Email this article Classification of overactive bladder depending on severity of symptoms
- Authors: Kuzmin I.V.1, Al-Shukri S.H.1
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Affiliations:
- St.-Petersburg State I. P. Pavlov Medical University
- Issue: Vol 2, No 3 (2012)
- Pages: 3-7
- Section: Articles
- URL: https://bakhtiniada.ru/uroved/article/view/2491
- DOI: https://doi.org/10.17816/uroved233-7
- ID: 2491
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Abstract
Aim of the study: To devise the method of evaluating severity of symptoms in patients with overactive bladder (OAB). Patients and methods: The severity of symptoms was assessed in 533 patients with OAB (the mean age 56,4 ± 0,6 years). All the patients filled the voiding diaries during 3 days, some of them assessed quality of life with KHQ questionnaire and had full urodynamic investigation. Results: The statistical analysis allowed to identify three levels of severity of OAB symptoms, determined in accordance with a score (S). S = 2 × number of voiding (pro 3 days) + number of urgency incidences (pro 3 days) + 1* (* — in case of urge incontinence). The score less than 62 defined as 1st (light) severity, between 63 and 80 —2nd (moderate) severity, more than 80 — 3rd (severe).Severity of OAB significantly correlated with urodynamic changes and quality of life deterioration. Conclusion: The devised method reproduced severity of OAB symptoms is simple and seems to be suitable for widespread use
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##article.viewOnOriginalSite##About the authors
Igor Valentinovich Kuzmin
St.-Petersburg State I. P. Pavlov Medical University
Email: kuzminigor@mail.ru
doctor of medical science, professor, department of urology
Salman Hasunovich Al-Shukri
St.-Petersburg State I. P. Pavlov Medical University
Email: al-shukri@mail.ru
doctor of medical science, professor, head of the department of urology
References
- Аль-Шукри С. Х., Кузьмин И. В. Императивные позывы к мочеиспусканию — ведущий симптом гиперактивности мочевого пузыря / В сб.: Материалы IV Международной научно-практической конференции «Малоинвазивные методы диагностики и лечения в современной урологии». С-Петербург. 2007. C. 31–32.
- Аляев Ю. Г., Балан В. Е., Гаджиева З. К. Распространенность императивных нарушений мочеиспускания среди женщин старше 40 лет / В сб.: Материалы Пленума Всероссийского о-ва урологов. Тюмень. 2005. C. 356–357.
- Кузьмин И. В. Оценка качества жизни у больных с гиперактивностью мочевого пузыря // Нефрол. 2006. Т. 10, № 4. С. 93–97.
- Данилов В. В., Вольных И. Ю., Данилова Т. И. и др. Обоснование сроков назначения М-холинолитиков при консервативном лечении гиперактивного мочевого пузыря // Урол. 2006. № 5. С. 71–74.
- Abrams P., Kelleher C. J., Kerr L. A., Rogers R. G. Overactive bladder significantly affects quality of life // Am J Manag Care. 2000. N 6. P. 580–590.
- Abrams P., Cardozo L., Fall M. et al. The standardization of terminology in lower urinary tract function: report from the Standardization Sub-Committee of the International Continence Society // Urology. 2003. Vol. 61, N 1. P. 37–49.
- Abrams P. Urgency: the key to defining the overactive bladder // BJU Int. 2005. Vol. 96 (Suppl. 1). P. 1–3.
- Blaivas J. G., Panagopoulos G., Weiss J. P. et al. The urgency perception score: validation and test-retest // J Urol. 2007. Vol. 177, N 1. P. 199–202.
- Cardozo L., Coyne K. S., Versi E. Validation of the urgency perception scale // BJU Int. 2005. Vol. 95, N 4. P. 591–596.
- Chapple C. R., Artibani W., Cardozo L. D. et al. The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects // BJU Int. 2005. Vol. 96, N 3. P. 441–442.
- Flisser A. J., Blaivas J. G. Role of cystometry in evaluating patients with overactive bladder // Urology. 2002. Vol.60, N 5. P. 33–42.
- Ghei M., Malone-Lee J. Using the circumstances of symptom experience to assess the severity of urgency in the overactive bladder // J Urol. 2005. Vol.174, N 3. P. 972–976.
- Herzog A. R., Diokno A. C., Fultz N. H. Urinary incontinence: medical and psychosocial aspects / In: Annual review of gerontology and geriatrics New York: Springer Publishing Company. 1989. Vol. 9. P. 77–119.
- Homma Y., Yoshida M., Seki N. et al. Symptom assessment tool for overactive bladder syndrome — overactive bladder symptom score // Urology. 2006. Vol. 68, N 2. P. 318–323.
- Irwin D. E., Milsom I., Hunskaar S. et al. Population-based survey of urinary incontinence, overactive bladder, and other lower urinary tract symptoms in five countries: results of the EPIC study // Eur Urol. 2006. Vol. 50, N 6. P. 1306–1314.
- Kelleher C. J., Cardozo L. D., Khullar V., Salvatore S. A new questionnaire to assess the quality of life of urinary incontinent women // Br J Obstet Gynaecol. 1997. Vol. 104, N 9. P. 1374–1379.
- Kobelt G. Economic considerations and outcome measurement in urge incontinence // Urology. 1997. Vol. 50, N 6A. P. 100–107.
- Nixon A., Colman S., Sabounjian L. et al. A validated patient reported measure of urinary urgency severity in overactive bladder for use in clinical trials // J Urol. 2005. Vol.174, N 2. P. 604–647.
- Papanicolaou S., Hunskaar S., Lose G., Sykes D. Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK // BJU Int. 2005. Vol. 96, N 6. P. 831–838.
- Schafer W., Abrams P., Liao L. et al. Good urodynamic practice: uroflowmetry, filling cystometry, and pressure-flow studies // Neurourol Urodyn. 2002. Vol. 21. P. 261–274.
- Stewart W. F., Van Rooyen J. B., Cundiff G. W. et al. Prevalence and burden of overactive bladder in the United States // World J Urol. 2003. Vol. 20, N 6. P. 327–336.
- Tyagi S., Thomas C. A., Hayashi Y., Chancellor M. B. The overactive bladder: Epidemiology and morbidity // Urol Clin North Am. 2006. Vol. 33, N 4. P. 433–438.
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