Does sensory bladder function during cystometry differ from that in daily life? A study in incontinent women

Naoemova, Irina; Meel, Tom Van; Wachter, Stefan De; Wyndaele, Jean‐Jacques

doi:10.1002/nau.20643

Cited by 23 publications

(24 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Also, the laboratory situation may cause a variation in the patient's usual “lower urinary tract behaviour”. This means that volumes and urodynamic filling sensations and capacity have to be weighed against the information from the patients' voiding diary [14]. …”

Section: Normal Values Reliability and Diagnostic Performancementioning

confidence: 99%

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Rosier

2013

F1000Prime Rep

View full text Add to dashboard Cite

Urodynamic studies are the gold standard to objectively diagnose dysfunction of the lower urinary tract. The widely available evidence for the clinical relevance is, however, fragmented. This article summarizes the published knowledge supporting the use of urodynamic studies in urinary incontinence in female, male and frail patients, as well as patients with relevant neurological disease. Five technological innovations are discussed briefly. Standard urodynamic cystometry can, on the basis of a solid body of evidence, objectively unveil the entire function of the lower urinary tract in all patients with urinary incontinence, regardless of the patients' perception of (ab-)normality of signs and or symptoms.

show abstract

Section: Normal Values Reliability and Diagnostic Performancementioning

confidence: 99%

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Rosier

2013

F1000Prime Rep

View full text Add to dashboard Cite

show abstract

“…However, data from a sensation-related voiding diary, where every void and leakage is reported with the desire that was experienced at the same time, show a correlation with data from urodynamic tests (De Wachter & Wyndaele 2003b, Naoemova et al . 2009).…”

Section: Part 2: Experiencing Sensation Related To the Urinary Bladdermentioning

confidence: 88%

From urothelial signalling to experiencing a sensation related to the urinary bladder

Birder

Wyndaele

2012

Acta Physiologica

View full text Add to dashboard Cite

The mechanisms underlying bladder sensation and the way we experience sensations during normal voiding and in pathology is complex and not well understood. During storage and emptying, mechanical changes occurring in number of cell types within the bladder wall (i.e. the uroepithelium and bladder afferents) can have a major influence on our sensory systems. In this review, we discuss bladder sensation with a focus on coding events in the periphery.

show abstract

“…In current practice, it is important to determine the changes in the anatomical structures with their functional interactions in the diagnosis and treatment planning of UI (8). The measurement of the intensity of desire for micturition has attracted great interest for the determination of the severity of symptoms and the evaluation of treatment results in many of lower urinary tract disorders (9). In patients with overactive bladder (OAB), the developement of an assessment scale and the evaluation of urgency, which is the most common complaint of OAB patients, is particularly important (10,11).…”

Section: Discussionmentioning

confidence: 99%

“…They reported that no significant difference was found between the daily voiding accounts of MUI and UUI groups (3). Furthermore, additional studies are present in the previous literature (9,17). On the other hand, when we looked at the urodynamic findings regarding the frequency of DO Currently, the nomograms such as Abram--Griffits and Schafer, and the indexes such as Bladder Outlet Obstruction Index and Bladder Contractility Index are used to objectively evaluate bladder emptying (19).…”

Section: Discussionmentioning

confidence: 99%

The comparison of urodynamic findings ?n women with various types of urinary ?ncontinence

2014

View full text Add to dashboard Cite

ARTICLE INFO ______________________________________________________________ ______________________Purpose: We aimed to determine the differences of the urodynamic findings of mix urinary incontinence (MUI), urge urinary incontinence (UUI), and stress urinary incontinence (SUI), and to evaluate the urodynamic findings in different groups by using bladder sensitivity index (BSI). Materials and Methods:The data of 99 patients who underwent urodynamic testing related to the suspicion of SUI, UUI or MUI were analysed. This analysis included a retrospective evaluation of patients' cards, voiding diaries, and urodynamic reports. At filling cystometry, the parameters of first sensation of bladder filling (FSBF), first desire to void (FDV), strong desire to void (SDV), and bladder capacity (V max ), which were related to the bladder sensation, were determined. Subsequently, uroflowmetric findings were recorded during bladder emptying. BSI was defined as the ratio of V max / FDV. These results were statistically compared among the goups. Results:The sample included 35(35.5%) MUI, 33(33.3%) UUI and 31 (31.1%) SUI. The mean ages were similar in all groups (P = 0.868). The mean FSBF, FDV, SDV and Vmax values were significantly different among groups (p = 0.004, p < 0.001, p < 0.001, p < 0.001 respectively). Nevertheless, there was no statistically significant difference among the mean daily voiding accounts (P = 0.005). Although the mean maximum flow rate (Q max ) values were similar (P = 0.428), the mean maximum detrusor pressure (Pdet max ) values were significantly different (P = 0.021). The mean BSI values showed no significant differences (P = 0.097).Conclusions: It was concluded that while the use of urodynamic testing could contribute to the management of urinary incontinence, the indexes including BSI requere more detailed and comprehensive studies.

show abstract

Does sensory bladder function during cystometry differ from that in daily life? A study in incontinent women

Abstract: During conventional cystometry the patients with different types of incontinence experience the degrees of desire to void at larger volumes than in daily life. Sensation related symptoms will thus be more accurately studied with the SR-BD than with cystometry.

Cited by 23 publications

References 15 publications

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

From urothelial signalling to experiencing a sensation related to the urinary bladder

The comparison of urodynamic findings ?n women with various types of urinary ?ncontinence

Contact Info

Product

Resources

About