Benign Prostate Enlargement, Bladder Disease, Bladder Outlet Obstruction, Overactive Bladder Syndrome, Stress Incontinence (Female) (Male)
Conditions
Keywords
Urodynamics, Bladder sensation, confounding factors
Brief summary
Urodynamic examination evaluates storage and empting phases of the urinary bladder. It enables the clinician to correlate physiologic findings to patients' complains. The data gathered during the examination divided to storage and empting. During the storage phase, bladder sensation is measured while the bladder is filled with sterile water. During years of practice, we noticed that early sensation (bladder over-sensitivity) is occasionally associated with bladder outlet obstruction (as demonstrated in the emptying phase of the examination.
Detailed description
The study includes patients who were referred to Urodynamics examination due to lower urinary tract symptoms. There is no actual intervention during the examination. Though, patients are asked to fill an International prostate symptom score (IPSS-questionnaires).
Interventions
OTHERIPSS questionnaire
IPSS is an 8 question (7 symptom questions + 1 quality of life question) written screening tool used to screen for, rapidly diagnose, track the symptoms of, and suggest management of patients with lower urinary tract symptoms. It was validated for both genders.
Sponsors
Assaf-Harofeh Medical Center
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* All patients refered to Asaf HaRofeh Medical Center for Urodynamic examination
Exclusion criteria
* Inability to sign an informed concent * Administration of analgesics 8 hours prior to the examination * Known urethral stricture * Chronic bladder or urethral pain * Active cystitis * Permanent urinary catheter
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Early sensation during the filling phase | During the urodynamic examination | Bladder oversensitivity (early sensation), a diagnosis made by symptoms and urodynamic investigations. Defined as an increased perceived bladder sensation during bladder filling with specific cystometric findings of: (i) an early first desire to void; (ii) an early strong desire to void, which occurs at low bladder volume; (iii) a low maximum cystometric bladder capacity; no abnormal increases in detrusor pressure. |
Countries
Israel
Contacts
Primary ContactGuy Verhovsky, MD
Outcome results
None listed