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  1. The patient with an overactive bladder-symptoms and quality-of-life issues. Discussions. Question and answer section.

    Article, Communication - En anglais

    The Overactive Bladder : from Basic Science to Clinical Management Consensus Conference. London, GBR, 1997/06/29.

    Objectives

    Psychosocial adjustment to illness is as important as the status of the physical disease itself ; focusing on this necessitates some measurement of abstract, subjective feelings of « quality of life » (QOL).

    Assessments of QOL are particularly important for conditions such as urinary incontinence (Ul) that have little or no impact on mortality.

    Methods

    This presentation describes the reasons for, and methods of, measuring lower urinary tract symptoms and disease impact.

    Validated instruments available for such measurements are reviewed, as are published studies that address the impact of Ul (and urge incontinence in particular) on QOL.

    Potential applications for these new disease measures are discussed.

    Results

    The bladder is an unreliable witness, and symptom assessment is diagnostically disappointing ; cystometry is essential if a definitive diagnosis is required.

    However, objective tests take no account of the patient's perception of the problem.

    General health status questionnaires have been used to show that urge incontinence is associated with emotional problems, reduced social and recreational activity, and sexual dysfunction.

    Newly developed, condition-specific instruments have greater specificity and, hence, improved sensitivity for measuring incontinence and its impact.

    These instruments have the potential for monitoring disease progression and evaluating treatment outcome. (...)

    Mots-clés Pascal : Incontinence urinaire, Pathogénie, Hyperactivité, Muscle detrusor, Vessie urinaire, Symptomatologie, Qualité vie, Evaluation, Epidémiologie, Homme, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Pathogenesis, Hyperactivity, Detrusor muscle, Urinary bladder, Symptomatology, Quality of life, Evaluation, Epidemiology, Human, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0469197

    Code Inist : 002B14E02. Création : 19/02/1999.