Evidence map›Paper›PMID 41384694›Full record

Observational studyNeurourology and urodynamics2026

Impact of COVID-19 and Vaccination on Lower Urinary Tract Symptoms: Insights From a Prospective Cohort Study.

Julia Duarte de Souza, Jose de Bessa, Natássia Cristina Carboni Truzzi, Carolina Trigo Rocha, Bruno Camargo Rocha Paim de Araujo, Julyana Kanate Mazzoni Moromizato, Thulio Bosi Vieira Brandão, Rachel Mazoni Costa, Marcelo Hisano, Zein Mohamed Sammour and 3 more

Abstract readObservational Study
In one paragraph

Observational study in Neurourology and urodynamics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Julia Duarte de SouzaDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Jose de BessaDepartment of Surgery, State University of Feira de Santana, Feira de Santana, Bahia, Brazil.
Natássia Cristina Carboni TruzziDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Carolina Trigo RochaDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Bruno Camargo Rocha Paim de AraujoDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Julyana Kanate Mazzoni MoromizatoDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Thulio Bosi Vieira BrandãoDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Rachel Mazoni CostaDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Marcelo HisanoDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Zein Mohamed SammourDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Homero BruschiniDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
William Carlos NahasDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.
Cristiano Mendes GomesDivision of Urology, University of Sao Paulo School of Medicine, Sao Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsTo evaluate the prevalence, clinical course, and risk factors of lower urinary tract symptoms (LUTS) in patients hospitalized with COVID-19, and to assess associations with comorbidities, disease severity, and vaccination status.

methodsWe conducted a prospective cohort study of adult patients hospitalized with confirmed COVID-19, who were not in intensive care at the time of enrollment, between July 2021 and March 2022. LUTS were assessed using the International Prostate Symptom Score (IPSS), International Consultation on Incontinence Questionnaire Overactive Bladder (ICIQ-OAB), and ICIQ-Urinary Incontinence Short Form (ICIQ-UI SF) questionnaires during hospitalization and at one and 3 months post-discharge. Moderate to severe LUTS were defined as an IPSS > 7. Overactive bladder symptoms (OAB symptoms) were defined as an ICIQ-OAB Score ≥ 3 plus urgency and/or urgency urinary incontinence (UUI). Associations with sex, comorbidities, COVID-19 severity, and vaccination status were analyzed using multivariable logistic regression.

resultsAmong 168 patients (55.4% male, median age 58 years), 31.0% had moderate to severe LUTS during hospitalization, with storage symptoms predominating. Urgency was present in 21.4% of the cohort, and 36.7% met the criteria for OAB symptoms. Urinary incontinence (UI) affected 34.5%, being more frequent among women. At 3 months, moderate to severe LUTS declined to 21.9%, and both OAB symptoms and UI also decreased significantly. No associations were found between LUTS and comorbidities or disease severity. Fully vaccinated patients had higher odds of moderate to severe LUTS during hospitalization (adjusted OR 10.56, 95% CI 4.13-26.9), particularly those vaccinated with inactivated virus vaccines (BBIBP-CorV).

conclusionsLUTS are prevalent in the acute phase of COVID-19, especially among women, but tend to improve within 3 months. Unexpectedly, full vaccination-especially with inactivated virus vaccines-was associated with increased odds of moderate to severe LUTS during hospitalization. Further studies are warranted to explore the underlying mechanisms and long-term implications.

trial registrationThis study was not registered at ClinicalTrials.gov, as it is an observational study with no clinical intervention.

Indexed as

COVID-19COVID-19 VaccinesLower Urinary Tract SymptomsVaccinationAdultAgedComorbidityFemaleHumansMaleMiddle AgedPrevalenceProspective StudiesRisk FactorsSeverity of Illness IndexCOVID-19 VaccinesCOVID‐19lower urinary tract symptomsoveractive bladderSARS‐CoV‐2urinary incontinencevaccination

Identifiers

PMID41384694
PMCPMC13686546

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.