
references.pmid: 18616705
references.citation: Rev Saude Publica. 2004 Jun;38(3):438-44
references.pmid: 15243675
references.citation: BJOG. 2009 Aug;116(9):1242-50
references.pmid: 19438498
references.citation: Geriatrics. 1999 Oct;54(10):22-6, 29-30
references.pmid: 10542858
references.citation: Neurourol Urodyn. 2009;28(5):411-5
references.pmid: 19214996
references.citation: J Womens Health Gend Based Med. 2001 Oct;10(8):785-95
references.pmid: 11703891
references.citation: Anat Rec. 1999 Jul 1;255(3):324-33
references.pmid: 10411399
references.citation: Hum Reprod. 2004 Jan;19(1):41-7
references.pmid: 14688154
references.citation: Anat Rec. 2001 May 1;263(1):19-24
references.pmid: 11331967
references.citation: Nurs Stand. 2000 May 24-30;14(36):49-54; quiz 56, 58
references.pmid: 11974266
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2006 Jan;17(1):35-9
references.pmid: 16021328
references.citation: Obstet Gynecol. 1999 Sep;94(3):337-40
references.pmid: 10472855
references.citation: Hormones (Athens). 2005 Jul-Sep;4(3):133-47
references.pmid: 16613823
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2009 Mar;20(3):289-94
references.pmid: 19002365
references.citation: Clinics (Sao Paulo). 2010 May;65(5):475-9
references.pmid: 20535365
references.citation: Rev Bras Ginecol Obstet. 2008 May;30(5):261-7
references.pmid: 19142502
references.citation: Int Urogynecol J Pelvic Floor Dysfunct. 2000;11(1):41-4
references.pmid: 10738933
references.citation: Int Urogynecol J. 2010 Feb;21(2):193-202
references.pmid: 19834637
references.citation: Clin Endocrinol (Oxf). 2000 May;52(5):595-600
references.pmid: 10792339