Reliability of the 24-h sensation-related bladder diary in women with urinary incontinence

Naoemova, Irina; Wachter, Stefan De; Wuyts, Floris L.; Wyndaele, Jean‐Jacques

doi:10.1007/s00192-008-0565-3

Cited by 31 publications

(29 citation statements)

References 22 publications

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“…The reliability of both the urgency measure and VAS fullness measure was good to excellent, except for the voids graded as almost empty (fullness 1) and without sensation (degree of “urge 0”). These values are in agreement with the reliability measures of the “urge” scale previously published in patients with urgency, stress and mixed urinary incontinence 49. Although both scales are reliable and have a positive correlation with bladder volume, they cannot replace measuring voided volumes due to a poor agreement between either scale and the actual voided volume.…”

Section: Methods Used To Measure Sensationsupporting

confidence: 88%

“…It has been shown repeatedly that the mean voided volumes are significantly different between different grades of desire to void and there is a positive correlation between voided volume and grade of desire to void 46–48. However, there also appears to be a large range in bladder volumes per grade of desire to void and a substantial overlap in volumes between different grades 45, 49. The relation between bladder volume and sensation is probably very complex and is unlikely to be represented by a simple linear relation.…”

Section: Methods Used To Measure Sensationmentioning

confidence: 99%

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How should bladder sensation be measured?: ICI‐RS 2011

Wachter

Smith

Tannenbaum

et al. 2012

Neurourology and Urodynamics

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AimsDisturbed bladder sensations, or in broader terms, sensory dysfunctions are increasingly recognized as key elements in the origin and manifestation of symptom syndromes of urinary dysfunction. Adequate assessment of bladder sensation is crucial to improve our understanding of the pathophysiology and treatment of urinary dysfunction. This manuscript summarizes the discussions of a think tank on “How to measure bladder sensation” held at the ICI‐RS meeting in 2011.MethodsBased upon literature reviews on bladder sensation presented at the think tank in the ICI‐RS meeting, discussions evolved which were summarized in the ICI‐RS report. Different physicians/researchers further elaborated on this report, which is presented in this manuscript.ResultsBladder sensations are not merely the result of bladder distension. Other factors inside the bladder or bladder wall: central processing and/or cognitive manipulation may play an important role. Current methods to measure sensations such as urodynamics, voiding diaries, forced diuresis, electrical stimulation and brain imaging are likely sub‐optimal as they only consider part of these factors in isolation.ConclusionsDifferent methods to measure bladder sensations have been described and are used in clinical practice. Current methods only address part of the parameters responsible for the generation and perception of urinary sensations. Further focused research is required, and several recommendations are provided. Neurourol. Urodynam. 31:370–374, 2012. © 2012 Wiley Periodicals, Inc.

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Section: Methods Used To Measure Sensationsupporting

confidence: 88%

Section: Methods Used To Measure Sensationmentioning

confidence: 99%

How should bladder sensation be measured?: ICI‐RS 2011

Wachter

Smith

Tannenbaum

et al. 2012

Neurourology and Urodynamics

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“…Urodynamic study is the standard technique used for the evaluation of bladder sensation (7,12). Moreover, the voiding diaries, which are reliable and repeatable tests, can be used for the assessment of bladder sensation (13,14). In this study, we aimed to evaluate the presence of possible differences among the urodynamic findings of MUI, UUI and SUI, and to analyze the urodynamic findings in these groups by using BSI.…”

Section: Discussionmentioning

confidence: 99%

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

2014

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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.

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“…One can hypothesize that such information is then stored in a sensory database like system in the brain and acts like a trigger as soon as its threshold is reached to let go a sensory warning that requires action. Studies with sensation-related voiding diaries have shown that in consecutive days, the pattern and sensation/volume relations are stable (Naoemova et al 2008). Studies on fake cystometry have also given interesting data.…”

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

confidence: 99%

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

Birder

Wyndaele

2012

Acta Physiologica

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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.

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Reliability of the 24-h sensation-related bladder diary in women with urinary incontinence

Cited by 31 publications

References 22 publications

How should bladder sensation be measured?: ICI‐RS 2011

How should bladder sensation be measured?: ICI‐RS 2011

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

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

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