Impact of convenience void in a bladder diary with urinary perception grade to assess overactive bladder symptoms: a community-based study

Neurourol Urodyn. 2010 Sep;29(7):1286-9. doi: 10.1002/nau.20874.

Abstract

Aim: Bladder diaries including bladder perception grade were analyzed to assess convenience void (CV) in community-dwelling women 40 years of age or older.

Methods: A total of 310 women completed a 3-day bladder diary with a grade for bladder perception. The grade was defined on scores 0-5 as follows: 0 = No bladder sensation, 1 = Sensation of bladder filling without desire to void, 2 = Desire to void, 3 = Strong desire to void, 4 = Urgency without urge urinary incontinence (UUI), and 5 = Urge incontinence episode. CV was defined as void without desire to void: when the grade was 0, CV in a narrow sense, and when 0 or 1, CV in a broad sense.

Results: The incidence of CV in the broad sense significantly decreased with age. Of the 310 women, 48 (15.5%) had overactive bladder (OAB) symptoms on the medical interview, including 37 (11.9%) without UUI (OAB-Dry) and 11 (3.5%) with UUI (OAB-Wet). Of the remaining 262 women, 111 (35.8%), who had urgency but a urinary frequency of 7 or less, and another 141 (48.7%) were classified into the Normal with Urgency and Normal without Urgency groups, respectively. The incidence of CV in a broad sense in the Normal without Urgency group was significantly greater than that in the Normal with Urgency and OAB-Wet groups. The mean voided volumes of CV in the broad sense in the OAB-Wet group were significantly smaller than those in the other three groups.

Conclusions: The evaluation of CV may be a new tool in assessing storage condition and voiding dysfunction.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Japan
  • Mass Screening / methods
  • Middle Aged
  • Perception*
  • Predictive Value of Tests
  • Sensation*
  • Severity of Illness Index
  • Terminology as Topic
  • Time Factors
  • Urinary Bladder / physiopathology*
  • Urinary Bladder, Overactive / complications
  • Urinary Bladder, Overactive / diagnosis*
  • Urinary Bladder, Overactive / physiopathology
  • Urinary Bladder, Overactive / psychology
  • Urinary Incontinence, Urge / etiology*
  • Urinary Incontinence, Urge / physiopathology
  • Urinary Incontinence, Urge / psychology
  • Urodynamics