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Urgency-Free Time Interval: A Useful Metric for Overactive Bladder

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Abstract

Although the definition of overactive bladder (OAB) has been revised repeatedly since it was first proposed in the late-1920s, urinary urgency is always deemed the cornerstone symptom of the OAB syndrome. In this context, the treatment and outcome evaluation of urgency symptoms play an important role in research on the OAB syndrome. The present article reviews the literature covering the spectrum of normal and abnormal bladder sensation and a newly proposed conceptual parameter: the urgency-free time interval.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Abrams P, Artibani W, Cardozo L, et al.: Reviewing the ICS 2002 terminology report: the ongoing debate. Neurourol Urodyn 2009, 28:287.

    Article  PubMed  Google Scholar 

  2. Chen GD, Lin TL, Hu SW, et al.: Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourol Urodyn 2003, 22:109–117.

    Article  PubMed  Google Scholar 

  3. Starkman JS, Dmochowski RR: Urgency assessment in the evaluation of overactive bladder (OAB). Neurourol Urodyn 2008, 27:13–21.

    Article  PubMed  Google Scholar 

  4. Abrams P, Artibani W, Gajewski JB, et al.: Assessment of treatment outcomes in patients with overactive bladder: importance of objective and subjective measures. Urology 2006, 68(2 Suppl):17–28.

    Article  PubMed  Google Scholar 

  5. Coryne KS, Matza LS, Thompson CL: The responsiveness of the Overactive Bladder Questionnaire (OAB-q). Qual Life Res 2005, 14:849–855.

    Article  Google Scholar 

  6. Brubaker L, Chapple C, Coyne KS, et al.: Patient-reported outcomes in overactive bladder: importance for determining clinical effectiveness of treatment. Urology 2006, 68(2 Suppl):3–8.

    Article  PubMed  Google Scholar 

  7. Khullar V, Hill S, Solanki J, et al.: Tolterodine increases the urgency-free time interval: a sensory and motor effect? Paper presented at the 34th Annual International Continence Society Meeting. Paris, France; August 25–27, 2004.

  8. Chapple C, Artibani W, Cardozo L, et al.: The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects. BJU Int 2005, 95:335–340.

    Article  PubMed  Google Scholar 

  9. Wyndaele JJ, De Wachter S: Cystometrical sensory data from a normal population: comparison of two groups of young healthy volunteers examined with 5 years interval. Eur Urol 2002, 42:34–38.

    Article  CAS  PubMed  Google Scholar 

  10. Abrams P, Cardozo L, Fall M, et al.: The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology 2003, 61:37–49.

    Article  PubMed  Google Scholar 

  11. Cardozo L, Prescott K, Serdarevic D, et al.: Can medication prolong warning time? Proceedings of the Annual International Continence Society Meeting. Florence, Italy: International Continence Society; 2003:468–469.

    Google Scholar 

  12. Larsson G, Victor A: Micturition patterns in a healthy female population, studied with a frequency/volume chart. Scand J Urol Nephrol Suppl 1988, 114:53–57.

    CAS  PubMed  Google Scholar 

  13. Blaivas JG, Panagopoulos G, Weiss JP, et al.: Two types of urgency. Neurourol Urodyn 2009, 28:188–190. A total of 48 consecutive patients with urinary urgency completed two different questionnaires designed to answer the questions relevant to urgency. Two different types of urgency were verified by calculating the κ coefficient for the two sets of data.

  14. Wang AC, Chih SY, Chen MC: Comparison of electric stimulation and oxybutynin chloride in management of overactive bladder with special reference to urinary urgency: a randomized placebo-controlled trial. Urology 2006, 68:999–1004.

    Article  PubMed  Google Scholar 

  15. Wang AC, Chen MC, Kuo WY, et al.: Urgency-free time interval as primary endpoint for evaluating the outcome of a randomized OAB treatment. Int Urogynecol J Pelvic Floor Dysfunct 2009, 20:819–825. Results of a randomized, PBO-controlled trial using UFI, urinary time, urgency episodes, and other lower urinary tract symptoms as the parameters for assessing the treatment outcome for OAB were reported. UFI could be used to evaluate the OAB treatment in selected treatment groups.

  16. Cardozo L, Dixon A: Increased warning time with darifenacin: a new concept in the management of urinary urgency. J Urol 2005, 173:1214–1218.

    Article  PubMed  Google Scholar 

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Correspondence to Alex C. Wang.

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Wang, A.C. Urgency-Free Time Interval: A Useful Metric for Overactive Bladder. Curr Bladder Dysfunct Rep 5, 13–17 (2010). https://doi.org/10.1007/s11884-010-0043-x

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  • DOI: https://doi.org/10.1007/s11884-010-0043-x

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