Overactive bladder: prevalence and implications in Brazil

Eur Urol. 2006 Jun;49(6):1087-92. doi: 10.1016/j.eururo.2006.01.026. Epub 2006 Feb 9.

Abstract

Objectives: To assess overactive bladder (OAB) prevalence, associated factors and implications in a young population.

Methods: An independent population-based study was carried out. A self-applicative questionnaire covering urinary symptoms, coping strategies, quality of life and treatment seeking behavior was developed.

Results: A total of 848 subjects between 15 and 55 years completed the questionnaire. The overall prevalence of OAB was 18.9%. Women were significantly more affected than men (p = 0.001). All age groups were equally affected (p = 0.152). Subjects with OAB reported significant impairment on household chores (p = 0.009), physical activities (p = 0.016), sleep (p < 0.001), work (p < 0.001), social life (p < 0.001) and sexual life (p < 0.001). In addition, OAB individuals present higher prevalence of depression (p = 0.036), anxiety (p < 0.001), shame (p < 0.001) and tiredness (p < 0.001) OAB was independently associated to sexual life impairment (OR = 3.36, 95% CI=1.20-9.39). Only 27.5% of OAB subjects sought for medical counseling.

Conclusions: OAB is a highly prevalent condition, even in such a young population. It affects both genders, yet it is more frequently observed in women. OAB is an important health condition, with serious impact on quality of life and sexual function. A large percentual of individuals remain unrecognized, under treated and consequently suffer for long periods of time.

MeSH terms

  • Adult
  • Brazil / epidemiology
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prevalence
  • Urinary Bladder, Overactive / epidemiology*