Steps toward identification of a novel cue-positive overactive bladder phenotype in women with high-bother urinary urgency.

IF 1.5 Q3 UROLOGY & NEPHROLOGY American journal of clinical and experimental urology Pub Date : 2024-08-25 eCollection Date: 2024-01-01 DOI:10.62347/ZZJF7946
Sarah T Kodama, Ria Khandpur, Jared Dunlap, Julia Smolen, Chris Keshishian, Kathleen A O'Connell, Linda S Burkett, Lauren N Siff, John E Speich, Adam P Klausner
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Abstract

Objective: The objective of this study was to investigate the relationship between situational cues (running water, stress, cold, etc.) and overactive bladder (OAB) symptoms.

Methods: Women scheduled for urodynamic studies for clinical indications completed surveys to characterize OAB (ICIQ-OAB and OAB-V3) and responses to situational cues (validated long-form cues survey and a novel short-form cues survey). Participants were divided into two groups (Low-Bother urgency vs. High-Bother urgency), and OAB and cue survey responses were compared.

Results: A total of 47 participants were enrolled in the study with 36 meeting inclusion criteria (15 Low-Bother and 21 High-Bother) with an overall mean age of 60.0 ± 10.0 years. The High-Bother urgency group scored significantly higher on multiple cue items in the long-form (P<0.05) and only "running water" in the short-form cues survey (P<0.05). In addition, "running water" was the only cue that was scored higher in both surveys (P<0.05).

Conclusions: This study showed that patients with High-Bother urgency may have increased symptom responses to environmental, mood, and cognitive cues. These findings suggest increased sensitivity to cues, especially "running water" in participants with bothersome OAB and the potential presence of a cue-specific OAB phenotype.

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在尿频尿急女性中识别新型线索阳性膀胱过度活动表型的步骤。
研究目的本研究旨在调查情境线索(流水、压力、寒冷等)与膀胱过度活动症(OAB)症状之间的关系:方法:因临床适应症而计划进行尿动力学研究的女性完成了有关 OAB 特征(ICIQ-OAB 和 OAB-V3)和对情境线索反应的调查(经过验证的长式线索调查和新型短式线索调查)。参与者被分为两组(低烦恼紧迫感组和高烦恼紧迫感组),并对 OAB 和线索调查的反应进行比较:共有 47 名参与者参加了研究,其中 36 人符合纳入标准(15 名低度尿急和 21 名高度尿急),总平均年龄为 60.0 ± 10.0 岁。在长式问卷的多个提示项目中,"高度烦躁 "组的得分明显更高(结论:"高度烦躁 "组的得分明显高于 "低度烦躁 "组):本研究表明,"高度烦躁 "患者对环境、情绪和认知线索的症状反应可能会增加。这些研究结果表明,患有令人烦恼的 OAB 的参与者对线索,尤其是 "流水 "的敏感性增加,而且可能存在一种线索特异性 OAB 表型。
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