Reliability and normal ranges for the Patient’s Perception of Intensity of Urgency Scale in asymptomatic women

Abstract

Female Lower Urinary Tract Symptoms Long Form, to exclude those with bothersome lower urinary tract symptoms. Participants completed two separate 7-day bladder diaries with a 1-week interval between. Reliability was assessed using intraclass correlation, Spearman's correlation, and Student's t -test. RESULTSForty volunteers were recruited. Most (67.5%) reported no urgency episodes. Convenience voids accounted for 26.8% of all voids. There was a significant positive effect of age ( r = 0.34, P = 0.034) on urgency episodes, but no effect on mean urge scores ( r = − 0.03, P = 0.843). The reliability of assessment of frequency (0.86), nocturia (0.84), and the mean urge scores (0.85), were better than the reliability of assessment of urgency episodes (0.56), which occurred infrequently. The 95th centile for daily urinary frequency was 7.27 and for weekly urgency episodes was 2.00. CONCLUSIONThe PPIUS is a reliable tool for assessing urinary urge sensation in women. Inclusion of this measure in bladder diaries does not compromise the recording of other variables. KEYWORDSlower urinary tract symptoms, frequency volume charts, urinary urgency, incontinence, overactive bladder Study Type -Symptom prevalence (prospective cohort) Level of Evidence 1b

Sexual function and quality of life following retropubic TVT and single-incision sling in women with stress urinary incontinence: results of a prospective study

“…Urgency was evaluated using the PPIUS which scored the intensity of urgency at each void with a 5 point scale [21]. Questionnaires were completed by the patients prior to clinical examination for baseline and follow-up assessment.…”

Content validity and test-retest reliability of patient perception of intensity of urgency scale (PPIUS) for overactive bladder

“…Cartwright, Srikrishna, Cardazo, & Robinson [7] found that the PPIUS has good reliability, excellent known groups validity and convergent validity, and high responsiveness when used in a clinical trial study with adult women with OAB. The test-retest reliability of the PPIUS incorporated into a seven-week diary completed before and after a one-week interval has been reported in a group of asymptomatic women [8]. However, content validity has yet to be supported with qualitative research in patients with OAB.…”

Urinary urgency: a review of its assessment as the key symptom of the overactive bladder syndrome

“…The scores and current terms/descriptions are given, together with our suggested interpretations based on the ICS definition of urgency (shown italicised in square brackets) Patient perception of intensity of urgency scale (PPIUS): An assessment of the intensity of bladder sensation and urgency during completion of a bladder diary. The PPIUS has been validated in a study of 40 female volunteers, where it gave good test-retest reliability using a 7-day bladder diary, with the ability to discriminate between asymptomatic controls and previously reported values for patients with OAB[18] 0No urgency: 'I felt no need to empty my bladder but did so for other reasons [No desire to void] 1 Mild urgency: 'I could postpone voiding as long as necessary without fear of wetting myself' [First desire to void] 2 Moderate urgency: 'I could postpone voiding for a short while without fear of wetting myself' [Moderate or strong desire to void-or, possibly, successful inhibition of true urgency] 3 Severe urgency: 'I could not postpone voiding but had to rush to the toilet in order not to wet myself' [Urgency. Might be better described as 'I had urgency and could not postpone voiding but had to rush to the toilet in order not to wet myself'] 4 Urge incontinence: 'I leaked before arriving at the toilet' [Urgency incontinence.…”