Urgency is the Core Symptom of Female Overactive Bladder Syndrome, as Demonstrated by a Statistical Analysis

Hung, Man‐Jung; Ho, Esther Shih-Chu; Shen, Pao‐Sheng; Sun, Mou-Jong; Lin, Alex Tong‐Long; Chen, Gin‐Den; Club, Taiwan Oab

doi:10.1016/j.juro.2006.03.062

Cited by 31 publications

(27 citation statements)

References 21 publications

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“…14 Studies suggest that urgency is the core symptom of OAB in women. 15 However, urgency is not specific to any clinical entity, and can be the primary symptom in women with interstitial cystitis/painful bladder syndrome, OAB with leakage (OAB-wet), and OAB without leakage (OAB-dry). Some experts believe that it is appropriate to include both OAB-dry groups, those with fear of leakage and those with uncomfortable urge under the OAB umbrella.…”

Section: Discussionmentioning

confidence: 99%

How Dry is “OAB-Dry”? Perspectives from Patients and Physician Experts

et al. 2012

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Purpose Overactive bladder (OAB) is subtyped into OAB-wet and OAB-dry, based on the presence or absence, respectively, of urgency incontinence. In order to better understand patient and physician perspectives on symptoms among women with OAB-wet and OAB-dry, we conducted patient focus groups and interviews with experts in urinary incontinence. Materials and Methods Five focus groups totaling 33 patients with OAB symptoms, including three groups of OAB-wet and 2 groups of OAB-dry patients, were conducted. Topics addressed patients’ perceptions of OAB symptoms, treatments, and outcomes. Twelve expert interviews were then conducted in which experts were asked to describe their views on OAB-wet and OAB-dry. Focus groups and expert interviews were transcribed verbatim. Qualitative data analysis was performed using Grounded Theory methodology, as described by Charmaz. Results During the focus groups sessions, women screened as OAB-dry shared the knowledge that they would probably leak if no toilet is available. This knowledge was based on a history of leakage episodes in the past. Those few patients with no history of leakage had a clinical picture more consistent with painful bladder syndrome than OAB. Physician expert interviews revealed the belief that many patients labeled as OAB–dry may actually be mild OAB-wet. Conclusions Qualitative data from focus groups and interviews with experts suggest that a spectrum exists between very mild OAB-wet and severe OAB-wet. Scientific investigations are needed to determine if urgency without fear of leakage constitutes a unique clinical entity.

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Section: Discussionmentioning

confidence: 99%

How Dry is “OAB-Dry”? Perspectives from Patients and Physician Experts

et al. 2012

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“…In one of our previous manuscripts, published in 2006, we conducted a survey of hospital‐based female patients and found that no single or isolated symptom presented in patients with OAB. We found that OAB patients could be categorized into three groups, that is, patients with dry symptoms (urgency, frequency, and nocturia), patients with wet symptoms (urgency, urge incontinence, and mixed incontinence) and a small group with OAB symptoms combined with voiding difficulty symptoms 6…”

Section: Introductionmentioning

confidence: 99%

Overactive bladder in Taiwanese women: Re‐analysis of epidemiological database of community from 1999 to 2001

Chen

et al. 2011

Neurourology and Urodynamics

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“…For example, women with voiding dysfunction may also have the symptom of urgency, which is the core symptom of overactive bladder syndrome (OAB) [2]. Symptom-based treatment may lead to ineffectiveness and drug-related adverse effects, such as dry mouth, pruritus, and constipation after antimuscarinic treatment [3].…”

Section: Introductionmentioning

confidence: 99%