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Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence
Author(s) -
Parsons Matthew,
Amundsen Cindy L.,
Cardozo Linda,
Vella Maria,
Webster George D.,
Coats Alfred C.
Publication year - 2007
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.20406
Subject(s) - medicine , percentile , stress incontinence , urology , population , volume (thermodynamics) , urinary incontinence , statistics , physics , mathematics , environmental health , quantum mechanics
Aims Our aims were: (1) to describe and compare frequency‐volume and incontinence episode patterns in patients with urodynamic stress incontinence (USI) and detrusor overactivity (DO) as measured by a hand‐written and computer‐analyzed bladder diary and (2) to compare degree of separation between these clinical groups produced by raw diary measurements and after age‐ and total‐volume‐adjustment against a reference population. Materials and Methods We studied 58 patients with USI, 29 with DO, and 22 with both USI and DO. From 3‐day hand‐written and computer‐analyzed bladder diaries, we calculated average and maximum volume voided (Vol/Void), voiding frequency and volume voided over 24 hr, and number, size and type (whether accompanied by activity or urge) of incontinence episodes. Results Compared to the USI patients, the DO patients tended to have (1) higher voiding frequency, (2) lower Vol/Void, (3) more urge‐related, than activity‐related leaks, (4) smaller volume, and equally frequent leaks and (5) more severe incontinence symptoms. The age‐ and volume‐adjusted percentiles better separated the USI and DO groups' frequency and volume measurements than did the raw measurements. Unexpectedly high percentages of our USI patients had low Vol/Void measurements, high voiding frequency, and predominantly urge‐related leaks. A subgroup of 29 USI patients with “low” (average volume <30th reference population percentile) Vol/Void measurements had high incidences of urgency and urge‐related leaks. Conclusions Reference population percentiles better separate the frequency/volume patterns of USI and DO than do the raw measurements. We found a subgroup of USI patients that had an OAB‐like clinical picture. Neurourol. Urodynam. 26:800–806, 2007. © 2007 Wiley‐Liss, Inc.