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Published in: International Urogynecology Journal 5/2020

01-05-2020 | Overactive Bladder | Original Article

Bladder sensations in women with nocturia due to overactive bladder syndrome

Authors: Ismaiel Abu Mahfouz, Fida Asali, Rashid Abdel-Razeq, Rami Ibraheem, Salem Abu Mahfouz, Hatim Jaber, Hashim Hashim

Published in: International Urogynecology Journal | Issue 5/2020

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Abstract

Objectives

Nocturia is the number of times urine is passed during main sleep. This definition tells us that it is a need to void; it does not tell us what triggers it. The aim of this study is to report bladder sensations that wake up women with nocturia (N). Descriptions of sensations in relation to various overactive bladder (OAB) symptoms, most bothersome symptoms, urinary incontinence (UI) and urodynamic findings are examined.

Materials and methods

A prospective study of women > 18 years old presenting with OAB and nocturia. Data collected included presenting and most bothersome symptoms, descriptions of bladder sensations associated with nocturia, number of frequency and nocturia episodes, nighttime UI and urodynamic findings.

Results

One hundred fifty women were recruited with mean age 52 years, mean duration of symptoms 10.5 months and mean number of nocturia episodes 4.5. All women reported multiple presenting and bothersome symptoms. Fifty-five per cent had detrusor overactivity (DO). “Multiple” and “more intense” bladder sensation descriptions of nocturia were associated with advanced age, more frequent nighttime UI, when nocturia was considered most bothersome and in the presence of DO. The most frequent single description was “strong desire to void”. The most frequently used combination was “strong desire to void, sudden compelling desire to void, bladder pain and full bladder”.

Conclusion

Descriptions of bladder sensations associated with nocturia in women with OAB were diverse and overlapping. It is important to report clinically and in research why patients have nocturia as this will have bearing on its treatment.
Literature
8.
go back to reference Nakagawa H, Ikeda Y, Niu K, Kaiho Y, Ohmori-Matsuda K, Nakaya N, et al. Does nocturia increase fall-related fractures and mortality in a community-dwelling elderly population aged 70 years and over? Results of a 3-year prospective cohort study in Japan. Neurourol Urodyn. 2008;27:674–5. Nakagawa H, Ikeda Y, Niu K, Kaiho Y, Ohmori-Matsuda K, Nakaya N, et al. Does nocturia increase fall-related fractures and mortality in a community-dwelling elderly population aged 70 years and over? Results of a 3-year prospective cohort study in Japan. Neurourol Urodyn. 2008;27:674–5.
9.
go back to reference Oelke M, De Wachter S, Drake MJ, Giannantoni A, Kirby M, Orme S, et al. A practical approach to the management of nocturia. Int J Clin Pract. 2017;71(11):e13027.CrossRef Oelke M, De Wachter S, Drake MJ, Giannantoni A, Kirby M, Orme S, et al. A practical approach to the management of nocturia. Int J Clin Pract. 2017;71(11):e13027.CrossRef
10.
go back to reference Forbush TB, Gundlapalli AV, Palmer MN, Shen S, South BR, Divita G, et al. “Sitting on pins and needles”: characterization of symptom descriptions in clinical notes. AMIA Jt Summits Transl Sci Proc. 2013;2013:67–71.PubMedPubMedCentral Forbush TB, Gundlapalli AV, Palmer MN, Shen S, South BR, Divita G, et al. “Sitting on pins and needles”: characterization of symptom descriptions in clinical notes. AMIA Jt Summits Transl Sci Proc. 2013;2013:67–71.PubMedPubMedCentral
11.
go back to reference Bump RC, Mattiasson A, Bo K, Brubaker LP, JO DL, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10–7.CrossRef Bump RC, Mattiasson A, Bo K, Brubaker LP, JO DL, Klarskov P, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175(1):10–7.CrossRef
12.
go back to reference PFWM R, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International Continence Society good urodynamic practices and terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243–60. https://doi.org/10.1002/nau.23124.CrossRef PFWM R, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, et al. International Continence Society good urodynamic practices and terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243–60. https://​doi.​org/​10.​1002/​nau.​23124.CrossRef
14.
go back to reference Hung MJ, Ho ES, Shen PS, Sun MJ, Lin AT, Chen GD, et al. Urgency is the core symptom of female overactive bladder syndrome, as demonstrated by a statistical analysis. J Urol. 2006;176(2):636–40.CrossRef Hung MJ, Ho ES, Shen PS, Sun MJ, Lin AT, Chen GD, et al. Urgency is the core symptom of female overactive bladder syndrome, as demonstrated by a statistical analysis. J Urol. 2006;176(2):636–40.CrossRef
16.
go back to reference Doggweiler R, Whitmore KE, Meijlink JM, Drake MJ, Frawley H, Nordling J, et al. A standard for terminology in chronic pelvic pain syndromes: a report from the chronic pelvic pain working group of the International Continence Society. Neurourol Urodyn. 2017;36(4):984–1008. https://doi.org/10.1002/nau.23072.CrossRefPubMed Doggweiler R, Whitmore KE, Meijlink JM, Drake MJ, Frawley H, Nordling J, et al. A standard for terminology in chronic pelvic pain syndromes: a report from the chronic pelvic pain working group of the International Continence Society. Neurourol Urodyn. 2017;36(4):984–1008. https://​doi.​org/​10.​1002/​nau.​23072.CrossRefPubMed
Metadata
Title
Bladder sensations in women with nocturia due to overactive bladder syndrome
Authors
Ismaiel Abu Mahfouz
Fida Asali
Rashid Abdel-Razeq
Rami Ibraheem
Salem Abu Mahfouz
Hatim Jaber
Hashim Hashim
Publication date
01-05-2020
Publisher
Springer International Publishing
Published in
International Urogynecology Journal / Issue 5/2020
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-020-04257-w

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