The Association between Urinary Incontinence and Low Back Pain and Radiculopathy in Women

HÃ¼lagu Kaptan; Haluk KulaksÄ±zoÄŸlu; Ã–mÃ¼r KasÄ±mcan; Bedreddin SeÃ§kin

doi:10.3889/oamjms.2016.129

Authors

HÃ¼lagu Kaptan Dokuz EylÃ¼l University, Medical Faculty, Inciralti 35340, Izmir
Haluk KulaksÄ±zoÄŸlu Bilim University, Medical Faculty, Department of Urology, Konya
Ã–mÃ¼r KasÄ±mcan Liv Hospital, Department of Neurosurgery, Istanbul
Bedreddin SeÃ§kin Medicana Hospital, Department of Urology, Ankara

DOI:

https://doi.org/10.3889/oamjms.2016.129

Keywords:

Urinary incontinence, low back pain, radiculopathy, urge incontinence, stress incontinence

Abstract

AIM: Urinary incontinence (UI) is a common dysfunction, affecting especially women of all ages. The terminology of low back pain (LBP) and radiculopathy (RP) may be misused interchangeably with each other. There are many reports of the association with LBP and incontinence but those involving compression of nerve root(as RP), has not been distinguished from isolated low back pain. This study was structured to analyse the association of UI, LBP and RP.

METHODS: One hundred twenty patients were included in the study. Patients with spinal or urinary infection, tumour (spinal or others), cauda equine, pelvic operation, spinal trauma, spinal surgery, urogenital pathology were not accepted for this study.Â Age and weight of all patients were determined. Oswestry Disability Index (ODI) was utilised forÂ assessment of loss of functionÂ and SEAPI incontinence index was used for urinary incontinence. All patients were examined for neurological pathology to differentiate between the LBP and RP by department of neurosurgery. Student t-test and Mann-Whitney-U tests were used for statistical significance.

RESULTS: There was no statistical significance between low back pain with overall urinary incontinence (p = 0.131), urge (p = 0.103) or stress incontinence (p = 0.68), respectively. However; The statistical aspects were identified relationship between overall (p = 0.026) and urge (p = 0.001) urinary incontinence with radiculopathy. The association of urge incontinence and radiculopathy seems to show a more significant relationship. Yet there was no correlation between radiculopathy and stress incontinence (P = 0.062).

CONCLUSION: Low back pain should not be regarded as a predisposing factor for urinary incontinence; however, radiculopathy has a statistically positive correlation between overall incontinence and urge incontinence.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

References

lhan MN, Aksakal N, Kaptan H, Ceyhan MN, Durukan E, Ä°lhan F, Maral I, BÃ¶lÃ¼kbaÅŸÄ± N, Bumin MA. Social and Occupational Factors Associated: Life Time Prevalence of Low Back Pain in Primary Care. Gazi Medical Journal. 2010;21(3): 107-110.

Koes BW, Van Tulder MW, Thomas S . Diagnosis and treatment of low back pain. BMJ. 2006; 332:1430â€“34. https://doi.org/10.1136/bmj.332.7555.1430 PMid:16777886 PMCid:PMC1479671 DOI: https://doi.org/10.1136/bmj.332.7555.1430

Waddell G. Low back pain: A Twentieth century health care enigma. Spine. 1996; 21:2820-2. https://doi.org/10.1097/00007632-199612150-00002 PMid:9112705 DOI: https://doi.org/10.1097/00007632-199612150-00002

KulaksÄ±zoÄŸlu H, Kaptan H. Cauda Equina Syndrome and Voiding Dysfunction: Pathophysiology and Clinical Approach Under the Light of the Literature. Archives of Neuropsychiatry. 2009;46: 187-91.

Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27: E109-20. https://doi.org/10.1097/00007632-200203010-00017 PMid:11880847 DOI: https://doi.org/10.1097/00007632-200203010-00017

Benoist M. The natural history of lumbar disc herniation and radiculopathy. Joint Bone Spine. 2002;69(2):155-60. https://doi.org/10.1016/S1297-319X(02)00385-8 DOI: https://doi.org/10.1016/S1297-319X(02)00385-8

Bush K, Cowan N, Katz DE, Gishen P . The natural history of sciatica with associated disc pathology: A prospective study with clinical and independent radiologic follow-up. Spine. 1992;17:1205-1212. https://doi.org/10.1097/00007632-199210000-00013 PMid:1440010 DOI: https://doi.org/10.1097/00007632-199210000-00013

Bruggeman AJ, Decker RC. Surgical treatment and outcomes of lumbar radiculopathy. Phys Med Rehabil Clin N Am. 2011;22(1):161-77. https://doi.org/10.1016/j.pmr.2010.10.002 PMid:21292152 DOI: https://doi.org/10.1016/j.pmr.2010.10.002

Manchikanti L, Boswell MV, Singh V, Derby R, Fellows B, Falco FJ, Datta S, Smith HS, Hirsch JA; ASIPP.Comprehensive review of therapeutic interventions in managing chronic spinal pain. Pain Physician. 2009;12:123-198. DOI: https://doi.org/10.36076/ppj.2009/12/E123

Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society . The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21:167â€“178. https://doi.org/10.1002/nau.10052 PMid:11857671 DOI: https://doi.org/10.1002/nau.10052

Eliasson K, Elfving B, Nordgren B, Mattsson E. Urinary incontinence in women with low back pain. Man Ther. 2008;13(3):206-12. https://doi.org/10.1016/j.math.2006.12.006 PMid:17363318 DOI: https://doi.org/10.1016/j.math.2006.12.006

Kim JS, Kim SY, Oh DW, Choi JD. Correlation between the Severity of Female Urinary Incontinence and Concomitant Morbidities: A Multi-Center Cross-Sectional Clinical Study. Int Neurourol J. 2010;14(4):220-6. https://doi.org/10.5213/inj.2010.14.4.220 PMid:21253332 PMCid:PMC3021812 DOI: https://doi.org/10.5213/inj.2010.14.4.220

O'Connell HE, McGuire EJ. Assessing and Managing Urinary Incontinence in Primary Care. Medscape Womens Health. 1996;1(12):7. PMid:9746665

Parson CL, Koprowski PF. Interstitial cystitis: Successful management by increasing urinary voiding intervals. Urology. 1991;37:207. https://doi.org/10.1016/0090-4295(91)80286-G DOI: https://doi.org/10.1016/0090-4295(91)80286-G

Fairbank JC, Pynsent PB. The Oswestry Disability Index. Spine. 2000;25 (22):2940-2952. https://doi.org/10.1097/00007632-200011150-00017 DOI: https://doi.org/10.1097/00007632-200011150-00017

Raz S, Erickson DR. SEAPI-QMM incontinence classification system. Neurourol Urodyn. 1992;111:187. https://doi.org/10.1002/nau.1930110302 DOI: https://doi.org/10.1002/nau.1930110302

Eisenstein SM, Engelbrecht DJ, el Masry WS. Low back pain and urinary incontinence. A hypothetical relationship. Spine. 1994;15;19(10):1148-52. DOI: https://doi.org/10.1097/00007632-199405001-00010

De Riggo J, BenÄo M, Kolarovszki B, LuptÃ¡k J, Svihra J. Urinary incontinence in degenerative spinal disease. Acta Chir Orthop Traumatol Cech. 2011;78(1):67-70. PMid:21375969