The objective was to evaluate the prevalence of urinary tract symptoms and the impact in the quality of life in women with diabetes, the association with DM and neuropathy evolution time and glycemic control.
A cohort of women from the DiabetIMSS program was evaluated from January 2011 to 2013. The personal history, time of DM diagnosis, neuropathy, urinary symptoms, glycemic control and quality of life impact were noted.
A total of 169 women were evaluated. The median age was 58 years (29-85) and DM main evolution time was 9 years (0. 5-31). Urinary tract symptoms were present in 128 (75. 7 %) patients. Stress and urge incontinence were predominantly present (45. 3 and 40. 6 % respectively), followed by obstructive and irritative symptoms (25 and 10. 1 % respectively). The impact in the quality of life was mild-moderate in 91. 1 % of the patients. At least one criteria for neuropathy was noted in 154 (91. 1 %) patients. Neuropathy evolution time was longer in the symptomatic group (12 vs 4. 8 months). Symptoms were mainly present in patients with more than one year of neuropathy; p < 0. 05.
There is a high prevalence of urinary tract symptoms in diabetic women. The only associated risk factor was neuropathy. No significative association was found between the rest of the factors.
Abstract available from the publisher.
Revista médica del Instituto Mexicano del Seguro Social. 0000 [Epub]
Javier Jiménez-Rodríguez, Angélica Carbajal-Ramírez, Héctor Meza-Vázquez, Jorge Moreno-Palacios, Eduardo Serrano-Brambila
Servicio de Urología, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Distrito Federal, México.