Abstract
Sensory urgency describes patients complaining of urinary urgency but without demonstrable detrusor instability. The International Continence Society [1] has defined urgency as a strong desire to void accompanied by fear of leakage or fear of pain, which may be associated with two types of detrusor dysfunction: urgency with overactive detrusor dysfunction is motor urgency, whereas urgency with detrusor hypersensitivity is sensory urgency. The problem remains of defining what exactly is meant by detrusor hypersensitivity but many authors have investigated patients with urinary urgency unaccompanied by objective evidence of detrusor instability and a number of terms have been used — primary vesical sensory urgency [2], urge syndrome [3] and sensory urge incontinence [4].
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References
Abrams P, Blaivas JG, Stanton SL, Anderson JT. The standardisation of terminology of lower urinary tract function. Scand J Urol Nephrol 1988; Suppl 114.
Jarvis GJ. The management of urinary incontinence due to primary vesical sensory urgency by bladder drill. Br J Urol 1982; 54:374–6.
Holmes DM, Stone AR, Bary PR, Richards CJ, Reproduced by kind permission of Editor, Journal of the Royal Society of Medicine.
Peattie AB, Plevnik S, Stanton SL. The use of bladder neck electric conductance (BNEC) in the investigation and management of sensory urge incontinence in the female. J R Soc Med 1988;81:442–4.
Frewen WK. The management of urgency and frequency of micturition. Br J Urol 1980; 52:367–9.
Frewen WK. Urgency incontinence. J Obstet Gynaecol Br Commonw 1972; 79:77–9.
Frewen WK. Urgency incontinence. Br J Sex Med 1976; 3:21–4.
Hafner RJ, Stanton SL, Guy J. A psychiatric study of women with urgency and urgency incontinence. Br J Urol 1977; 49:211–14.
O’Boyle PJ, Parsons KF. Primary vesical sensory urgency. A clinical trial of bromocriptine. Br JUrol 1979; 51:200–3.
Macaulay AJ, Stern RS, Holmes DM, Stanton SL. Micturition and the mind: psychological factors in the aetiology and treatment of urinary symptoms in women. Br Med J 1987; 294:540–3.
Plevnik S, Brown M, Sutherst JR, Vrtacnik P. Tracking of fluid in the urethra by simultaneous electric impedance measurement at three sites. Urol Int 1983; 38:29–32.
Holmes DM, Plevnik S, Stanton SL. Bladder neck electric conductance test in the investigation and treatment of sensory urgency and detrusor instability. Proceedings of the fifteenth annual meeting of the International Continence Society, London, 1985; 96–7.
Klarskov P, Gerstenberg TC, Hald T. Bladder training and terodiline in females with idiopathic urge incontinence and stable detrusor function. Scand J Urol Nephrol 20:41–6. 14.
Fischer-Rasmussen W and the Multicentre Study Group. Evaluation of long term safety and chnical benefit of terodiline in women with urgency/urge incontinence. A multicentre study. Scand J Urol Nephrol Suppl 1984; 87:35–47.
Farrar DJ, Osborne JI. The use of bromocriptine in the treatment of the unstable bladder. Br J Urol 1976; 48:231–3.
Elder DD, Stephenson TP. An assessment of the Frewen regime in the treatment of detrusor dysfunction in females. Br J Urol 1980; 52:467–71.
Ferrie BG, Smith JS, Logan D, Lyle R, Paterson PJ. Experience with bladder training in 65 patients. Br J Urol 1984; 56:482–4.
Frewen WK. A reassessment of bladder training in detrusor dysfunction in the female. Br J Urol 1982; 54:372–3.
Eysenck HJ. The structure of human personality. London: Methuen, 1970; 436.
Godec C, Cass AS, Ayala GF. Bladder inhibition with functional electrical stimulation. Urology 1975; 6:663.
McGuire EJ, Shi-Chung Z, Horwinski ER, Lytton B. Treatment of motor and sensory detrusor instabihty by electrical stimulation. J Urol 1983; 129:78–9.
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© 1990 Royal College of Obstetricians and Gynaecologists
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Peattie, A.B. (1990). The Management of Sensory Urgency. In: Drife, J.O., Hilton, P., Stanton, S.L. (eds) Micturition. Springer, London. https://doi.org/10.1007/978-1-4471-1780-3_19
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DOI: https://doi.org/10.1007/978-1-4471-1780-3_19
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