Urodynamic study and quality of life in patients with Fibromyalgia and lower urinary tract symptoms – Source: International Urogynecology Journal and Pelvic Floor Dysfunction, Mar 4, 2008

The aim of this study was to evaluate clinical and urodynamic observations on women with Fibromyalgia (FM) and lower urinary tract symptoms (LUTS).

Fifty-one patients with FM and LUTS and 50 patients with LUTS without FM answered questions about urinary symptoms and also two questionnaires about quality of life measures: "Medical Outcomes Study 36-Item Short-Form Health Survey" and "King's Health Questionnaire."

The urodynamic parameters evaluated were the following: Maximum cystometric [bladder] capacity, urine loss due to cough, Valsalva leak point pressure, and detrusor overactivity (DO). [The Valsalva maneuver is exertion of pressure with breath held; the detrusor is a muscle that pushes down, expelling urine from the bladder.] The groups were homogeneous concerning age, parity, body mass index, and genital prolapse.

  • Symptoms such as increase of urinary frequency (p = 0.007) and urge urinary incontinence (p = 0.004) were statistically more common in the FM group.
  • DO was the statistically most common urodynamic observation in patients with FM (p = 0.02).
  • Regarding the questionnaires about quality of life, the patients with Fibromyalgia and LUTS had the worst results in all fields.

In conclusion, patients with FM and LUTS have detrusor overactivity more often as well as an increase of urinary frequency, contributing to the quality of life worsening.

Source: International Urogynecology Journal and Pelvic Floor Dysfunction, Mar 4, 2008. PMID: 18317663, by Araujo MP, Faria AC, Takano CC, de Oliveira E, Sartori MG, Pollak DF, Girão MJ. Sector of Urogynecology, Federal University of Sao Paulo, Sao Paulo, Brazil. [Email: dramaita@gmail.com]

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