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Does total knee arthroplasty affect overactive bladder symptoms in female patients?
Cagdas Senel1, Yusuf Onur Kizilay2, Kayhan Turan2
1Department of Urology, Balikesir University School of Medicine, Balikesir, Turkey. cagdas_senel@hotmail.com.
International Urogynecology Journal
|February 25, 2022
Summary
Total knee arthroplasty significantly improved overactive bladder symptoms, including frequency, urgency, and incontinence. This suggests knee surgery can positively impact bladder function by reducing pain and enhancing mobility.
Area of Science:
- Orthopedic Surgery
- Urology
- Geriatric Medicine
Background:
- Overactive bladder (OAB) significantly impacts quality of life.
- Knee pain and dysfunction often lead to reduced physical activity.
- The relationship between orthopedic procedures and OAB symptoms is not well-established.
Purpose of the Study:
- To investigate the effect of total knee arthroplasty (TKA) on overactive bladder symptoms.
- To determine if pain relief and improved physical function after TKA correlate with OAB symptom improvement.
Main Methods:
- Prospective study of 47 patients undergoing TKA for knee osteoarthritis.
- Preoperative and 3-month postoperative assessment using Overactive Bladder-Validated 8 (OAB-V8), Oxford Knee Score (OKS), and International Physical Activity Questionnaire-Short Form (IPAQ-SF).
Main Results:
- Significant improvements were observed in OAB-V8, OKS, and IPAQ-SF scores at 3 months post-TKA.
- All domains of the OAB-V8, including frequency, urgency, nocturia, and urgency urinary incontinence, showed significant improvement.
- Mean patient age was 65.4 years.
Conclusions:
- Total knee arthroplasty leads to significant improvement in overactive bladder symptoms.
- Pain relief and enhanced physical function following TKA appear to positively influence bladder control.
- TKA may be a viable option for patients suffering from both knee osteoarthritis and overactive bladder.
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