Alteration of Autonomic Function in Female Urinary Incontinence

• DOI: 10.5213/inj.2010.14.4.232
• Publication Date: 2011-01-10T07:13:01Z
• Authors: Joon Chul Kim; Kwan-Joong Joo; Jin Tae Kim; Jong Bo Choi; Dae Sung Cho; Yong-Yeun Won
• Keywords: Urge incontinence

Stress urinary incontinence (SUI) and urge (UUI) have different mechanisms of action. We believe that alteration autonomic nervous system (ANS) activity may contribute to UUI because the lower tract is regulated through sympathetic parasympathetic systems. Heart rate variability (HRV) allows measurement function, therefore we measured compared HRV parameters in women with incontinence.From March 2008 2010, evaluated all patients who visited 2 university hospitals for treatment incontinence. Theywere performed 3-day voiding diary, urodynamic study, physical examination routine laboratory examination. excluded subjects had diabetes, cardiovascular problems, or other condition affect ANS. Patients mixed (MUI) were also excluded. Finally 47 SUI (group 1) 29 2) enrolled according their symptoms diary. parameters. And excluding 11 detrusor underactivity, divided them again into group A, 53 without overactivity (DO) B, 12 DO. between DO non-DO group.Older a higher incidence In parameters, only ratio low frequency (LF) high (HF) was significantly than 1 (3.5±3.6 vs. 1.6±1.1, P<0.05). Also A mean LF/HF B (4.3±3.8 1.9±1.9, P<0.05).Increased values indicate relative hyperactivity over activity. Changes ANS could presence potentially