Validation of a real-time urodynamic measure of urinary sensation

Lior Lowenstein*, Mary P. FitzGerald, Kimberly Kenton, Linda Brubaker, Ilan Gruenwald, Irena Papier, Ramón A. Durazo-Arvizu, Christina Elliot, Elizabeth R. Mueller, Yoram Vardi

*Corresponding author for this work

Research output: Contribution to journalArticle

25 Scopus citations

Abstract

Objective: The purpose of this study was to test the feasibility and validity of a continuous measurement of urinary sensation during cystometry. Study Design: Subjects continuously recorded their level of urinary sensation during cystometry with the use of urodynamic diagnoses and responses to the Medical Epidemiologic and Social Aspects of Aging (MESA) and Urinary Distress Inventory (UDI) scales. Trends in urinary sensation recordings by increasing percentage of maximum cystometric capacity (MCC) were captured and compared with the use of growth curves. Results: Fifty-one women participated: 18 patients had detrusor overactivity incontinence (DOI); 15 patients had urodynamic stress incontinence; 9 patients had mixed incontinence, and 9 patients did not demonstrate incontinence. In the volume range between 35% and 75% of MCC, the mean sensation level was higher in the DOI group than the other groups (P < .04). Urge sensation at 50% of MCC correlated with UDI and MESA urge subscales (ρ = 0.34, p < .03 and ρ = 0.39, p < .02). Conclusion: This study demonstrates that the Urgeometer measurement is feasible and correlates with urodynamic diagnosis and the severity and bother from urge incontinence.

Original languageEnglish (US)
Pages (from-to)661.e1-661.e5
JournalAmerican journal of obstetrics and gynecology
Volume198
Issue number6
DOIs
StatePublished - Jun 2008

Keywords

  • bladder sensation
  • detrusor overactivity
  • overactive bladder
  • urgency
  • urodynamic testing

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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    Lowenstein, L., FitzGerald, M. P., Kenton, K., Brubaker, L., Gruenwald, I., Papier, I., Durazo-Arvizu, R. A., Elliot, C., Mueller, E. R., & Vardi, Y. (2008). Validation of a real-time urodynamic measure of urinary sensation. American journal of obstetrics and gynecology, 198(6), 661.e1-661.e5. https://doi.org/10.1016/j.ajog.2008.02.023