• Title/Summary/Keyword: overactive bladder

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Factors Influencing Illness Intrusiveness of the Sexual Life in Women with Overactive Bladder (과민성방광 여성 환자의 성생활에 관한 지각된 질병의거변화의 영향요인)

  • Cho, Jeong Lim;Lee, Eun Nam
    • Journal of muscle and joint health
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    • v.20 no.1
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    • pp.62-71
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    • 2013
  • Purpose: This study was conducted to explore factors that influence illness intrusiveness of the sexual life in women with overactive bladder. Methods: Ninety-two women diagnosed with overactive bladder, from D University Hospital and three private urology hospitals in B region, participated in a survey between April 7 and August 7, 2012. The Overactive Bladder-questionnaire (OAB-q), the Marital Intimacy Tool, the Center for Epidemiologic Studies Depression (CES-D), and 1 question to ask illness intrusiveness of the sexual life were used in the study. Results: The illness intrusiveness score of the sexual life in women with overactive bladder was 2.22 out of 5. There were no significant differences of illness intrusiveness by demographic and disease related characteristics. The predictor were the clinical symptom score and depression, accounting for 13% of the variance of the illness intrusiveness of the sexual life in the women with overactive bladder. Conclusion: Effective nursing intervention to relieve clinical signs of overactive bladder and reduce depression can improve quality of sexual life in women with overactive bladder.

A Case Report of Overactive Bladder and Rheumatoid Arthritis treated by Bekhogainsam-tang based on Shanghanlun provisions (『상한론(傷寒論)』 변병진단체계(辨病診斷體系)에 근거하여 양명병(陽明病)으로 규정되는 과민성 방광과 류마티스 관절염을 동반한 환자에게 백호가인참탕(白虎加人參湯)을 투여한 증례 1례)

  • Choi, Ju-Young
    • 대한상한금궤의학회지
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    • v.6 no.1
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    • pp.97-111
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    • 2014
  • Objective : This case report aims to show the effect of Bekhogainsam-tang on Overactive Bladder and Rheumatoid arthritis. The patient was diagnosed with Yangmyung-byung based on Shanghanlun provisions. Methods : According to Diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Yangmyung-byng and has been unusual dietary habits. So she treated with Bekhogainsam-tang decoction for 75 days. We evaluated the results of treatment by Overactive Bladder Symptom Score(OABSS), Modified Overactive Bladder Validated 8-question Screener(OAB-V8), and Rheumatoid Arthritis Pain Score(RAPS). Results : After taking Bekhogainsam-tang decoction for 75 days, the patient's symptoms and OABSS was decreased from 20 to 11, OAB-V8 was from 42 to 20, and RAPS was from 130 to 63. Conclusions : This case report showed an effectiveness of using Bekhogainsam-tang according to Diagnositic system based on Shanghanlun provisions on Overactive Bladder and Rheumatoid Arthritis.

A Case Report on 2 Cases of Overactive Bladder (과민성 방광 환자 치험 2례)

  • Yoo, Jeong-Eun;Choi, Kyung-Hee;Lim, Hyun-Jung;Yoo, Dong-Youl
    • The Journal of Korean Obstetrics and Gynecology
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    • v.25 no.1
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    • pp.106-115
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    • 2012
  • Purpose: The purpose of this study is to report the clinical effectiveness of oriental medicine on overactive bladder. Methods: The patients suffering from overactive bladder were treated by oriental medical treatment such as herbal medication, acupuncture and moxibustion therapy. Results: After Oriental medical treatments, the symptoms of overactive bladder disappeared and the patients' quality of life improved. Conclusions: This case report shows that the oriental medical therapy is effective against overactive bladder.

A Case Report of Overactive Bladder treated by Gamchogungang-tang, Hoiyeok-tang based on Shanghanlun provisions (『상한론(傷寒論)』 육경(六經) 진단체계에 근거하여 대양병(大陽病) 감초건강탕(甘草乾薑湯), 회역탕(回逆湯)을 투여한 과민성 방광 1례)

  • Lee, Lae Chun;Min, Joon Hong
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.45-52
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    • 2013
  • Objective : This case report aims to show the effect of Gamchogungang-tang, Hoiyeok-tang on an overactive bladder. The patient was diagnosed with Taeyang-byung based on Shanghanlun provisions. Methods : According to Diagnostic system based on Shanghanlun provisions, the patient was diagnosed with Taeyang-byung. So He was treated with Gamchogungang-tang, Hoiyeok-tang decoction for 70 days. We evaluated the results of treatment by Overactive Bladder Symptom Score(OBASS). Results : After taking Gamchogungang-tang, Hoiyeok-tang decoctions for 70 days, the patient's OBASS and symptoms was decreased from 12(severe) to 5(mile). Conclusions : This case report showed an effectiveness of using Gamchogungang-tang, Hoiyeok-tang according to Diagnostic system based on Shanghanlun provisions on overactive bladder.

A Case Study of Overactive Bladder Patient Treated with Soeumin Sibimigwanjung-tang (소음인 십이미관중탕으로 호전된 과민성 방광 환자 치험 1례)

  • Halim, Jang;Mi Hye, Kwon;Wonkyoung, Moon;Hyeri, Lee;Euiju, Lee
    • Journal of Sasang Constitutional Medicine
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    • v.34 no.4
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    • pp.38-48
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    • 2022
  • This study was aimed to report an significant improvement of urinary disturbance in overactive bladder patient using Soeumin's Sibimigwanjung-tang based on Sasang constitutional medicine. Methods A female overactive bladder patient with urinary disturbance including urgency, frequency, nocturia, tenesmus, weak stream was enrolled in this study. The patient was diagnosed as Soeum type greater-yin pattern and medicated with Sibimigwanjung-tang three times a day. Clinical improvement was evaluated with urination diary, International Prostate Symptom Score, Overactive Bladder Symptom Score, Numeric Rating Scale, and percentage of improvement compared to the day of hospitalization. Results Significant improvement was seen in urinary disturbance after 26 days of admission treatment. Also, symptoms of dyspepsia, coldness of hands and feet, and facial edema were improved. Conclusions This clinical case suggests that Sibimigwanjung-tang can be valuable option in treating urinary disturbance in overactive bladder within Soeum type greater-yin pattern.

A Study on Factors Influencing Medical Treatment Decision-Making for Overactive Bladders in Female Patients over 40 - Data from Clinical Trial Participants - (40세 이상 과민성방광 여성 환자의 의료이용 결정요인에 관한 연구 - 임상시험 참여자를 중심으로 -)

  • Ahn, In-Suk;Kim, Dong-Il;Choi, Min-Sun
    • The Journal of Korean Obstetrics and Gynecology
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    • v.26 no.1
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    • pp.69-81
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    • 2013
  • Purpose: The aim of this study is to determine associated factors affecting the utilization of Medical Care for an overactive bladder. Methods: Total 114 women with overactive bladder participated in this study. Patients were categorized in two groups, the patients with treatment experiences for an overactive bladder(n=40) and without treatment experiences for an overactive bladder(n=74). Patients completed Overactive Bladder Severity Score, Beck Depression Inventory, King's Health Questionnaire, and questionnaires on treatment experience. The results were analysed using SPSS for Windows 12.0k. All statistical tests were two-sided with a p-value < 0.05 being significant. Results: Patients with treatment experience had a greater score on KHQ, OABSS, BDI and had longer symptom duration period than those without treatment experience. And only Impact of Life(P=0.004), Role Limitation(P=0.004), Social Limitation(P=0.007), Emotion(P=0.035), Sleep/Energy(P=0.001), Incontinence Severity Measures(P=0.012) among KHQ domains were statistically significant difference between two groups. Conclusions: The most influencing factor associated with utilization of Medical Service in overactive bladder is the impact of the patient's quality of life.

Overactive Bladder and Urinary Incontinence in Adult Women: Prevalence and Effects on Daily Life and Sexual Activity (성인 여성의 과민성방광 증후군과 요실금의 실태조사)

  • Kim, Jeung-Im;Kim, Young-Ho;Ahn, Hyun-Cheol
    • Women's Health Nursing
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    • v.8 no.4
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    • pp.529-537
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    • 2002
  • The purpose of this study was to investigate the prevalence, relative factor and the effects that overactive bladder or urinary incontinence have on women's lives. Data was gathered through an internet survey. The subjects included 3,372 women ranging from 20 years old to 49 years of age. The questionnaire included general characteristics (age, parity, family history, and history of UTI), overactive bladder symptoms (urgency, frequency, nocturia, urgent incontinence), urinary incontinence, discomfort in ADL and sexual activity. The data was analyzed by the SPSS/PC+ program using frequency, $x^2$ test, and multivariate logistic regression. The results were as follows; 1. The prevalence was 12.7 % in overactive bladder and 21.0% in urinary incontinence. 2. 19.2% of the subject have urge incontinence, 5% of them have coped with the use of a pad. 3. The significant factors to overactive bladder were age($x^2$=6.6, p<0.05), history of urinary tract infection ($x^2$=50.8, p<0.01) and family history ($x^2$=26.1, p<0.01). The significant factors to urinary incontinence were age ($x^2$=6.2, p<0.05), occupation ($x^2$=11.0, p<0.05), history of urinary tract infection($x^2$=20.2, p<0.01), parity ($x^2$=8.6, p<0.01), and family history ($x^2$=4.9, p<0.05). 4. Overactive bladder impacts on individual daily life was 5.0 times, urinary incontinence was 2.9 times higher than in non-symptoms. Also, overactive bladder impacts on their sexual activity disturbance was 4.3 times, urinary incontinence has 3.9 times higher than in non-symptoms. In conclusion, overactive bladder symptoms and urinary incontinence were health problems that disturbed women's lives. Also the most problem among overactive bladder may be urgency in Korean. Intervention based on these results needs to be provided for these women.

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The Effect of Korean Medical Treatment on the Overactive Bladder Syndrome with Coughing: Case Report (기침을 동반한 과민성 방광 증후군에 대한 한방 치료 1례)

  • Oh, Ju-hyun;Lee, Yu-ra;Song, Jin-young;Kong, Geon-sik;Park, Jin-hun;Kim, So-won;Kang, Man-ho;Lee, Hyung-chul;Eom, Guk-hyeon;Song, Woo-sub
    • The Journal of Internal Korean Medicine
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    • v.41 no.5
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    • pp.724-733
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    • 2020
  • Objective: Overactive bladder syndrome refers to the symptom of frequent urination, as the function of the bladder is so sensitive that the bladder muscles contract regardless of the patient's intent and the patient feels the need to urinate quickly. Overactive bladder syndrome is common among the elderly, especially in women, and the prevalence increases with increasing age. Overactive bladder can decrease social activity, increase isolation, and decrease quality of life due to sleep disorders caused by night urination; therefore, active treatment is required. In this study, we report the effects of Korean medical treatment on a Korean hospital patient with overactive bladder symptoms, including urine frequency, urine incontinence, and night urination that began at a similar time to an onset of coughing. Methods: We treated the patient with herbal medicines and acupuncture therapy. The International Prostate Symptom Score (IPSS), Overactive Bladder Symptom Score (OABSS), and a numeric rating scale (NRS) were used to assess symptom changes. Results: The patient with urine frequency, urine incontinence, and nocturia was hospitalized for 8 days, and the overall symptoms of overactive bladder syndrome were improved. Conclusion: The results indicate that Korean medical treatment is effective in patients with overactive bladder syndrome.

Pharmacoeconomic Evaluation of Antimuscarinic Agents for the Treatment of Overactive Bladder - With Solifenacin and Tolterodine IR - (과민성방광 환자 치료를 위한 항무스카린성 약물의 경제성 평가 - Solifenacin과 Tolterodine IR을 중심으로 -)

  • Park, Sun-Young;Lee, Eui-Kyung
    • Korean Journal of Clinical Pharmacy
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    • v.18 no.1
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    • pp.28-37
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    • 2008
  • Objectives: Overactive bladder(OAB), defined as 'urgency, with or without urge incontinence, usually with frequency and nocturia', is a major burden for patients and impairs quality of life. The aim of this study is to evaluate the cost-effectiveness of antimuscarinic agents for the treatment of overactive bladder including quality of life in societal perspective. Methods: A decision-analysis model was developed to compare the cost-effectiveness of solifenacin and tolterodine IR over 12 weeks. We used data from the published literature to develop the framework for the model. Resource utilization and costs were calculated with public institutional data and supplemented this information with clinical expert opinion, where necessary. Results: The expected costs per patient for solifenacin were 48,762 KRW less expensive than tolterodine IR over 12 weeks. Also, all outcomes including quality of life for solifenacin were more effective than tolterodine IR over 12 weeks. In conclusion, solifenacin dominates tolterodine IR and appears to be cost-effective options for the management of overactive bladder.

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Retrospective Study on Overactive Bladder (과민성 방광에 대한 임상 결과 분석 : 후향적 연구)

  • Jung, So-Young;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.3
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    • pp.169-184
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    • 2009
  • Purpose: The aim of this study was to estimate the effect of Korean medicine treatment on overactive bladder. Methods: 64 patients of overactive bladder received Korean medicine treatment for at least 30days. We studied retrospectively symptom disappearance rate, the relationship between the improvement rate and age, scale of symptoms, BMI(Body Mass Index), WHR(Waist Hip Ratio). Results: Symptoms of 27 patients were disappeared, and those of 28 patients were improved. But 9 patients didn't show the improvement of their urination problems. The symptom disappearance rate was 43.08%. The improvement rate was 85.15%. The mean${\pm}$standard deviation of daily frequency was reduced from 10.05128 to 7.44872 after treatment(p<0.0001) The symptom disappearance rate was reverse-related with the OABSS score, KHQ and WHR. The improvement rate of married patients was higher than unmarried patients. And especially that was co-related with the frequency of acupuncture and moxibustion treatment. Conclusion: The results of this study suggested that Korean medicine treatments, such as acupuncture, moxibustion and herbal prescriptions have positive efficacy on overactive bladder patients in ordinary clinical practice.