Cues to Urinary Urgency and Urge Incontinence

O’Connell, Kathleen A.; Torstrick, Alex; Victor, Elizabeth C.

doi:10.1097/won.0000000000000023

Cited by 14 publications

(5 citation statements)

References 7 publications

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“…It appears that higher scores on the TB-WEB scale provoked higher sensitivity to urinary cues that, in turn, were associated with more intense lower urinary tract symptoms in older women. These findings are similar to those in previous reports on the relation of urinary cues to OAB but add information about their relation to UI [8][9][10]. In light of recent findings that visual triggers for urinary urgency specific to an individual lead to increased activity in the prefrontal cortex and limbic systems [11], our findings suggest a mechanism for how urinary cues come to affect brain-bladder connections.…”

Section: Discussionsupporting

confidence: 91%

“…Environmental stimuli are also related to the experience of urges to urinate. A series of studies [8][9][10] has shown that people report that they associate a variety of stimuli, such as arriving at their front door, being near a familiar bathroom, and the sound of running water, with the urge to urinate. These associations are consistent with Pavlovian or classical conditioning.…”

Section: Introductionmentioning

confidence: 99%

“…Thus, urinary cues play a role in brain-bladder connections. In addition, sensitivity to urinary cues has been shown to be related to OAB [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Toileting behaviors, urinary cues, overactive bladder, and urinary incontinence in older women

2022

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Introduction and hypothesisOveractive bladder (OAB) and urinary incontinence (UI) are prevalent in older women. We investigated relations of toileting behaviors and urinary urge cues to OAB and UI in women ≥ 65 years. We tested mediation hypotheses that toileting behaviors lead to higher sensitivity to urinary urge cues (the mediator), which leads to both OAB and UI. Methods An e-panel was recruited to respond to an electronic survey that included demographic information, Urinary Cues Scale version 2, Toileting Behaviors-Women's Elimination Behaviors (TB-WEB) scale, and the International Consultation on Incontinence Questionnaire Short Forms for Urinary Incontinence (ICIQ-SF-UI) and Overactive Bladder (ICIQ-SF-OAB). Descriptive statistics were conducted; correlation matrices were created to explore relationships among major variables. Regression analyses were conducted to test our mediation hypotheses. Results There were 338 respondents with average age 70.9 (SD + 5.55) years. Most were white, overweight or obese, and had UI. Urinary urge cues fully mediated the relationship of TB-WEB with OAB. Urinary urge cues partially mediated the relationship of TB-WEB with UI; the direct effect of toileting behaviors on UI remained significant. Age and body mass index had significant partial correlations with UI but not with OAB. Discussion Toileting behaviors appear to contribute to sensitivity to urinary cues, which are related to both OAB and UI. Toileting behaviors have indirect effects on OAB and both indirect and direct effects on UI. Interventions to change toileting behaviors and extinguish urinary cues are needed. Conclusions Behavioral and conditioning factors contribute to UI in older women.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Toileting behaviors, urinary cues, overactive bladder, and urinary incontinence in older women

2022

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“…Given the frequency of patients with UUI reporting that certain scenarios in "real life" increase urgency and leakage, 1,2,5,6 the aim of this pilot study was to assess the feasibility of identifying these situations, and to test ways to recreate them and systematically assess reactivity to those cues. Via telephone interview we identified seven common urgency cues and three common safe scenarios, which we then used to develop a standardized set of pictorial cues to present in a computer-based cuereactivity questionnaire.…”

Section: Discussionmentioning

confidence: 99%

Reproducing situationally triggered urgency incontinence in a controlled environment

Clarkson

Connell

Conklin

2020

Neurourology and Urodynamics

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Introduction: Patients with lower urinary tract symptoms often report urgency and incontinence episodes which are triggered by environmental scenarios, for example, "latch-key incontinence." To better understand the extent of this phenomenon, and how best to reduce its impact, we tested ways to recreate these situational cues in a controlled environment and obtain cue reactivity measures. Methods: We developed a standardized set of urgency cue scenarios from interviews with sufferers of situational urgency urinary incontinence (UUI), personalized urgency, and safe cue sets consisting of photographs of specific locations, and measurements of cue reactivity during computer-based presentation and urodynamic monitoring.

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“…Earlier studies revealed that specific TBs, that is, delayed voiding, are related to specific health beliefs 13 and women's reports of more urinary urge cues are related to bladder storage LUTS, that is, urinary urgency and urgency incontinence. 10 , 11 …”

Section: Introductionmentioning

confidence: 99%

When Did They Start? Age of Onset of Toileting Behaviors and Urinary Cues as Reported by Older Women

O’Connell

Newman

Palmer

2023

Women's Health Reports

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Background: Lower urinary tract symptoms (LUTS) are prevalent across women's life course. Evidence shows toileting behaviors (TBs) and urinary urge cues are related to LUTS. It is unknown when women start using these behaviors and responding to urinary cues. Methods: An online survey was administered to 338 women, 65 years of age and older, to assess the age of onset for 20 TBs from the Toileting Behaviors-Women's Elimination Behavior (TB-WEB) questionnaire, 10 urinary urge cues from the Urinary Cues Questionnaire, and urinary urgency and leakage items from the International Consultation on Incontinence Questionnaire-Overactive Bladder (ICIQ-OAB) Short Form. Descriptive statistics were reported for each TB and urinary cue. A timeline was generated with the average earliest age of onsets for each type of TB, urinary cues, and urinary urgency and leakage symptoms. Results: Place preference, delayed voiding, and hovering over toilets away from home were reported to have the earliest ages of onset. Urinary urge cues, premature voiding, and straining to void tended to start after 45 years of age, as did the symptoms of urinary urgency and leakage. The timeline indicated that the earliest place preference and position preference TBs started before 20 years of age. Conclusion: Some TBs begin early in life and persist into old age, while other TBs and urinary cues begin later. Bladder health promotion may depend on intervening at specific times in the life course to alter TBs and responses, and potentially making environmental changes.

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Cues to Urinary Urgency and Urge Incontinence

Cited by 14 publications

References 7 publications

Toileting behaviors, urinary cues, overactive bladder, and urinary incontinence in older women

Toileting behaviors, urinary cues, overactive bladder, and urinary incontinence in older women

Reproducing situationally triggered urgency incontinence in a controlled environment

When Did They Start? Age of Onset of Toileting Behaviors and Urinary Cues as Reported by Older Women

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