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Revista Brasileira de Ginecologia e Obstetrícia
Print version ISSN 0100-7203
OLIVEIRA, Eneida Gonçalves de; MARINHEIRO, Lizanka Paola Figueiredo and SILVA, Kátia Silveira da. The association between diabetes mellitus and lower urinary tract dysfunctions in women assisted in a reference service. Rev. Bras. Ginecol. Obstet. [online]. 2011, vol.33, n.12, pp. 414-420. ISSN 0100-7203. http://dx.doi.org/10.1590/S0100-72032011001200007.
PURPOSE: 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).
Keywords : Diabetes mellitus; Prevalence; Urodynamics; Urinary incontinence; Urinary bladder, overactive.