Kaga Kanya, Mikami Kosuke, Kaga Mayuko
Department of Urology, Chiba Prefectural Sawara Hospital, Katori, JPN.
Department of Urology, Chiba University Hospital, Chiba, JPN.
Cureus. 2024 Sep 2;16(9):e68437. doi: 10.7759/cureus.68437. eCollection 2024 Sep.
Introduction A frequency volume chart (FVC) or bladder diary (BD) is used to diagnose lower urinary tract symptoms and to determine the effectiveness of treatment. In outpatient practice, patients who use an FVC or BD may experience improvement in storage symptoms and not desire further treatment. The aim of this study was to determine the characteristics of patients who did not desire treatment after BD recording and to assess the changes in storage symptoms after BD recording. Methods This was a retrospective study. Patients who completed a three-day BD record were included. The patients were divided into two groups: those whose symptoms improved after using a BD and no longer desired treatment, and those who desired treatment. We compared endpoints including patient background, BD, Overactive Bladder Symptom Score (OABSS), and International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF) score. Results We recruited 79 patients. Four patients were excluded (two were minors and two due to cognitive impairment). Thus, 75 patients were included in the analysis. Of these, 27 (36.0%) did not desire treatment for storage symptoms after BD recording. Compared with the group of patients who desired treatment, those who did not desire treatment had significantly lower daytime and nighttime frequency and number of leaks recorded in their BD, and there were fewer patients with nocturia and habitual caffeine consumption. Baseline OABSS and ICIQ-UI SF scores were lower and there were no significant changes in storage symptoms after BD recording. The cut-off value for the baseline total score of OABSS that did not desire treatment for storage symptoms after BD recording was 6 points. Conclusion In this study, 36.0% of patients no longer desired treatment for storage symptoms after using a BD. These patients initially exhibited a normal daily urinary frequency and mild storage symptoms. These findings suggest that among patients presenting to the outpatient clinic with storage symptoms, those with mild symptom severity and a total OABSS of 6 points or less may be able to avoid unnecessary treatment through BD recording.
引言
频率容量图表（FVC）或膀胱日记（BD）用于诊断下尿路症状并确定治疗效果。在门诊实践中，使用FVC或BD的患者可能会在储尿症状方面有所改善，并且不再希望接受进一步治疗。本研究的目的是确定在记录膀胱日记后不希望接受治疗的患者的特征，并评估记录膀胱日记后储尿症状的变化。
方法
这是一项回顾性研究。纳入完成了为期三天膀胱日记记录的患者。患者被分为两组：使用膀胱日记后症状改善且不再希望接受治疗的患者，以及希望接受治疗的患者。我们比较了包括患者背景、膀胱日记、膀胱过度活动症症状评分（OABSS）和国际尿失禁咨询问卷-尿失禁简表（ICIQ-UI SF）评分等终点指标。
结果
我们招募了79名患者。4名患者被排除（2名是未成年人，2名因认知障碍）。因此，75名患者纳入分析。其中，27名（36.0%）在记录膀胱日记后不希望对储尿症状进行治疗。与希望接受治疗的患者组相比，不希望接受治疗的患者在膀胱日记中记录的白天和夜间排尿频率及漏尿次数明显更低，夜尿症患者和习惯性饮用咖啡因的患者更少。基线OABSS和ICIQ-UI SF评分更低，记录膀胱日记后储尿症状无显著变化。记录膀胱日记后对储尿症状不希望接受治疗的OABSS基线总分的截断值为6分。
结论
在本研究中，36.
