Dataset Information

Views of Normal Bladder Function Among Women Experiencing Lower Urinary Tract Symptoms.

ABSTRACT:

Objective

To explore the perspectives of normal bladder function among women with lower urinary tract symptoms.

Methods

This was a secondary analysis of qualitative data from structured interviews with 50 adult women with lower urinary tract symptoms. A directed content analysis of the transcripts explored women's perspectives on normal bladder function.

Results

Participants' descriptions of "normal" took many forms and were based on several aspects of bladder function. A prominent feature of normal was that voiding occurred as a seamless process, beginning with an urge sensation, followed by voiding with ease and to completion, and then "being done." Descriptions of normal were based largely on concepts of voiding regularity, including voiding frequency, intervals, and patterns during the day and night. Another aspect of normal bladder function was the notion of having control in terms of not leaking urine, as well as the ability to hold urine and defer urination. Views of normal bladder function extended to the absence of symptoms and the impact of being symptom-free on day-to-day life, including not having to think about or worry about the bladder or limit daily activities.

Conclusion

Women's perspectives on normal bladder function are multifaceted, reflecting attributes most salient to each individual and likely informed by their personal experience with symptoms and their influence on daily life. This work has implications for how clinicians might engage women in discussing bladder symptoms and can inform future research and public health messaging about normal bladder function.

SUBMITTER: Burgio KL

PROVIDER: S-EPMC7897748 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature

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Publications

Views of Normal Bladder Function Among Women Experiencing Lower Urinary Tract Symptoms.

Burgio Kathryn L KL James Aimee S AS LaCoursiere D Yvette DY Mueller Elizabeth R ER Newman Diane K DK Low Lisa Kane LK Weinfurt Kevin P KP Wyman Jean F JF Cunningham Shayna D SD Vargo Keith K Connett John J Williams Beverly Rosa BR

Urology 20200822

<h4>Objective</h4>To explore the perspectives of normal bladder function among women with lower urinary tract symptoms.<h4>Methods</h4>This was a secondary analysis of qualitative data from structured interviews with 50 adult women with lower urinary tract symptoms. A directed content analysis of the transcripts explored women's perspectives on normal bladder function.<h4>Results</h4>Participants' descriptions of "normal" took many forms and were based on several aspects of bladder function. A p ...[more]

PMID: 32841655

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Project description:ObjectivesTo evaluate whether urodynamic investigation (UDI), the gold standard to assess refractory lower urinary tract symptoms (LUTS), is appropriate to select healthy volunteers with apparent normal lower urinary tract function as control subjects for comparative studies.Subjects and methods42 healthy subjects (22 women, mean age 32±10 years; 20 men, mean age 37±12 years) without LUTS were included into this prospective single-centre cohort study. All subjects recorded a 3-day bladder diary, completed validated questionnaires regarding LUTS, and underwent neuro-urological assessment as well as free uroflowmetry. Same session repeat UDI was performed according to "Good Urodynamic Practice" recommended by the International Continence Society, but using an air-charged instead of a water-filled catheter, and evaluated by a blinded investigator.ResultsAll 3-day bladder diaries, LUTS questionnaires, neuro-urological assessments and free uroflowmetries were within normal limits. Overall (either during the first or second UDI), same session repeat UDI revealed pathological findings in 71% (30/42): Detrusor overactivity was detected in 14% (3/22) and 30% (6/20), post void residual >100mL in 14% (3/22) and 25% (5/20), bladder outlet obstruction in 9% (2/22) and 20% (4/20) and detrusor sphincter dyssynergia in 77% (17/22) and 65% (13/20) of our women and men, respectively. Repeatability of detrusor overactivity (κ = 0.78, 95% CI: 0.54-1.02) and detrusor sphincter dyssynergia (κ = 0.77, 95% CI: 0.55-0.98) showed substantial agreement between both UDIs. All other assessed urodynamic parameters had wide 95% limits of agreement for differences in the parameters indicating poor repeatability.ConclusionsMore than 70% of our healthy subjects showed pathological urodynamic findings. Although UDI is the gold standard to assess refractory LUTS, it seems not to be applicable in healthy subjects to define normal lower urinary tract function. Therefore, we do not recommend using UDI to select healthy control subjects.

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Dataset Information

Views of Normal Bladder Function Among Women Experiencing Lower Urinary Tract Symptoms.

Objective

Methods

Results

Conclusion

Publications

Views of Normal Bladder Function Among Women Experiencing Lower Urinary Tract Symptoms.

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