Hypothesis / aims of study
Overactive bladder syndrome (OAB) has great negative impact on health related quality of life. In literatures, few studies reported the comparisons of health related quality of life between OAB-wet and OAB-dry female patients. Thus, our aim is to compare the clinical variables and health related quality of life between OAB-wet and OAB-dry women.
Study design, materials and methods
Between July 2009 and January 2018, all women with OAB visiting a medical center for evaluation were reviewed. The classification of OAB-wet or OAB-dry is based on the record of three-day bladder diary of each patient. The diagnosis of OAB in each patient was based on the presence of at least one episode of urgency in her three-day bladder diary and with absence of stress urinary incontinence. The presence of at least one episode of urgency associated incontinence was defined to be OAB-wet, otherwise, OAB-dry. Besides, only female OAB patients with available King’s Health Questionnaire (KHQ) data were reviewed in this study.
Results
A total of 905 OAB women with available KHQ data were reviewed, including 172 (19.0%) OAB-wet and 733 (81.0%) OAB-dry women were included in this study.
The mean age and parity is higher in the OAB-wet group, compared with OAB-dry. Women with OAB-wet had higher scores of Overactive Bladder Symptoms Scores (OABSS) and Urgency Severity Scales (USS), as well as urgency, urgency incontinence and severity measures scores, compared with OAB-dry (Table 1).
Besides, women with OAB-wet also had higher scores of stress incontinence, nocturnal enuresis and lower scores of voiding difficulty and personal relationships (Table 1).
Interpretation of results
OAB-wet seems to be a severe form of OAB with the finding of higher severity of OABSS, USS, urgency and urgency incontinence. Despite less negative impact on personal relationships, women with OAB-wet had a poorer quality of life, especially for severity measures, compared with OAB-dry. Besides, OAB-wet women had a higher severity of nocturnal enuresis and stress incontinence, despite less voiding difficulty.