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• W4241319546 abstract "You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20121966 EVALUATING PATIENTS SYMPTOMS OF OVERACTIVE BLADDER BY QUESTIONNAIRE THE ROLE OF URGENCY ON URINARY FREQUENCY Benjamin Brucker, Daniella Kaefer, Margarita Aponte, Nirit Rosenblum, Christopher Kelly, Duane Hickling, and Victor Nitti Benjamin BruckerBenjamin Brucker New York, NY More articles by this author , Daniella KaeferDaniella Kaefer New York, NY More articles by this author , Margarita AponteMargarita Aponte New York, NY More articles by this author , Nirit RosenblumNirit Rosenblum New York, NY More articles by this author , Christopher KellyChristopher Kelly New York, NY More articles by this author , Duane HicklingDuane Hickling New York, NY More articles by this author , and Victor NittiVictor Nitti New York, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2125AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The hallmark symptom of overactive bladder (OAB) is urinary urgency (urgency), yet many patients complain of urinary frequency (frequency) as their most bothersome symptom, with some not even reporting the symptom of urgency. It is not clear however what factors drive frequency in patients with OAB. In this study, we aim to explain what role urgency has on frequency. METHODS We prospectively enrolled 102 patients with OAB. Patients were assessed with an OAB-q symptom bother scale (OABqbs) and completed a questionnaire asking them to identify the most bothersome symptom (BS)(using the ICS definitions for frequency, urgency, urgency incontinence and nocturia). Patients that noted that their most BS was “void/urinate too often by day” (ICS definition of frequency) were then asked why they voided frequently. One of the responses was “a sudden compelling desire to pass urine that is difficult to defer” (ICS definition of urgency). Other responses included: fear of leakage of urine, sensation of something in the bladder, learned behavior. RESULTS 85.3% (87) female and 14.7% (15) male with a mean age of 67.4 years were enrolled. 45.1%(46/102) were currently on an anticholinergic (ACH) and 43.1%(44/102) had not been on ACH for > 4 weeks. The median OABqbs was 52.5 (10-100). Overall, the most BS was identified as follows: frequency 24.5%, urgency 23.5%, incontinence 24.5%, nocturia 27.5%. When analyzed according to ACH, those not on ACH noted that frequency and nocturia were the most common bother (34% each), vs those currently on ACH noted that urgency was the most common BS (33%) with frequency being the most bothersome in only 15%. Of all patients most bothered by frequency, 52% selected the ICS definition of urgency as the underlying reason for their frequency. The other underlying reasons for frequency were: sensation in the bladder 32%, fear of leakage 12% and behavioral 4%. CONCLUSIONS The reason some patients with OAB void frequently has not been well described. This pilot study confirms that urgency is a large factor underlying the drive to void frequently, even when patients do not admit to urgency as the most bothersome. We confirm that urgency is the keystone in defining OAB in that 75.5% of patients were most bothered by urgency, either as a primary complaint or as the driving symptoms behind frequency. In this study, patients on ACH had a lower rate of reporting frequency as the most BS. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e793 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Benjamin Brucker New York, NY More articles by this author Daniella Kaefer New York, NY More articles by this author Margarita Aponte New York, NY More articles by this author Nirit Rosenblum New York, NY More articles by this author Christopher Kelly New York, NY More articles by this author Duane Hickling New York, NY More articles by this author Victor Nitti New York, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ..." @default.
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• W4241319546 title "1966 EVALUATING PATIENTS SYMPTOMS OF OVERACTIVE BLADDER BY QUESTIONNAIRE THE ROLE OF URGENCY ON URINARY FREQUENCY" @default.
• W4241319546 doi "https://doi.org/10.1016/j.juro.2012.02.2125" @default.
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