ArticleInternational journal of urology : official journal of the Japanese Urological Association2025
Prevalence, Impact on Quality of Life, and Predictive Factors of Co-Existent Overactive-Underactive Bladder in Women.
Article in International journal of urology : official journal of the Japanese Urological Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
2 citing papers in PubMed.
- Elucidating Characteristics of Co-Existent Overactive and Underactive Bladder in Participants of the 2023 Japan Community Health Survey (JaCS 2023) With Nocturia.Neurourology and urodynamics · 2026Article
- Impact of Lower Urinary Tract Symptoms on Daily Life in Individuals With Co-Existence Overactive and Underactive Bladder, Overactive Bladder, and Underactive Bladder.Lower urinary tract symptoms · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
objectivesTo investigate the prevalence, impact on health-related quality of life (HRQOL), and predictive factors of co-existent overactive-underactive bladder (COUB) in women.
methods3088 Japanese women aged ≥ 20 years responding to a nationwide internet survey on lower urinary tract symptoms (LUTS) were included. Participants were divided into COUB, overactive bladder (OAB) alone, underactive bladder (UAB) alone, and non-OAB/UAB groups based on the OAB symptom score and the International Continence Society-Working Group definition of UAB. In addition to the prevalence, we assessed each group's HRQOL and physician visit rates. We further explored predictors of COUB as well as OAB and UAB using multinomial logistic regression analysis.
resultsThe prevalences of COUB, OAB alone, and UAB alone were 1.6%, 8.2%, and 2.4%, respectively, and all increased significantly with age. The proportions of COUB in OAB and UAB overall were 16.4% and 40.7%, respectively. The proportions of participants who responded that their HRQOL was affected and those visiting physicians were both highest in the COUB group. Multinomial logistic regression analysis showed that age, frailty, neurological disorders, anorectal dysfunction, pelvic organ prolapse, and parity (≥ 3) were independent predictors for COUB, of which age, neurological disorders, and parity were exclusively associated with COUB.
conclusionsAlthough not highly prevalent, COUB may have a significant impact on adult women, especially frail and multimorbid elderly women. More attention should be paid to this unique condition for optimal LUTS management.
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