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Voiding difficulty common in women with diabetes
NEW YORK (Reuters Health) - Women with type 2 diabetes are nearly
five times more likely to have difficulty in urination compared
with nondiabetic control subjects, according to the results of a
new study.
Dr. Hong-Jeng Yu and colleagues from National Taiwan University,
Taipei, examined 176 female diabetics and 162 age-matched, non-diabetic
controls for voiding difficulty.
All of the patients completed questionnaires regarding symptoms,
and the researchers measured urine flow and residual urine after
voiding.
As reported in the medical journal Diabetes Care, the investigators
found that 22.2 percent of diabetic patients and 5.6 percent of
the control group experienced voiding difficulty.
"In the diabetic group, patients with voiding difficulty reported
a higher prevalence of weak urinary stream, intermittence, and hesitancy
than those without voiding difficulty," Dr. Yu and colleagues
write.
After accounting for age, the team found that having diabetes for
more than 20 years and a history of at least two episodes of urinary
tract infection in the previous year were both linked to an increased
likelihood of urinary problems.
"Asking questions about urinary symptoms, paying attention
to significantly associated clinical factors, and measuring postvoid
residual urine regularly in these patients may help to identify
those at risk for voiding difficulty," Yu and colleagues advise
health care providers.
SOURCE: Diabetes Care, April 2004.
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