Journal of Reconstructive Urology

.: ORIGINAL RESEARCH
Increased Lower Urinary Tract Symptoms in Female COVID-19 Patients: A Clinical Trial
Kadın COVID-19 Hastalarında Artan Alt İdrar Yolu Belirtileri: Klinik Bir Deney
Osman CANa, Mustafa ERKOÇb, Murat ÖZERc, Musab Ümeyir KARAKANLIc, Alper ÖTÜNÇTEMURc
aClinic of Urology, Başakşehir Çam and Sakura City Hospital, İstanbul, TURKEY
bClinic of Urology, Beylikdüzü State Hospital, İstanbul, TURKEY
cClinic of Urology, Prof. Dr. Cemil Taşcıoğlu City Hospital, İstanbul, TURKEY
J Reconstr Urol. 2021;11(3):123-7
doi: 10.5336/urology.2021-85030
Article Language: EN
Full Text
ABSTRACT
 Objective: The coronavirus disease-2019 (COVID-19) outbreak is the latest and greatest disease affecting all over the world recently. Despite the measures being taken in countries, data related to the COVID-19 outbreak is increasing day by day. The diagnosis of COVID-19 patients with atypical/non-specific symptoms is likely to be overlooked during this pandemic process. This study aimed to investigate the changes in lower urinary tract symptoms (LUTS) in females after COVID-19 infection. Material and Methods: A total of 62 female patients who were diagnosed with COVID-19 were included in the present study. The International Consultation on Incontinence Questionnaire-Female Lower Urinary Tract Symptoms (ICIQ-FLUTS) scores of patients measured before and during COVID-19 infection were compared. Furthermore, the ICIQ-FLUTS scores after COVID-19 infection were compared with thoracic computed tomography findings. Urinary tract infections and other causes affecting urinary frequency were excluded from the study. Results: Total ICIQ-FLUTS scores after COVID-19 infection were found statistically increased in female patients (p<0.0001). However, increased LUTS were not correlate with violence of lung involvement (r=0.063, p=0.629). Conclusion: Information about COVID-19 is limited since it is a quite new disease. The LUTS were found to significantly increase in female patients after COVID-19 infection, regardless of the severity of the disease.

Keywords: COVID-19; female; lower urinary tract symptoms
ÖZET
 Amaç: Koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)], salgını son zamanlarda tüm dünyayı etkileyen en son ve en büyük hastalıktır. Alınan önlemlere rağmen COVID-19 salgınına ilişkin veriler her geçen gün artmaktadır. Atipik/spesifik olmayan semptomları olan COVID-19 hastalarının teşhisi, bu pandemi sürecinde muhtemelen gözden kaçmaktadır. Bu çalışma, kadınlarda COVID-19 enfeksiyonu sonrası alt üriner sistem semptomlarındaki (AÜSS) değişiklikleri araştırmayı amaçlamıştır. Gereç ve Yöntemler: Bu çalışmaya, COVID-19 tanısı konan toplam 62 kadın hasta dâhil edildi. Hastaların COVID-19 enfeksiyonu öncesi ve enfeksiyon sırasında ölçülen Kadın Alt Üriner Sistem Semptomları -Uluslararası İnkontinans Anketi [The International Consultation on Incontinence Questionnaire- Female Lower Urinary Tract Symptoms (ICIQ-FLUTS)] puanları karşılaştırıldı. Ayrıca COVID-19 enfeksiyonu sonrasındaki ICIQ-FLUTS skorları, toraks bilgisayarlı tomografi bulguları ile karşılaştırıldı. İdrar yolu enfeksiyonu ve idrar sıklığını etkileyen diğer nedenler, çalışma dışı bırakıldı. Bulgular: Kadın hastalarda COVID-19 enfeksiyonu sonrası toplam ICIQ-FLUTS skorları istatistiksel olarak artmış bulundu (p<0,0001). Ancak bu artmış AÜSS akciğer tutulum şiddeti ile ilişkili değildir (r=0,063; p=0,629). Sonuç: COVID-19, oldukça yeni bir hastalık olduğu için hakkındaki bilgiler sınırlıdır. AÜSS'nin, hastalığın şiddeti ne olursa olsun, COVID-19 enfeksiyonundan sonra kadın hastalarda önemli ölçüde arttığı bulundu.

Anahtar Kelimeler: COVID-19; kadın; alt üriner sistem semptomları
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