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Rosier PF, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, Dickinson T, Hashim H. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn 2016; 36:1243-1260. [DOI: 10.1002/nau.23124] [Citation(s) in RCA: 257] [Impact Index Per Article: 32.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2016] [Accepted: 05/13/2016] [Indexed: 01/11/2023]
Affiliation(s)
- Peter F.W.M Rosier
- Department of Urology; University Medical Center Utrecht; Utrecht The Netherlands
| | - Werner Schaefer
- Department of Medicine (Geriatrics); University of Pittsburgh; Pittsburgh Pennsylvania
| | - Gunnar Lose
- University of Copenhagen Herlev Hospital; Herlev Denmark
| | - Howard B. Goldman
- Glickman Urologic and Kidney Institute Cleveland Clinic; Lerner College of Medicine; Cleveland Ohio
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Cost-effectiveness analysis of main diagnosis tools in women with overactive bladder. Clinical history, micturition diary and urodynamic study. Actas Urol Esp 2015; 39:40-6. [PMID: 24735898 DOI: 10.1016/j.acuro.2014.03.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2013] [Revised: 03/01/2014] [Accepted: 03/03/2014] [Indexed: 11/24/2022]
Abstract
OBJECTIVES The aim of the present clinical research is to analyze, in the light of the best scientific evidence, the performance and the cost of the main diagnostic tools for overactive bladder (OAB). METHODS It is an exploratory transversal study in which 199 women diagnosed of OAB between 2006 and 2008 were selected and underwent to following prospective analyses: physical examination, urine analysis, micturition diary (MD) and urodynamic study (UDS). A percentage of 80% was assumed as highly sensitive and a diagnostic difference among tests of 10% would be considered clinically relevant. Tests' sensitivity for diagnosis of OAB was statistically established by two ways: isolated and combined. Besides, the direct and indirect costs of these tests performance were conducted. Cost-effectiveness study of clinical history (CH), MD and US for the diagnosis of OAB was performed. RESULTS Overall sensitivity for OAB diagnosis is low for the 3 tests used in isolated way, whilst the combination of any two tests shows good overall sensitivity. The combination of CH and MD has appeared as the most cost-effective alternative to OAB diagnosis. CONCLUSIONS For OAB diagnosis, CH-DM combination shows the same sensitivity than the association of either of them with the UDS, but unlike to these, it shows the lowest cost.
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Blaivas JG, Tsui JF, Amirian M, Ranasinghe B, Weiss JP, Haukka J, Tikkinen KAO. Relationship between voided volume and the urge to void among patients with lower urinary tract symptoms. Scand J Urol 2014; 48:554-8. [DOI: 10.3109/21681805.2014.932842] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Jerry G. Blaivas
- Department of Urology, SUNY Downstate Medical Center,
Brooklyn, New York, USA
- Department of Urology, Weill Cornell College of Medicine,
New York, New York, USA
- Institute for Bladder and Prostate Research,
New York, USA
| | - Johnson F. Tsui
- Department of Urology, SUNY Downstate Medical Center,
Brooklyn, New York, USA
- Institute for Bladder and Prostate Research,
New York, USA
- Department of Urology, North Shore-LIJ Lenox Hill Hospital,
New York, New York, USA
| | - Michael Amirian
- Department of Urology, SUNY Downstate Medical Center,
Brooklyn, New York, USA
- Institute for Bladder and Prostate Research,
New York, USA
| | - Buddima Ranasinghe
- Department of Urology, SUNY Downstate Medical Center,
Brooklyn, New York, USA
- Institute for Bladder and Prostate Research,
New York, USA
| | - Jeffrey P. Weiss
- Department of Urology, SUNY Downstate Medical Center,
Brooklyn, New York, USA
- Institute for Bladder and Prostate Research,
New York, USA
| | - Jari Haukka
- Hjelt Institute, Department of Public Health, University of Helsinki,
Helsinki, Finland
| | - Kari A. O. Tikkinen
- Hjelt Institute, Department of Public Health, University of Helsinki,
Helsinki, Finland
- Department of Urology, Helsinki University Central Hospital and University of Helsinki,
Helsinki, Finland
- Department of Clinical Epidemiology and Biostatistics, McMaster University,
Hamilton, Ontario, Canada
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Coyne KS, Sexton CC, Thompson C, Bavendam T, Brubaker L. Development and psychometric evaluation of the urgency questionnaire for evaluating severity and health-related quality of life impact of urinary urgency in overactive bladder. Int Urogynecol J 2014; 26:373-82. [DOI: 10.1007/s00192-014-2435-5] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2013] [Accepted: 05/03/2014] [Indexed: 11/24/2022]
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Joussain C, Parratte B, Gremeaux V, Dompeyre P. [Clinical and paraclinical evaluations of bladder sensitivity. Review of the literature]. Prog Urol 2014; 24:495-500. [PMID: 24875568 DOI: 10.1016/j.purol.2014.02.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Revised: 01/28/2014] [Accepted: 02/12/2014] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The aim of this work was to carry out a review of the literature on the clinical and paraclinical evaluation of bladder sensory (BS) to better understand BS disorders in nonneurological patients. METHODS Thirty-three articles were selected from the Medline(®) Database between 1992 and 2012 using the following key words: "sensory/sensitivity bladder evaluation", "sensory/sensitivity bladder scale", "sensory/sensitivity bladder questionnaire", "urodynamic bladder sensory", "urgency questionnaire" and "Overactive Bladder (OAB) questionnaire". RESULTS Evaluation of BS by asking questions during cystometry is validated (LE 2). The sensation of the desire to void progresses linearly with bladder filling (LE 2). Many symptoms and quality of life questionnaires related to BS anomalies have been proposed. Bladder diaries, frequency/volume curves (LE 2) and clinical algorithms (LE 3) could be an alternative to evaluate BS. CONCLUSION Current evaluation only provides a partial view of BS. A multidimensional approach should lead to better understanding of BS disorders.
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Affiliation(s)
- C Joussain
- Service de médecine physique et de réadaptation, centre hospitalier universitaire de Dijon, 21000 Dijon, France.
| | - B Parratte
- Service de médecine physique et de réadaptation, centre hospitalier universitaire, 25030 Besançon, France
| | - V Gremeaux
- Service de médecine physique et de réadaptation, centre hospitalier universitaire de Dijon, 21000 Dijon, France
| | - P Dompeyre
- Service de gynécologie-obstétrique, centre hospitalier Poissy-St-Germain-en-Laye, 78303 Poissy, France; Laboratoire privé d'explorations urodynamiques, 78300 Poissy, France
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Das R, Buckley JD, Williams MT. The multidimensional sensation of desire to void differs between people with and without overactive bladder. Neurourol Urodyn 2014; 34:444-9. [PMID: 24664952 DOI: 10.1002/nau.22587] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2013] [Accepted: 02/25/2014] [Indexed: 11/07/2022]
Abstract
AIM To determine whether the multidimensional sensation of desire to void can be reliability assessed and whether differences exist between people with and without overactive bladder (OAB). Assessing reliability and convergent validity of OAB screening tools comprised a secondary aim. METHODS This observational, repeated-measures study involved 64 volunteers (47 female), aged ≥50 years, with and without OAB symptoms. Six sensory dimensions (intensity, unpleasantness, suddenness, perceived difficulty "holding on," bladder fullness and location of sensation) were assessed by structured interview on two occasions. Overactive bladder status was determined using the OAB Symptom Score and OAB Awareness Tool. Reliability of sensory dimensions was assessed via random effects mixed modeling. The ability of each sensory dimension to predict OAB status was determined by partial least squares regression. RESULTS With the exception of sensory intensity, perceived bladder fullness, and one location of sensation, sensory dimensions were reliably reported. Sensory intensity, unpleasantness, suddenness, and perceived difficulty "holding on" predicted OAB, whereas perceived bladder fullness and sensory location did not. The OAB screening questionnaires demonstrated comparable test-retest reliability and convergent validity. CONCLUSIONS People with and without OAB can reliably describe the multidimensional sensation of desire to void. The sensation of desire to void is more intense, unpleasant, sudden, and perceived as more difficult to hold on in people with OAB.
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Affiliation(s)
- Rebekah Das
- Nutritional Physiology Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Jonathan D Buckley
- Nutritional Physiology Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia
| | - Marie T Williams
- Nutritional Physiology Research Centre, Sansom Institute for Health Research, University of South Australia, Adelaide, Australia.,School of Population Health, University of South Australia, Adelaide, Australia
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Chung SD, Liao CH, Chen YC, Kuo HC. Urgency severity scale could predict urodynamic detrusor overactivity in patients with overactive bladder syndrome. Neurourol Urodyn 2011; 30:1300-4. [PMID: 21560153 DOI: 10.1002/nau.21057] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2010] [Accepted: 12/02/2010] [Indexed: 11/09/2022]
Abstract
AIMS To evaluate the correlation between an urgency severity scale (USS) based on a voiding diary with detrusor overactivity (DO) in a videourodynamic study in patients with an overactive bladder (OAB). METHODS We prospectively enrolled 190 consecutive patients with OAB. All patients were assessed using a USS and completed a 3-day voiding diary that recorded urgency and urgency urinary incontinence (UUI) episodes and the degree of urgency severity. The highest recorded USS score in the voiding diary was considered as the USS score. A videourodynamic study was performed, and the presence of increased bladder sensation (IBS) or DO was recorded. These clinical findings and videourodynamic data were analyzed. RESULTS This study enrolled 65 men and 125 women. The mean patient age was 66.4 years (21-88). Among them, 82.6% had urodynamic DO, 7.9% had IBS, and 9.5% had normal urodynamic findings. The prevalence of DO was 50%, 76%, and 94% in patients with a USS = 2, 3, and 4, respectively. Multivariate analysis indicated that OAB wet, high USS and UUI were significantly associated with the presence of DO. Urodynamic DO was present in most patients with OAB wet (94.1%) or USS = 4 (95.5%); however, only 63.9% of OAB dry patients had DO. In the OAB dry patients, 11/25 (44%) with USS = 2, 30/42 (71%) with USS = 3, and 5/5 (100%) with USS = 4 had DO. CONCLUSIONS A high USS recorded in conjunction with a voiding diary and OAB wet were strongly associated with urodynamic DO.
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Affiliation(s)
- Shiu-Dong Chung
- Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan
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Michel MC, Oelke M, Vogel M, de la Rosette JJMCH. Which single-item measures of overactive bladder symptom treatment correlate best with patient satisfaction? Neurourol Urodyn 2011; 30:510-4. [PMID: 21351125 DOI: 10.1002/nau.20935] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2010] [Accepted: 03/19/2010] [Indexed: 01/30/2023]
Abstract
AIMS While complex symptom scales are important research tools, simpler, preferably single item scales may be more useful for routine clinical practise in the evaluation of patients with overactive bladder syndrome (OAB). This study aimed to compare multiple single-item scales at baseline and after treatment with patient-reported overall rating of treatment efficacy. METHODS In a pre-planned secondary analysis of a previously reported observational study, 4,450 patients were evaluated at baseline and after 12 weeks open-label treatment with solifenacin. Apart from episode counting for classical OAB symptoms, the following single-item rating scales were applied: Indevus Urgency Severity Scale, Urgency Perception Scale, a Visual Analog Scale (VAS), quality of life question of the IPSS, and general health and bladder problem questions of the King's Health Questionnaire (KHQ). RESULTS At baseline OAB symptoms correlated at best moderately with each (r = 0.285-0.508) other or with any of the rating scales (r = 0.060-0.399). Pair-wise correlations between treatment-associated symptom or scale improvements tended to be tighter (r = 0.225-0.588). When compared to patient-reported efficacy, the VAS (r = 0.487) and the bladder problem question of the KHQ (r = 0.452) showed the tightest correlation, whereas all symptom and rating scale improvements exhibited poor correlation with patient-reported tolerability (r ≤ 0.283). CONCLUSIONS The VAS and the bladder problem question of the KHQ show the greatest promise as single-item scales to assess problem intensity in OAB patients.
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Affiliation(s)
- Martin C Michel
- Academic Medical Center, Department of Pharmacology & Pharmacotherapy, University of Amsterdam, Amsterdam, The Netherlands.
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Cardozo L, Chapple C, Wein A. Urgency as the cardinal symptom of overactive bladder: a critical analysis. World J Urol 2009; 27:701-3. [PMID: 19916011 DOI: 10.1007/s00345-009-0445-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2009] [Accepted: 06/16/2009] [Indexed: 11/25/2022] Open
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