Differences in Urodynamic Parameters Between Women With Interstitial Cystitis and/or Bladder Pain Syndrome and Severe Overactive Bladder

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Abstract

Objective To identify differences in urodynamic parameters between female outpatients with interstitial cystitis (IC) and/or bladder pain syndrome (BPS) and severe overactive bladder (OAB). Materials and Methods This cross-sectional study included 24 and 28 consecutive IC/BPS and severe OAB female patients, respectively. IC/BPS was defined based on the American Urological Association guideline, and severe OAB was defined based on baseline symptoms recorded in a voiding diary. Before treatment, symptom assessment using questionnaires and a 3-day voiding diary, as well as laboratory tests, were performed at the initial visit. The patients’ baseline characteristics and urodynamic parameters were compared between the IC/BPS and severe OAB groups. Results The IC/BPS group showed fewer episodes of urge incontinence and shorter duration of symptoms than the severe OAB group (P = .019, P = .017, respectively). Volumes at first sense, normal desire, strong desire, and maximal capacity during filling cystometry (MBC) were significantly higher in the severe OAB group than in the IC/BPS group (P < .001, P < .001, P = .006, P < .001, respectively). The IC/BPS and severe OAB groups showed significant differences in urodynamic parameters in terms of MBC and the volume discrepancy between MBC and maximal voided volume (P < .001, both). The receiver operating characteristic curve also showed an area under the curve of 0.760 and 0.783 for MBC and volume discrepancy, respectively (both P < .001). Conclusion Data from our study suggest that combined with other clinical findings, urodynamic studies could provide useful information to differentiate between a diagnosis of IC/BPS or severe OAB.

Original languageEnglish
Pages (from-to)64-69
Number of pages6
JournalUrology
Volume94
DOIs
Publication statusPublished - 2016 Aug 1

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Interstitial Cystitis
Overactive Urinary Bladder
Urodynamics
Urinary Bladder
Pain
Urge Urinary Incontinence
Symptom Assessment
ROC Curve
Area Under Curve
Outpatients
Cross-Sectional Studies
Guidelines

ASJC Scopus subject areas

  • Urology

Cite this

@article{74868fd04ff7495a9c6768af8cf7fae1,
title = "Differences in Urodynamic Parameters Between Women With Interstitial Cystitis and/or Bladder Pain Syndrome and Severe Overactive Bladder",
abstract = "Objective To identify differences in urodynamic parameters between female outpatients with interstitial cystitis (IC) and/or bladder pain syndrome (BPS) and severe overactive bladder (OAB). Materials and Methods This cross-sectional study included 24 and 28 consecutive IC/BPS and severe OAB female patients, respectively. IC/BPS was defined based on the American Urological Association guideline, and severe OAB was defined based on baseline symptoms recorded in a voiding diary. Before treatment, symptom assessment using questionnaires and a 3-day voiding diary, as well as laboratory tests, were performed at the initial visit. The patients’ baseline characteristics and urodynamic parameters were compared between the IC/BPS and severe OAB groups. Results The IC/BPS group showed fewer episodes of urge incontinence and shorter duration of symptoms than the severe OAB group (P = .019, P = .017, respectively). Volumes at first sense, normal desire, strong desire, and maximal capacity during filling cystometry (MBC) were significantly higher in the severe OAB group than in the IC/BPS group (P < .001, P < .001, P = .006, P < .001, respectively). The IC/BPS and severe OAB groups showed significant differences in urodynamic parameters in terms of MBC and the volume discrepancy between MBC and maximal voided volume (P < .001, both). The receiver operating characteristic curve also showed an area under the curve of 0.760 and 0.783 for MBC and volume discrepancy, respectively (both P < .001). Conclusion Data from our study suggest that combined with other clinical findings, urodynamic studies could provide useful information to differentiate between a diagnosis of IC/BPS or severe OAB.",
author = "Shim, {Ji Sung} and Sung-Gu Kang and Park, {Jae Young} and Bae, {Jae Hyun} and Kang, {Seok Ho} and Park, {Hong Seok} and Moon, {Du Geon} and Jun Cheon and Lee, {Jeong Gu} and Je-Jong Kim and Mi-Mi Oh",
year = "2016",
month = "8",
day = "1",
doi = "10.1016/j.urology.2016.04.018",
language = "English",
volume = "94",
pages = "64--69",
journal = "Urology",
issn = "0090-4295",
publisher = "Elsevier Inc.",

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TY - JOUR

T1 - Differences in Urodynamic Parameters Between Women With Interstitial Cystitis and/or Bladder Pain Syndrome and Severe Overactive Bladder

AU - Shim, Ji Sung

AU - Kang, Sung-Gu

AU - Park, Jae Young

AU - Bae, Jae Hyun

AU - Kang, Seok Ho

AU - Park, Hong Seok

AU - Moon, Du Geon

AU - Cheon, Jun

AU - Lee, Jeong Gu

AU - Kim, Je-Jong

AU - Oh, Mi-Mi

PY - 2016/8/1

Y1 - 2016/8/1

N2 - Objective To identify differences in urodynamic parameters between female outpatients with interstitial cystitis (IC) and/or bladder pain syndrome (BPS) and severe overactive bladder (OAB). Materials and Methods This cross-sectional study included 24 and 28 consecutive IC/BPS and severe OAB female patients, respectively. IC/BPS was defined based on the American Urological Association guideline, and severe OAB was defined based on baseline symptoms recorded in a voiding diary. Before treatment, symptom assessment using questionnaires and a 3-day voiding diary, as well as laboratory tests, were performed at the initial visit. The patients’ baseline characteristics and urodynamic parameters were compared between the IC/BPS and severe OAB groups. Results The IC/BPS group showed fewer episodes of urge incontinence and shorter duration of symptoms than the severe OAB group (P = .019, P = .017, respectively). Volumes at first sense, normal desire, strong desire, and maximal capacity during filling cystometry (MBC) were significantly higher in the severe OAB group than in the IC/BPS group (P < .001, P < .001, P = .006, P < .001, respectively). The IC/BPS and severe OAB groups showed significant differences in urodynamic parameters in terms of MBC and the volume discrepancy between MBC and maximal voided volume (P < .001, both). The receiver operating characteristic curve also showed an area under the curve of 0.760 and 0.783 for MBC and volume discrepancy, respectively (both P < .001). Conclusion Data from our study suggest that combined with other clinical findings, urodynamic studies could provide useful information to differentiate between a diagnosis of IC/BPS or severe OAB.

AB - Objective To identify differences in urodynamic parameters between female outpatients with interstitial cystitis (IC) and/or bladder pain syndrome (BPS) and severe overactive bladder (OAB). Materials and Methods This cross-sectional study included 24 and 28 consecutive IC/BPS and severe OAB female patients, respectively. IC/BPS was defined based on the American Urological Association guideline, and severe OAB was defined based on baseline symptoms recorded in a voiding diary. Before treatment, symptom assessment using questionnaires and a 3-day voiding diary, as well as laboratory tests, were performed at the initial visit. The patients’ baseline characteristics and urodynamic parameters were compared between the IC/BPS and severe OAB groups. Results The IC/BPS group showed fewer episodes of urge incontinence and shorter duration of symptoms than the severe OAB group (P = .019, P = .017, respectively). Volumes at first sense, normal desire, strong desire, and maximal capacity during filling cystometry (MBC) were significantly higher in the severe OAB group than in the IC/BPS group (P < .001, P < .001, P = .006, P < .001, respectively). The IC/BPS and severe OAB groups showed significant differences in urodynamic parameters in terms of MBC and the volume discrepancy between MBC and maximal voided volume (P < .001, both). The receiver operating characteristic curve also showed an area under the curve of 0.760 and 0.783 for MBC and volume discrepancy, respectively (both P < .001). Conclusion Data from our study suggest that combined with other clinical findings, urodynamic studies could provide useful information to differentiate between a diagnosis of IC/BPS or severe OAB.

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U2 - 10.1016/j.urology.2016.04.018

DO - 10.1016/j.urology.2016.04.018

M3 - Article

C2 - 27130264

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VL - 94

SP - 64

EP - 69

JO - Urology

JF - Urology

SN - 0090-4295

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