Overactive bladder symptoms and uterine adenomyosis—is there any connection?
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This study investigated the relationship between overactive bladder symptoms and the presence of uterine adenomyosis.
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Abstract
ObjectiveThe aim of this study was to investigate a possible connection between uterine adenomyosis and the prevalence of symptoms of overactive bladder (OAB), and to study the impact of OAB symptoms on the quality of life (QoL) of women with uterine adenomyosis.Study designIn this prospective pilot study, we included 98 women, 54 of them with an ultrasound (US) diagnosis of uterine adenomyosis and 44 with normal-appearing uterine myometrium during transvaginal US examination. After interview all women completed two questionnaires, the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire. Data were analyzed with SPSS statistical software by means of non-parametric statistics and logistic regression.ResultsThe average age of all the women was 44 years. Women from the adenomyosis and control groups did not differ in any of the observed clinical variables. Analysis of the UDI questionnaire showed that irritative symptoms were most prevalent in the adenomyosis group as compared to the control group, 22.3% and 7.8%, respectively. Urge urinary incontinence was found in 25.9% of women in the adenomyosis group (3.7% in the control group). Results of logistic regression confirmed the greatest negative impact of irritative symptoms on QoL in women with uterine adenomyosis (p<0.000).ConclusionAs compared with healthy controls, women with adenomyosis more often experience OAB symptoms which significantly decrease their QoL. The connection between adenomyosis and OAB remains uncertain.
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Cited by (7)
- Is the Deep Endometriosis or the Surgery the Cause of Postoperative Bladder Dysfunction? 2022
- IMMUNOLOGICAL FACTORS IN THE DIAGNOSIS OF THE SEVERITY OF THE CLINICAL COURSE OF ADENOMYOSIS 2020
- Epidemiology of Adenomyosis 2020
- Adenomyosis and urinary system symptoms 2018
- Menorrhagia and Uterine Volume Associated with Lower Urinary Tract Symptoms in Patients with Adenomyosis 2017
- Deep endometriosis and bladder and detrusor functions in women without urinary symptoms: a pilot study through an unexplored world 2013
- Effects of the levonorgestrel-releasing intrauterine system on urinary symptoms in patients with adenomyosis 2013
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- europepmc
- last seen: 2026-08-03T06:10:56.557307+00:00
- openalex
- last seen: 2026-06-10T17:14:06.276822+00:00
- pubmed
- last seen: 2026-05-13T22:16:54.825375+00:00
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