Clinical and urodynamic differences among women with overactive bladder according to the presence of detrusor overactivity.

International Urogynecology Journal
Seong Jin JeongSang Eun Lee

Abstract

We tried to determine whether clinical and urodynamic differences exist between women with and without detrusor overactivity (DO) using a large database of overactive bladder (OAB) patients. We reviewed the medical records of 513 women who underwent urodynamic studies for OAB symptoms without neurogenic or anatomical conditions that affect micturition function. Clinical symptoms were evaluated using a 3-day frequency-volume chart (FVC) including the Urinary Sensation Scale and American Urological Association Symptom Index (AUA-SI). All clinical and urodynamic findings were compared between women with and without DO. The patients' mean age was 58.9 years. DO was identified urodynamically in 167 (32.6 %) women. Those with DO were older (62.9 vs 57.0 years, p < 0.001); however, no differences in AUA-SI, episodes of daytime voiding, and episodes of nocturia were observed between the groups. Functional bladder capacity was smaller in women with DO; however, this difference did not reach statistical significance. Women with DO had significantly more urgency incontinence symptoms than those without DO (55.1 vs 29.5 %, p < 0.001). In urodynamic parameters, the volumes at first desire to void and strong desire to void and maximum cystom...Continue Reading

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Citations

Jul 13, 2014·Current Urology Reports·Bassem S Wadie
Sep 30, 2015·International Journal of Urology : Official Journal of the Japanese Urological Association·Ali A Al-Zahrani, Jerzy Gajewski
Jul 15, 2015·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·B PeyronnetA Manunta
Aug 22, 2012·Neurourology and Urodynamics·Heidi F A Moossdorff-Steinhauser, Bary Berghmans
Dec 7, 2017·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Leandro Cristian ArribillagaRubén Guillermo Bengió
Dec 11, 2017·Journal of the Chinese Medical Association : JCMA·Sung-Lang Chen
Mar 3, 2021·Female Pelvic Medicine & Reconstructive Surgery·Hannah T RylesLily A Arya

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