Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei, Taiwan.
Neurourol Urodyn. 2011 Sep;30(7):1300-4. doi: 10.1002/nau.21057. Epub 2011 May 10.
To evaluate the correlation between an urgency severity scale (USS) based on a voiding diary with detrusor overactivity (DO) in a videourodynamic study in patients with an overactive bladder (OAB).
We prospectively enrolled 190 consecutive patients with OAB. All patients were assessed using a USS and completed a 3-day voiding diary that recorded urgency and urgency urinary incontinence (UUI) episodes and the degree of urgency severity. The highest recorded USS score in the voiding diary was considered as the USS score. A videourodynamic study was performed, and the presence of increased bladder sensation (IBS) or DO was recorded. These clinical findings and videourodynamic data were analyzed.
This study enrolled 65 men and 125 women. The mean patient age was 66.4 years (21-88). Among them, 82.6% had urodynamic DO, 7.9% had IBS, and 9.5% had normal urodynamic findings. The prevalence of DO was 50%, 76%, and 94% in patients with a USS = 2, 3, and 4, respectively. Multivariate analysis indicated that OAB wet, high USS and UUI were significantly associated with the presence of DO. Urodynamic DO was present in most patients with OAB wet (94.1%) or USS = 4 (95.5%); however, only 63.9% of OAB dry patients had DO. In the OAB dry patients, 11/25 (44%) with USS = 2, 30/42 (71%) with USS = 3, and 5/5 (100%) with USS = 4 had DO.
A high USS recorded in conjunction with a voiding diary and OAB wet were strongly associated with urodynamic DO.
评估基于排尿日记的紧迫性严重程度量表 (USS) 与逼尿肌过度活动 (DO) 在膀胱过度活动症 (OAB) 患者的尿动力研究中的相关性。
我们前瞻性纳入了 190 例连续的 OAB 患者。所有患者均采用 USS 进行评估，并完成了 3 天的排尿日记，记录了急迫性和急迫性尿失禁 (UUI) 发作以及急迫性严重程度。排尿日记中记录的最高 USS 评分被认为是 USS 评分。进行尿动力研究，并记录膀胱感觉增加 (IBS) 或 DO 的存在。分析这些临床发现和尿动力数据。
本研究纳入了 65 名男性和 125 名女性。患者的平均年龄为 66.4 岁（21-88 岁）。其中，82.6%有尿动力 DO，7.9%有 IBS，9.5%有正常尿动力表现。USS=2、3、4 的患者中 DO 的患病率分别为 50%、76%和 94%。多变量分析表明，OAB 湿、高 USS 和 UUI 与 DO 的存在显著相关。OAB 湿（94.1%）或 USS=4（95.5%）的患者中存在大多数 DO；然而，仅有 63.9%的 OAB 干患者存在 DO。在 OAB 干患者中，USS=2 的 25 例患者中有 11 例（44%）、USS=3 的 42 例患者中有 30 例（71%）、USS=4 的 5 例患者中有 5 例（100%）存在 DO。
结合排尿日记记录的高 USS 和 OAB 湿与尿动力 DO 密切相关。
