Does COVID-19 Vaccination Cause Storage Lower Urinary Tract Symptoms?

Yu-Chen Chen; Yin-Chi Liang; Shuo-Jung Ho; Hao-Wei Chen; Yung-Shun Juan; Wei-Chung Tsai; Shu-Pin Huang; Jung-Ting Lee; Yu-Peng Liu; Chung-Yao Kao; Yen-Ko Lin; Cheng-Yu Long; Meng-Ni Wu; Chao-Ju Chen; Wen-Jeng Wu

doi:10.3390/jcm11102736

Does COVID-19 Vaccination Cause Storage Lower Urinary Tract Symptoms?

J Clin Med. 2022 May 12;11(10):2736. doi: 10.3390/jcm11102736.

Authors

Yu-Chen Chen^{1

2}, Yin-Chi Liang³, Shuo-Jung Ho³, Hao-Wei Chen^{1

2

4}, Yung-Shun Juan^{1

2}, Wei-Chung Tsai^{5

6}, Shu-Pin Huang^{1

2}, Jung-Ting Lee⁷, Yu-Peng Liu¹, Chung-Yao Kao⁸, Yen-Ko Lin^{9

10}, Cheng-Yu Long^{1

11}, Meng-Ni Wu¹, Chao-Ju Chen¹, Wen-Jeng Wu^{1

2}

Affiliations

¹ Graduate Institute of Clinical Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
² Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
³ School of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
⁴ Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung 80145, Taiwan.
⁵ Division of Cardiology, Department of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 807377, Taiwan.
⁶ Drug Development and Value Creation Research Center, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
⁷ Si Wan College, National Sun-Yat Sen University, Kaohsiung 80424, Taiwan.
⁸ Department of Electrical Engineering, National Sun-Yat Sen University, Kaohsiung 80424, Taiwan.
⁹ Division of Trauma and Surgical Critical Care, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
¹⁰ Department of Medical Humanities and Education, College of Medicine, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.
¹¹ Department of Obstetrics and Gynecology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung 80708, Taiwan.

Abstract

We investigated the storage lower urinary tract symptoms (LUTS) before and after the first dose of coronavirus disease 2019 (COVID-19) vaccine and the association between pre-vaccinated overactive bladder (OAB) and the worsening of storage LUTS following COVID-19 vaccination. This cross-sectional study in a third-level hospital in Taiwan used the validated pre- and post-vaccinated Overactive Bladder Symptom Score (OABSS). Diagnosis of OAB was made using pre-vaccinated OABSS. The deterioration of storage LUTS was assessed as the increased score of OABSS following vaccination. Of 889 subjects, up to 13.4% experienced worsened storage LUTS after vaccination. OAB was significantly associated with an increased risk of worsening urinary urgency (p = 0.030), frequency (p = 0.027), and seeking medical assistance due to urinary adverse events (p < 0.001) after vaccination. The OAB group faced significantly greater changes in OABSS-urgency (p = 0.003), OABSS-frequency (p = 0.025), and total OABSS (p = 0.014) after vaccination compared to those observed in the non-OAB group. Multivariate regression revealed that pre-vaccinated OAB (p = 0.003) was a risk for the deterioration of storage LUTS. In conclusion, storage LUTS may deteriorate after vaccination. OAB was significantly associated with higher risk and greater changes in worsening storage LUTS. Storage LUTS should be closely monitored after COVID-19 vaccination, especially in those OAB patients.

Keywords: COVID-19; adverse effects; lower urinary tract symptoms; vaccines.

Abstract

Grants and funding