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• W2013902387 abstract "No AccessJournal of UrologyAdult Urology1 May 2013Urge Perception Index of Bladder Hypersensitivity Atsuko Fujihara, Osamu Ukimura, Hisashi Honjo, Tsuyoshi Iwata, Takeshi Ueda, Toru Matsugasumi, Kazumi Kamoi, Koji Okihara, Akihiro Kawauchi, and Tsuneharu Miki Atsuko FujiharaAtsuko Fujihara Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Osamu UkimuraOsamu Ukimura Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan Institute of Urology, University of Southern California, Los Angeles, California More articles by this author , Hisashi HonjoHisashi Honjo Meiji University of Integrative Medicine, Nantan, Japan More articles by this author , Tsuyoshi IwataTsuyoshi Iwata Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Takeshi UedaTakeshi Ueda Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Toru MatsugasumiToru Matsugasumi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Kazumi KamoiKazumi Kamoi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Koji OkiharaKoji Okihara Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , Akihiro KawauchiAkihiro Kawauchi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author , and Tsuneharu MikiTsuneharu Miki Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.11.117AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: By analyzing bladder diaries with patient self-reported urinary perception grades, we developed the urge perception index, a quantitative measure of bladder hypersensitivity. We evaluated the impact of the urge perception index on the definition of overactive bladder severity. Materials and Methods: We retrospectively evaluated the records of 69 female patients who visited our outpatient clinic with the complaint of storage symptoms. Patients were asked to complete the overactive bladder symptom score and a 3-day bladder diary with self-reported grading of urinary perception on a range of 1 to 5 per void. Overactive bladder was diagnosed in 43 patients and nonoveractive bladder was diagnosed in 26. The urge perception index was defined as voided volume divided by the urinary perception grade at each void. Results: We analyzed 1,578 reported voids. According to the urinary perception grade, urge perception index values for overactive bladder were significantly lower than those for nonoveractive bladder (grades 1 to 4 p <0.001). The average ± SD urge perception index in 3-day bladder diaries was lower in overactive than in nonoveractive bladder cases (55 ± 28 vs 133 ± 73, p <0.0001). The most severe (lowest) single urge perception index value during the 3 days was significantly lower in patients with overactive than with nonoveractive bladder (mean 20 ± 12 vs 62 ± 40, p <0.0001). There were negative linear correlations of the urge perception index with total overactive bladder symptom scores (r = −0.598, p <0.0001) and with an urgency symptom score (r = −0.557, p <0.0001). Conclusions: The urge perception index, an integrated parameter of patient reported bladder perception and voided volume, could be promising to quantify the severity of overactive bladder or bladder hypersensitivity by bladder diary analysis. References 1 : The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn2002; 21: 167. Google Scholar 2 : Defining overactive bladder as hypersensitivity. Neurourol Urodyn2007; 26: 904. Google Scholar 3 : Frequency-volume charts: a tool to evaluate bladder sensation. Neurourol Urodyn2003; 22: 638. Google Scholar 4 : Analysis of bladder diary with urinary perception to assess overactive bladder symptoms in community-dwelling women. Neurourol Urodyn2009; 28: 982. Google Scholar 5 : Degree of urge, perception of bladder fullness and bladder volume—how are they related?. J Urol2011; 186: 1352. Link, Google Scholar 6 : Assessment of overactive bladder (OAB)-symptom scores. Incont Pelvic Floor Dysfunct2009; 3: 9. Google Scholar 7 : Symptom assessment tool for overactive bladder syndrome—overactive bladder symptom score. Urology2006; 68: 318. Google Scholar 8 : Validation of the overactive bladder symptom score. J Urol2007; 178: 543. 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Link, Google Scholar 14 : Overactive bladder is not only overactive but also hypersensitive. Urology2010; 75: 1053. Google Scholar 15 : Neuroselective current perception threshold evaluation of bladder mucosal sensory function. Eur Urol2004; 45: 70. Google Scholar 16 : Neuroselective measure of the current perception threshold of A-δ and C-fiber afferents in the lower urinary tract. Int J Urol2011; 18: 341. Google Scholar © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 5May 2013Page: 1797-1803 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.Keywordsurinary incontinenceurinary bladderperceptionurgehypersensitivityoveractiveself reportMetricsAuthor Information Atsuko Fujihara Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Osamu Ukimura Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan Institute of Urology, University of Southern California, Los Angeles, California More articles by this author Hisashi Honjo Meiji University of Integrative Medicine, Nantan, Japan More articles by this author Tsuyoshi Iwata Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Takeshi Ueda Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Toru Matsugasumi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Kazumi Kamoi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Koji Okihara Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Akihiro Kawauchi Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Tsuneharu Miki Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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