The association between the ICIQ‐LUTS and the ICIQ‐bladder diary in assessing LUTS

Abdelmoteleb, Haitham; Kamel, Mohamed; Hashim, Hashim

doi:10.1002/nau.23162

Cited by 11 publications

(10 citation statements)

References 26 publications

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“…A possible bias must be considered, on account of BD use may lead to a bladder training effect and nights during recording have evidenced relevant variations in the frequency of nocturnal voids. Despite that, it continues to be one of the most important and simplest tools to access LUTS, setting more confidence to the diagnosis commonly overestimated by DVSS (20).…”

Section: Diagnosismentioning

confidence: 99%

“…These scores have little relevance in clinical practice; however, they are important tools in clinical investigation, particularly with respect to standardizing the terms used and as a guide for professionals with less experience. They are complementary tools to BD, in order to evaluate not only the actual voiding but also the self-reported behavior, a direct reflection of how LUTD impacts (20).…”

Section: Diagnosismentioning

confidence: 99%

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Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

2019

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Normal bladder and urethral sphincter development as well as neural/volitional control over bladder-sphincter function are essential steps for regular lower urinary tract function. These maturational sequences are clinically evident by the age of 5 years. However, in 17–22% of children, symptoms persist beyond that age, characterizing lower urinary tract dysfunction (LUTD). The clinical spectrum is wide and includes overactive bladder, voiding postponement, underactive bladder, infrequent voiding, extraordinary daytime only urinary frequency, vaginal reflux, bladder neck dysfunction, and giggle incontinence. LUTD may lead to vesicoureteral reflux and recurrent urinary tract infections, increasing the likelihood of renal scarring. LUTD is often associated with constipation and emotional/behavioral disorders such as anxiety, depression, aggressiveness, and social isolation, making diagnosis, and treatment imperative. Diagnosis of LUTD is essentially based on clinical history, investigation of bladder storage, voiding symptoms (urinary frequency, daytime incontinence, enuresis, urgency) and constipation. Dysfunctional Voiding Score System (DVSS) is a helpful tool. Physical examination focuses on the abdomen to investigate a distended bladder or palpable fecal mass, the lumbosacral spine, and reflex testing. Bladder diaries are important for recording urinary frequency and water balance, while uroflowmetry is used to assess voided volume, maximum flow, and curve patterns. Bladder ultrasonography to measure post-void residual urine volume and urodynamics are used as supplemental tests. Current first line treatment is urotherapy, a combination of behavioral measures to avoid postponing micturition, and a restricted diet for at least 2 months. Anticholinergics, β3 agonists and neuromodulation are alternative therapies to manage refractory overactive bladder. Cure rates, at around 40%, are considered satisfactory, with daytime symptoms improving in 32% of cases. Furthermore, children who are also constipated need treatment, preferentially with polyethylene glycol at doses of 1–1.5 g/kg in the 1st 3 days and 0.25–0.5 g/kg thereafter until the 2-month period of behavioral therapy is complete. If urotherapy fails in cases of dysfunctional voiding, the next step is biofeedback to teach the child how to relax the external urethral sphincter during micturition. Success rate is around 80%. Children with underactive bladder usually need a combination of clean intermittent catheterization, alpha-blockers, biofeedback and neuromodulation; however, cure rates are uncertain.

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Section: Diagnosismentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

2019

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“…Validated questionnaires such as the International Consultation on Incontinence Modular Questionnaire (ICIQ), the ICIQ-MLUTS, the ICIQ-FLUTS (for males and females, respectively), and the ICIQ-BD, are recommended for patients with LUTS during the initial assessment as they can both quantify symptoms and identify the types of symptoms that predominate. 18…”

Section: Patient Evaluationmentioning

confidence: 99%

A systematic approach to the investigation and treatment of nocturia

Elhadi

Younis

Harding

2018

Journal of Clinical Urology

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“…[1][2][3][4][5][6][7][8][9][10][11] Self-reported measures of urinary symptoms are much faster to complete, but it is also not known whether these are sufficient to establish a clear clinical picture or if the diary is also needed. 12 Some studies that have compared bladder diaries and symptom scores derived from self-report items suggest that the bladder diary is superfluous at least for overactive bladder 5 and incontinence 7 in women, but this needs to be assessed in a larger mixed sex population with different LUTS. The primary aim of this study was to describe the completeness and accuracy of a three-day bladder diary in a large cohort of men and women seeking care for LUTS.…”

Section: Introductionmentioning

confidence: 99%

“…Several studies have assessed the utility of bladder diaries but most were limited by inclusion of single‐sex, a single disease process, or a small study population . Self‐reported measures of urinary symptoms are much faster to complete, but it is also not known whether these are sufficient to establish a clear clinical picture or if the diary is also needed . Some studies that have compared bladder diaries and symptom scores derived from self‐report items suggest that the bladder diary is superfluous at least for overactive bladder and incontinence in women, but this needs to be assessed in a larger mixed sex population with different LUTS.…”

Section: Introductionmentioning

confidence: 99%

Are three‐day voiding diaries feasible and reliable? Results from the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) cohort

Cameron

Wiseman

Smith

et al. 2019

Neurourology and Urodynamics

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Aims The aims of this study were to assess the completeness of voiding diaries in a research context and to correlate diary data with patient‐reported questionnaires. Methods Men and women enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) were given a 3‐day voiding and fluid‐intake diary to fill‐out. Diaries were assessed for completeness and intake‐output imbalances. They were assigned to one of four categories based on a percentage of missing data and fluid imbalance: no diary submitted, unusable (>40% missing void or intake volumes, or unphysiological fluid imbalance), usable but not complete, and complete. Results A total of 1064 participants were enrolled and 85% (n = 902) returned the bladder diary. Of the diaries returned, 94% (n = 845) had data on three separate days, 87% (n = 786) had no missing intake volumes, 61% (n = 547) had no missing voided volumes, and 70% (n = 635) had a fluid imbalance within 3 L across the 3‐day time period, resulting in 50% (n = 448) of participants with 100% complete diaries. Younger age was associated with a higher likelihood of not submitting a diary, or submitting an unusable diary. Women had a higher likelihood of submitting an unusable diary or a usable but incomplete diary. Conclusion Overall, 50% of LURN participants returned voiding diaries with perfectly complete data. Incomplete data for voided volumes was the most common deficiency. There was only a moderate correlation between diary data and questionnaire responses, indicating that diaries are a source of unique information.

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The association between the ICIQ‐LUTS and the ICIQ‐bladder diary in assessing LUTS

Cited by 11 publications

References 26 publications

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

Diagnosis and Management of Bladder Dysfunction in Neurologically Normal Children

A systematic approach to the investigation and treatment of nocturia

Are three‐day voiding diaries feasible and reliable? Results from the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) cohort

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