title: [The association between diabetes mellitus and lower urinary tract dysfunctions in women assisted in a reference service].
abstract: OBJECTIVE
  to describe lower urinary tract dysfunctions and clinical demographic characteristics of patients with urinary symptoms. This study assessed the prevalence of diabetes mellitus and urodynamic changes in these women.
  
  
  METHODS
  We conducted a cross-sectional, retrospective study on 578 women. The prevalence of diabetes mellitus and urodynamic diagnoses was assessed in patients with lower urinary tract dysfunctions, with their respective 95% confidence intervals. The prevalence ratios of urodynamic alterations were calculated according to the diabetes mellitus diagnoses.
  
  
  RESULTS
  Seventy-seven patients (13.3%) had diabetes and type 2 diabetes was predominant (96.1%). Stress urinary incontinence was the most frequent urodynamic diagnosis (39%) in diabetic patients, followed by detrusor overactivity (23.4%). The prevalence of urodynamic alterations was associated with diabetes (PR=1.31; 95%CI=1.17-1.48). Changes in detrusor contractility (over- or underactivity) were diagnosed in 42.8% diabetic patients and in 31.5% non-diabetic patients.
  
  
  CONCLUSIONS
  Diabetic women had a greater prevalence of urodynamic alterations than the non-diabetic ones. There was no association between diabetes mellitus and detrusor contractility alterations (p=0.80).
authors.affiliation: Setor de Uroginecologia, Departamento de Ginecologia, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Eneida Gonçalves
authors.initials: EG
authors.lastname: de Oliveira
authors.forename: Lizanka Paola Figueiredo
authors.initials: LP
authors.lastname: Marinheiro
authors.forename: Kátia Silveira
authors.initials: KS
authors.lastname: da Silva
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D048909:Diabetes Complications / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D014555:Urination Disorders / Q000453:epidemiology*