Measuring the sensations of urge and bladder filling during cystometry in urge incontinence and the effects of neuromodulation

@article{Oliver2003MeasuringTS,
  title={Measuring the sensations of urge and bladder filling during cystometry in urge incontinence and the effects of neuromodulation},
  author={Sarah Oliver and Clare J. Fowler and Anthony Mundy and Michael Duncan Craggs},
  journal={Neurourology and Urodynamics},
  year={2003},
  volume={22}
}
As urge and urgency contribute greatly to a patient's symptoms, it follows that sensory evaluation combined with noninvasive neuromodulation during urodynamics may provide new criteria for improving patient selection for an implantable stimulator. The purpose of this research was to develop and validate an objective measure of bladder sensations during filling cystometry and then to apply this technique to evaluate the effects of neuromodulation on the sensations of urge measured in this way. 
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Objective measurement of bladder sensation: use of a new patient‐activated device and response to neuromodulation
TLDR
It was shown that the sensation of urgency can be suppressed by neuromodulation in most patients tested; this suppression occurs with improvements in bladder capacity and voided volumes, and it was suggested that urodynamics with concurrent sensory evaluation may offer a more useful assessment tool for selecting those patients for therapies such as neurommodulation who present predominantly with the symptom of urgency.
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Both sacral neuromodulation and percutaneous tibial nerve stimulation prove to be viable, durable options for treating patients with refractory urge incontinence and alternative modes of stimulation are also beginning to show promise.
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The diagnosis of overactive bladder (OAB) is based on the key symptoms of urgency and urinary frequency, which could be related to abnormal bladder contraction or afferent nerve activity. The…
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TLDR
Measurement of urgency in clinical practice and indeed the optimal treatment strategy has yet to come of age because no single measure currently captures its multidimensional nature.
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Neuromodulation has become ever more common in the fields of urology and voiding dysfunction, but more information is needed to broaden the applicability of neuromodulations to larger numbers of patients and conditions.
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TLDR
Neuromodulation has become ever more common in the fields of urology and voiding dysfunction but more information is needed to broaden the applicability of neuromodulations to larger numbers of patients and conditions.
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TLDR
Important issues relevant to the clinical assessment and measurement scales commonly used to evaluate and measure urinary urgency are outlined, which will have important implications toward further understanding and advancing the field of overactive bladder.
Validation of a real-time urodynamic measure of urinary sensation.
TLDR
This study demonstrates that the Urgeometer measurement is feasible and correlates with urodynamic diagnosis and the severity and bother from urge incontinence.
"Urgency tip": a portable patient-activated device for objective measurement of urinary urgency.
TLDR
This electronic device is pocket-size and light, with five grading buttons and another button for cancellation, and it is essential to evaluate urgency symptoms in daily life.
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