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Objective differences between overactive bladder patients with and without urodynamically proven detrusor overactivity. Int Urogynecol J 2010 Mar;21(3):325-9 PMID: 19907912

Pubmed ID

19907912

Abstract

INTRODUCTION AND HYPOTHESIS: This paper aims to determine if there are differences between female overactive bladder (OAB) patients with and without urodynamic detrusor overactivity (DO).

METHODS: A retrospective chart review was performed on 146 women with OAB. All patients completed an American Urological Association symptom score, 48-h bladder diary (documenting voided volumes, incontinent episodes, and degree of urgency to void), and urodynamic testing (UDS). Patients with urodynamic DO were then compared to patients without DO.

RESULTS: There were no differences in symptom scores. Patients with DO (54.1%) were older (61.8 vs. 50.8 years) and had smaller maximum voided volumes per void (377 mL vs. 476 mL), average 24-h urine output (1,975 mL vs. 2,320 mL), and significantly more incontinent episodes. On UDS, patients with DO were more likely to have abnormal sensation, with strong desire and urgency occurring at significantly lower bladder volumes.

CONCLUSION: Despite similar symptomatology, there are objective differences between OAB patients with and without DO.

Author List

Guralnick ML, Grimsby G, Liss M, Szabo A, O'Connor RC

Authors

Michael Guralnick MD Professor in the Urologic Surgery department at Medical College of Wisconsin
Robert Corey O'Connor MD Professor in the Urologic Surgery department at Medical College of Wisconsin
Aniko Szabo PhD Associate Professor in the Institute for Health and Equity department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Adult
Aged
Aged, 80 and over
Diagnostic Techniques, Urological
Female
Humans
Middle Aged
Muscle Hypertonia
Retrospective Studies
Urinary Bladder, Overactive
Urodynamics
Young Adult
jenkins-FCD Prod-299 9ef562391eceb2b8f95265c767fbba1ce5a52fd6