LUTS: Lower Urinary Tract Symptoms最新文献

{"title":"Reply to Comment the Letter Regarding “Development of an Imaging-Based Method for Analyzing Voided Urine Flow Using Conventional and High-Speed Video Cameras: A Phantom Study”","authors":"Masahiro Goto, Tomonori Minagawa, Hiroaki Hara, Noriyuki Ogawa, Tetsuichi Saito, Tetsuya Imamura, Manabu Ueno, Yoshiyuki Akiyama","doi":"10.1111/luts.70090","DOIUrl":"https://doi.org/10.1111/luts.70090","url":null,"abstract":"","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148753900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of HoLEP Outcomes Between Catheterized and Non-Catheterized Patients: A Propensity Score–Matched Analysis","authors":"Caglar Dizdaroglu,&nbsp;Ufuk Caglar,&nbsp;Arda Meric,&nbsp;Cagri Yaman,&nbsp;Faruk Ozgor,&nbsp;Omer Sarilar","doi":"10.1111/luts.70089","DOIUrl":"https://doi.org/10.1111/luts.70089","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate the impact of preoperative urinary retention on perioperative and early postoperative outcomes following Holmium Laser Enucleation of the Prostate (HoLEP), using a balanced comparison between catheterized and non-catheterized patients.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This retrospective cohort study included patients who underwent HoLEP for benign prostatic hyperplasia at a tertiary center between January 2024 and July 2025. Patients were stratified into two groups based on the presence of acute or chronic urinary retention requiring preoperative catheterization. Propensity score matching (1:1) was performed using age, BMI, coronary artery disease, PSA, INR, platelet count, anticoagulant/antiplatelet use, and prostate volume, yielding 57 matched patients per group. Perioperative parameters, complications (Clavien–Dindo), and early functional outcomes were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 114 matched patients were analyzed. Baseline demographic and clinical characteristics were comparable between groups. Catheterized patients demonstrated significantly longer operative (<i>p</i> = 0.013) and enucleation times (<i>p</i> = 0.012). Postoperative hematocrit decline (<i>p</i> = 0.016), catheterization duration (<i>p</i> = 0.001), and hospitalization time (<i>p</i> = 0.012) were all greater in catheterized patients. The overall complication rate was higher in the catheterized group (<i>p</i> = 0.041), although individual adverse events were infrequent. Despite these differences, one-month functional outcomes (IPSS, Qmax, PVR) were similar between groups (all <i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Preoperative urinary retention is associated with increased operative complexity and higher rate of early complications after HoLEP; however, early functional recovery remains comparable to that of non-catheterized patients. HoLEP remains an effective treatment across varying obstruction severities, though catheter-dependent patients may benefit from optimized perioperative management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148753901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comment on “Development of an Imaging-Based Method for Analyzing Voided Urine Flow Using Conventional and High-Speed Video Cameras: A Phantom Study”","authors":"Maajid Mohi Ud Din Malik","doi":"10.1111/luts.70091","DOIUrl":"10.1111/luts.70091","url":null,"abstract":"","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Early Physiologic Deobstruction After 980-nm Diode-Laser Contact Prostate Vaporization: Analysis of Evaluable Paired Pressure-Flow Studies From a Consecutive Cohort","authors":"Yoshitaka Kurano,&nbsp;Nobutaka Shimizu,&nbsp;Yukimasa Ide,&nbsp;Mio Togo,&nbsp;Rie Yoshimura,&nbsp;Ryu Shigehisa,&nbsp;Shinkuro Yamamoto,&nbsp;Hideo Fukuhara,&nbsp;Satoshi Fukata,&nbsp;Motoaki Saito,&nbsp;Keiji Inoue","doi":"10.1111/luts.70087","DOIUrl":"10.1111/luts.70087","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To describe early physiologic deobstruction after contemporary 980-nm diode-laser contact vaporization of the prostate (CVP) in patients with evaluable paired preoperative and 3-month postoperative pressure-flow studies (PFS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This single-center retrospective cohort included 94 consecutive men who underwent CVP between March 2023 and August 2025. Paired full PFS was evaluable in 48 patients. Baseline characteristics were compared between patients with and without evaluable paired PFS. Perioperative outcomes, symptom scores, and complications were summarized in the full cohort, whereas paired PFS parameters were analyzed in the paired PFS cohort.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the full cohort, IPSS total and voiding scores and QOL improved from 1 month postoperatively, whereas storage symptom improvement was more gradual. OABSS showed transient mild worsening at 1 month, followed by improvement. In the paired PFS cohort, voiding parameters improved markedly, with significant reductions in BOOI, <i>P</i>_det<i>Q</i>_max, and PVR and increases in <i>Q</i>_max and voided volume. In contrast, filling-phase parameters, including first desire to void, normal desire to void, maximum cystometric capacity, and bladder compliance, showed limited short-term changes. Postoperative complications occurred in 31/94 patients (33.0%), accounting for 37 events. The most common complications were transient urinary retention and urinary tract infection, each occurring in 12/94 patients (12.8%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>CVP was associated with substantial early outlet relief on paired PFS, accompanied by improvements in patient-reported symptoms. Early filling-phase changes were limited, suggesting that bladder storage recovery may lag behind outlet relief. Prospective comparative studies with longer follow-up are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Autologous Transobturator Fascia Lata Sling for Female Stress Urinary Incontinence: A Pilot Feasibility and Safety Study","authors":"Mohamed Fawzy Abdelfattah Salman,&nbsp;Atef A. Hassan,&nbsp;Isaac Samir Wasfy,&nbsp;Hazem Deif,&nbsp;Abdelrahman A. Hassan,&nbsp;Mohamed A. Hindawy,&nbsp;Abdalla Mohamed Abdalla Hassan,&nbsp;Mohamed M. Ali,&nbsp;Ibrahim Abdel-Al,&nbsp;Ayman K. Koritenah,&nbsp;Tarek M. Abuelazayem,&nbsp;Hassan Kotb Mohamed Keritna","doi":"10.1111/luts.70085","DOIUrl":"10.1111/luts.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the preliminary safety, feasibility, and short-term outcomes of the autologous transobturator fascia lata sling for female SUI to our knowledge the first series using fascia lata via a transobturator route, in view of the mesh-related complications of synthetic midurethral slings and the limitations of rectus fascia harvest in women with prior abdominal surgery, central obesity, or scarred fascia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Prospective single-arm pilot feasibility and safety study of 40 women with SUI or stress-predominant mixed urinary incontinence (MUI) who underwent autologous transobturator fascia lata sling at Al-Azhar University Hospitals (June 2023 to May 2025; NCT05646745). Outcomes were assessed at 24 h, 2 weeks, and 3 months using the cough stress test, ICIQ-FLUTS questionnaire, and VAS pain scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mean age was 48.9 ± 7.8 years; BMI 31.4 ± 4.1 kg/m². At 3 months, the overall success rate (cured + improved) was 87.5%, and the objective cure rate (negative cough stress test) was 72.5%. ICIQ-FLUTS incontinence score decreased from 12.75 ± 3.41 to 3.23 ± 2.91 (<i>p</i> &lt; 0.001, Cohen's <i>d</i> = 2.79); incontinence QOL from 35.88 ± 5.83 to 4.50 ± 7.22 (<i>p</i> &lt; 0.001, <i>d</i> = 5.38). No voiding dysfunction, sling erosion, or major complications occurred. Grade I incontinence achieved 100% success. Thigh and groin pain resolved by 3 months in 92.5% and 100%, respectively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This preliminary exploratory study suggests that autologous transobturator fascia lata sling is a feasible and promising mesh-free technique for female SUI with favorable short-term outcomes at 3 months. These results must be interpreted cautiously given the small sample size, short follow-up, and absence of a control group. Longer follow-up, multicenter validation, and randomized comparative studies are warranted.</p>\u0000 \u0000 <p><b>Trial Registration:</b> ClinicalTrials.gov: NCT05646745</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Re: Rates and Predictors of Persistent LUTS Medication UseAfter Laser Enucleation of the Prostate","authors":"Maajid Mohi Ud Din Malik,&nbsp;Rajesh Prasad Jayaswal,&nbsp;Abhay Saraf","doi":"10.1111/luts.70086","DOIUrl":"10.1111/luts.70086","url":null,"abstract":"","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604808","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of an Imaging-Based Method for Analyzing Voided Urine Flow Using Conventional and High-Speed Video Cameras: A Phantom Study","authors":"Masahiro Goto,&nbsp;Tomonori Minagawa,&nbsp;Hiroaki Hara,&nbsp;Noriyuki Ogawa,&nbsp;Tetsuichi Saito,&nbsp;Tetsuya Imamura,&nbsp;Manabu Ueno,&nbsp;Yoshiyuki Akiyama","doi":"10.1111/luts.70084","DOIUrl":"10.1111/luts.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This study examined whether voided urine form could be an independent parameter to evaluate pathology of the lower urinary tract separately from conventional uroflowmetric measurements. We also evaluated a novel combined methodology of dynamically measuring the velocity and cross-sectional area (CA) of voided urine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A male urethral phantom was connected to an electric pump, and voided water was recorded using a high-speed video camera (HSVC). The parameters of voided water form included length to the first twist (LFT), length to the scattered water (LSW), and voided water angle (VWA), which were measured in combination with conventional uroflowmetry. The velocity and CA of voided water were measured using an analysis program of fluid movement. Variations of ductal deformity were simulated using silicon tube attachments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Each parameter increased with pump speed apart from VWA. Flow rate did not change for any attachment except for the stricture type, for which the relative change of LFT surpassed that of LSW. The VWA results were slightly increased by urethral deformity. All results for velocity and CA increased with pump speed and were unaffected by urethral deformity under fixed water flow.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>LFT and LSW represent novel voided water form parameters that are separate from conventional uroflowmetric measurements, such as flow rate. Voided water velocity and CA can be non-invasively determined by the combination of uroflowmetry and a HSVC.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 5","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/luts.70084","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Probabilistic Multicriteria Decision Analysis of Minimally Invasive Treatments for Benign Prostatic Obstruction: A Secondary Analysis of Network Meta-Analysis Data","authors":"Shugo Yajima,&nbsp;Soichiro Yoshida,&nbsp;Wei Chen,&nbsp;Hiroshi Fukushima,&nbsp;Yuma Waseda,&nbsp;Hajime Tanaka,&nbsp;Hiroyuki Sato,&nbsp;Akihiro Hirakawa,&nbsp;Hitoshi Masuda,&nbsp;Yasuhisa Fujii","doi":"10.1111/luts.70083","DOIUrl":"10.1111/luts.70083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To compare minimally invasive surgical therapies (MISTs) for benign prostatic obstruction (BPO) using probabilistic multicriteria decision analysis that integrates heterogeneous clinical outcomes under varying stakeholder priorities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This secondary analysis was derived from a published network meta-analysis. Three treatments—monopolar transurethral resection of the prostate (mTURP), prostatic urethral lift (PUL), and water vapor thermal therapy (WVTT)—were compared across six criteria: International Prostate Symptom Score (IPSS), IPSS Quality of Life, maximum urinary flow rate (<i>Q</i>_max), postvoid residual urine volume (PVR), and two domains of the Male Sexual Health Questionnaire Short Form. Treatment effects were sampled using a Monte Carlo simulation (50 000 iterations) and mapped to a 0–1 scale using clinically interpretable anchors. Five weighting scenarios produced preference probabilities and net advantages with 95% uncertainty intervals (UI). Anchor perturbation and correlation sensitivity analyses assessed robustness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Under equal weights, WVTT had the highest <i>P</i>(best) (54.1%), followed by mTURP (25.8%) and PUL (20.1%); all pairwise UIs crossed zero. Under efficacy weights, mTURP had the highest <i>P</i>(best) (88.0%; net advantage vs. PUL: 0.124, 95% UI: 0.034–0.214), driven by superiority in <i>Q</i>_<i>max</i> and PVR. Under sexual function weights, mTURP was rarely preferred (<i>P</i>[best] &lt; 0.1%), whereas PUL and WVTT achieved <i>P</i>(best) of 45.3% and 54.7%, respectively. Rankings were robust in both anchor perturbation and correlation sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Within short-term (3–6 month) data, MIST preference for BPO depends on clinical priorities. mTURP is favored when urodynamic outcomes are emphasized; PUL and WVTT are preferred when preservation of sexual function is prioritized. This framework supports preference-sensitive shared decision-making, although the findings are provisional pending long-term data.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sexual Function and Clinical Outcomes Following Rezūm Therapy for Benign Prostatic Hyperplasia: An Updated Systematic Review Including Large Prostate Volumes","authors":"Ivan Maulana Fakh,&nbsp;Harrina Erlianti Rahardjo","doi":"10.1111/luts.70081","DOIUrl":"10.1111/luts.70081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>To evaluate sexual function and clinical outcomes following Rezūm water vapor thermal therapy (WVTT) for benign prostatic hyperplasia (BPH), with a dedicated focus on patients with large prostate volumes (&gt; 80 mL).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search on PubMed, Scopus, and EBSCOhost was conducted through June 23, 2026. Studies reporting validated patient-reported outcome measures for erectile (IIEF) and ejaculatory (MSHQ-EjD) functions were included. Methodological quality was appraised using the Newcastle–Ottawa Scale (NOS) for 27 cohorts and the Cochrane RoB 2 tool for three randomized controlled trials (RCTs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty studies (<i>N</i> = 4635 patients) met inclusion criteria. Across gland sizes (30–150 mL), Rezūm demonstrated a consistent trend toward preservation of erectile and ejaculatory function. Although several studies reported statistically significant improvements in IIEF scores, these generally did not reach established thresholds for clinical significance. Ejaculatory function was preserved in the majority of patients, contrasting with high rates of ejaculatory dysfunction reported for resective comparators. Ten studies provided data for prostates &gt; 80 mL; in this subgroup, Rezūm provided significant relief of lower urinary tract symptoms (LUTS) with sexual function outcomes that appeared comparable to those in standard-sized glands. Adverse events were predominantly Clavien-Dindo Grade I–II, with Grade ≥ III complications occurring in &lt; 1% of patients. Overall, methodological quality was limited, with a high prevalence of low-to-moderate quality evidence, and all RCTs judged at high risk of bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Current evidence suggests that Rezūm preserves erectile and ejaculatory function while providing meaningful relief of urinary symptoms, including in large-volume prostates. However, confidence in these findings remains limited by the predominance of low-quality evidence and a high risk of bias.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Childbirth and Overactive Bladder Symptoms: A Nationwide Internet-Based Study of 4800 Japanese Women","authors":"Katsuya Yamaguchi,&nbsp;Akihito Hashizume,&nbsp;Hiroki Ito,&nbsp;Yasushi Yumura,&nbsp;Shinnosuke Kuroda,&nbsp;Teppei Takeshima,&nbsp;Hisashi Hasumi,&nbsp;Ryosuke Jikuya,&nbsp;Daiki Ueno,&nbsp;Kazuhide Makiyama,&nbsp;Hiroji Uemura,&nbsp;Jun-ichi Teranishi,&nbsp;Takashi Kawahara","doi":"10.1111/luts.70082","DOIUrl":"10.1111/luts.70082","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Overactive bladder (OAB) is a prevalent condition, particularly among women, and is associated with substantial economic and quality-of-life burdens. Although stress urinary incontinence during and after pregnancy is well documented, the association between childbirth and OAB symptoms remains unclear. This study aimed to investigate the relationship between childbirth history and OAB symptoms among Japanese women using a large-scale internet-based survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 4800 Japanese women aged 40 years and older were recruited through an online survey platform. Participants were stratified by age and completed the Overactive Bladder Symptom Score (OABSS) questionnaire. Subjects were grouped based on childbirth history (parous vs. nulliparous), and OABSS scores were compared between the groups. Subgroup analyses were conducted for women aged 40–60 years and for parous women based on delivery mode (vaginal vs. cesarean).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The OABSS total score and scores for nocturia, urgency, and urgency incontinence were significantly higher in the parous group compared to the nulliparous group (all <i>p</i> &lt; 0.001). These trends persisted in the 40–60-year-old subgroup. No significant differences in OABSS scores were found between women who had vaginal deliveries and those who had cesarean sections. BMI showed minimal correlation with OABSS, while symptom severity increased with age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>A history of childbirth may be associated with more severe OAB symptoms among Japanese women, independent of age. These findings highlight childbirth as a potential risk factor for OAB and underscore the need for long-term urinary health monitoring in women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":18028,"journal":{"name":"LUTS: Lower Urinary Tract Symptoms","volume":"18 4","pages":""},"PeriodicalIF":1.8,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13386023/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536290","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}