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Are psychological comorbidities important in the aetiology of lower urinary tract dysfunction—ICI‐RS 2018?

Von Gontard, A; Vrijens, D; Selai, C; Mosiello, G; Panicker, J; Van Koeveringe, G; Apostolidis, A; (2019) Are psychological comorbidities important in the aetiology of lower urinary tract dysfunction—ICI‐RS 2018? Neurourology and Urodynamics , 38 (S5) S8-S17. 10.1002/nau.24016. Green open access

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Abstract

AIMS: To review studies on the comorbid psychological symptoms and disorders in patients with lower urinary tract disorders (LUTD) over the life-span, to analyse how they contribute toward the aetiology of LUTD and to discuss optimal service implementation. MATERIALS AND METHODS: A review of relevant literature was conducted and presented during the ICI-RS meeting in 2018. Open questions and future directions were discussed. RESULTS: On the basis of current research, there is overwhelming evidence in all age groups that psychological comorbidities are more common in patients with LUTD. Vice versa, patients with psychiatric disorders have higher rates of LUTD. The types of LUTDs and psychiatric disorders are heterogeneous. Complex aetiological models best explain specific associations of comorbidity. Irrespective of aetiology, it is advisable to address both urological and psychological issues in patients of all age groups with LUTD. CONCLUSIONS: Psychological symptoms and disorders play a decisive role in the development of LUTD in all age groups and need to be considered in the assessment and treatment of LUTD.

Type: Article
Title: Are psychological comorbidities important in the aetiology of lower urinary tract dysfunction—ICI‐RS 2018?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/nau.24016
Publisher version: https://doi.org/10.1002/nau.24016
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: ICI-RS, OAB, adults, aetiology, anxiety disorders, attention-deficit/hyperactivity disorder, children, comorbidity, daytime urinary incontinence, depressive disorders, faecal incontinence, nocturnal enuresis, psychological disorders, stress, trauma
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > UCL Queen Square Institute of Neurology > Clinical and Movement Neurosciences
URI: https://discovery.ucl.ac.uk/id/eprint/10090800
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