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Kyung Kgi Park - One of the best experts on this subject based on the ideXlab platform.
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Association of Urinary Urgency and Delay Time of Micturition in Women With Overactive Bladder
International neurourology journal, 2014Co-Authors: Kyung Kgi Park, Jung Sik HuhAbstract:PURPOSE Accurately measuring Urinary urgency is important for diagnosing overactive bladder (OAB) and quantifying improvements in treatment outcome. Various methods have been recommended for evaluating Urinary urgency, but these methods assess individual perceptions and preferences. To overcome the subjectivity in measuring Urinary urgency, we evaluated the relationship between uroflowmetric parameters and Urinary urgency in women with OAB. METHODS Consecutive female patients with lower Urinary tract symptoms (n=110) were prospectively enrolled in this study between April 2011 and September 2012. Individuals with a history of using medications that are known to affect bladder function were excluded. All enrolled patients completed uroflowmetry with a delayed time to voiding (T2V). After urination was completed, patients were asked whether they experienced any Urinary Hesitancy or urgency at that time. RESULTS The mean patient age was 56.1 years; 70 out of 110 patients reported some degree of Urinary urgency. T2V decreased with increased urgency. Several uroflowmetric parameters were observed to have a significant correlation with Urinary urgency. T2V had a meaningful correlation coefficient for individuals with urgency, regardless of the voided volume. There was no significant correlation between the presence of Urinary Hesitancy and T2V. CONCLUSIONS We believe that T2V would be a complementary tool for diagnosing and determining the degree of Urinary urgency in women with OAB.
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association between Urinary Hesitancy symptoms and uroflowmetry measured Urinary Hesitancy time in men with lower Urinary tract symptoms
Neurourology and Urodynamics, 2011Co-Authors: Kyung Kgi Park, Young Deuk ChoiAbstract:Aims In patients with Urinary Hesitancy, the standard time of Urinary Hesitancy has not been established. Accordingly, we have analyzed the association between Urinary Hesitancy and various uroflowmetric finding in the present study. Methods Between April 2009 and September 2009, 163 consecutive male subjects with lower Urinary tract symptoms (LUTS) were prospectively enrolled. Individuals with a taking any medications known to affect bladder function were excluded. To measure time to voiding (T2V), 1 ml of water was poured into the uroflowmeter funnel of immediately after the subjects pulled down their undergarments. This step was employed to compensate for the intrinsic disadvantage of the uroflowmeter, which works at the beginning of urination. After urination is completed, subjects were asked whether they experienced any Urinary Hesitancy at that time. Subjects also completed an IPSS questionnaire. Results Mean patient age was 60.1 years, and 81 of a total of 163 patients reported experiencing Urinary Hesitancy. The optimal cut-off value for T2V was found to be 11.5 sec among individuals with voiding volumes greater than 150 ml (AUC = 0.919). A correlation was also found between the score of question #6 on the IPSS questionnaire and the presence of Urinary Hesitancy during urology clinic visits (r = 0.26, P < 0.01). Conclusions In men with LUTS, T2V is an effective uroflometric parameter to demonstrate Urinary Hesitancy. Accordingly, we contend that 11.5 sec of Hesitancy is an optimal cut-off time to distinguish the presence of Urinary Hesitancy in voided volume of greater than 150 ml. 30:578–582, 2011. © 2011 Wiley-Liss, Inc.
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Association between Urinary Hesitancy symptoms and uroflowmetry measured Urinary Hesitancy time in men with lower Urinary tract symptoms.
Neurourology and urodynamics, 2011Co-Authors: Kyung Kgi Park, Young Deuk Choi, Seung Hwan Lee, Yun Jeong Kim, Sang Yol MahAbstract:Aims In patients with Urinary Hesitancy, the standard time of Urinary Hesitancy has not been established. Accordingly, we have analyzed the association between Urinary Hesitancy and various uroflowmetric finding in the present study. Methods Between April 2009 and September 2009, 163 consecutive male subjects with lower Urinary tract symptoms (LUTS) were prospectively enrolled. Individuals with a taking any medications known to affect bladder function were excluded. To measure time to voiding (T2V), 1 ml of water was poured into the uroflowmeter funnel of immediately after the subjects pulled down their undergarments. This step was employed to compensate for the intrinsic disadvantage of the uroflowmeter, which works at the beginning of urination. After urination is completed, subjects were asked whether they experienced any Urinary Hesitancy at that time. Subjects also completed an IPSS questionnaire. Results Mean patient age was 60.1 years, and 81 of a total of 163 patients reported experiencing Urinary Hesitancy. The optimal cut-off value for T2V was found to be 11.5 sec among individuals with voiding volumes greater than 150 ml (AUC = 0.919). A correlation was also found between the score of question #6 on the IPSS questionnaire and the presence of Urinary Hesitancy during urology clinic visits (r = 0.26, P
Young Deuk Choi - One of the best experts on this subject based on the ideXlab platform.
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association between Urinary Hesitancy symptoms and uroflowmetry measured Urinary Hesitancy time in men with lower Urinary tract symptoms
Neurourology and Urodynamics, 2011Co-Authors: Kyung Kgi Park, Young Deuk ChoiAbstract:Aims In patients with Urinary Hesitancy, the standard time of Urinary Hesitancy has not been established. Accordingly, we have analyzed the association between Urinary Hesitancy and various uroflowmetric finding in the present study. Methods Between April 2009 and September 2009, 163 consecutive male subjects with lower Urinary tract symptoms (LUTS) were prospectively enrolled. Individuals with a taking any medications known to affect bladder function were excluded. To measure time to voiding (T2V), 1 ml of water was poured into the uroflowmeter funnel of immediately after the subjects pulled down their undergarments. This step was employed to compensate for the intrinsic disadvantage of the uroflowmeter, which works at the beginning of urination. After urination is completed, subjects were asked whether they experienced any Urinary Hesitancy at that time. Subjects also completed an IPSS questionnaire. Results Mean patient age was 60.1 years, and 81 of a total of 163 patients reported experiencing Urinary Hesitancy. The optimal cut-off value for T2V was found to be 11.5 sec among individuals with voiding volumes greater than 150 ml (AUC = 0.919). A correlation was also found between the score of question #6 on the IPSS questionnaire and the presence of Urinary Hesitancy during urology clinic visits (r = 0.26, P < 0.01). Conclusions In men with LUTS, T2V is an effective uroflometric parameter to demonstrate Urinary Hesitancy. Accordingly, we contend that 11.5 sec of Hesitancy is an optimal cut-off time to distinguish the presence of Urinary Hesitancy in voided volume of greater than 150 ml. 30:578–582, 2011. © 2011 Wiley-Liss, Inc.
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Association between Urinary Hesitancy symptoms and uroflowmetry measured Urinary Hesitancy time in men with lower Urinary tract symptoms.
Neurourology and urodynamics, 2011Co-Authors: Kyung Kgi Park, Young Deuk Choi, Seung Hwan Lee, Yun Jeong Kim, Sang Yol MahAbstract:Aims In patients with Urinary Hesitancy, the standard time of Urinary Hesitancy has not been established. Accordingly, we have analyzed the association between Urinary Hesitancy and various uroflowmetric finding in the present study. Methods Between April 2009 and September 2009, 163 consecutive male subjects with lower Urinary tract symptoms (LUTS) were prospectively enrolled. Individuals with a taking any medications known to affect bladder function were excluded. To measure time to voiding (T2V), 1 ml of water was poured into the uroflowmeter funnel of immediately after the subjects pulled down their undergarments. This step was employed to compensate for the intrinsic disadvantage of the uroflowmeter, which works at the beginning of urination. After urination is completed, subjects were asked whether they experienced any Urinary Hesitancy at that time. Subjects also completed an IPSS questionnaire. Results Mean patient age was 60.1 years, and 81 of a total of 163 patients reported experiencing Urinary Hesitancy. The optimal cut-off value for T2V was found to be 11.5 sec among individuals with voiding volumes greater than 150 ml (AUC = 0.919). A correlation was also found between the score of question #6 on the IPSS questionnaire and the presence of Urinary Hesitancy during urology clinic visits (r = 0.26, P
Sang Yol Mah - One of the best experts on this subject based on the ideXlab platform.
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Association between Urinary Hesitancy symptoms and uroflowmetry measured Urinary Hesitancy time in men with lower Urinary tract symptoms.
Neurourology and urodynamics, 2011Co-Authors: Kyung Kgi Park, Young Deuk Choi, Seung Hwan Lee, Yun Jeong Kim, Sang Yol MahAbstract:Aims In patients with Urinary Hesitancy, the standard time of Urinary Hesitancy has not been established. Accordingly, we have analyzed the association between Urinary Hesitancy and various uroflowmetric finding in the present study. Methods Between April 2009 and September 2009, 163 consecutive male subjects with lower Urinary tract symptoms (LUTS) were prospectively enrolled. Individuals with a taking any medications known to affect bladder function were excluded. To measure time to voiding (T2V), 1 ml of water was poured into the uroflowmeter funnel of immediately after the subjects pulled down their undergarments. This step was employed to compensate for the intrinsic disadvantage of the uroflowmeter, which works at the beginning of urination. After urination is completed, subjects were asked whether they experienced any Urinary Hesitancy at that time. Subjects also completed an IPSS questionnaire. Results Mean patient age was 60.1 years, and 81 of a total of 163 patients reported experiencing Urinary Hesitancy. The optimal cut-off value for T2V was found to be 11.5 sec among individuals with voiding volumes greater than 150 ml (AUC = 0.919). A correlation was also found between the score of question #6 on the IPSS questionnaire and the presence of Urinary Hesitancy during urology clinic visits (r = 0.26, P
Sarah M. Creighton - One of the best experts on this subject based on the ideXlab platform.
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Lower Urinary tract symptoms in women with vaginal agenesis
International Urogynecology Journal, 2013Co-Authors: Lina Michala, Louise Strawbridge, Maligaye Bikoo, Alfred S. Cutner, Sarah M. CreightonAbstract:Introduction and hypothesis Congenital vaginal aplasia is a condition with devastating implications for fertility and sexuality. However, little is known on whether Urinary symptomatology is more common prior and following vaginal lengthening procedures in these women. Methods We performed a prospective observational study of 19 women with vaginal agenesis before and after vaginal dilation treatment or a laparoscopic Vecchietti procedure. All women completed the ICIQ FLUTS questionnaire before and after treatment in order to assess incidence and changes in Urinary symptomatology. Results Urinary symptoms were present in 53% of women prior to treatment. The majority of bladder symptoms were not significantly altered by treatment, except for incomplete bladder emptying. Women following the Vecchietti procedure had increased Urinary Hesitancy and a poorer steam compared with those completing dilation treatment. The longer the vaginal length, the greater the Urinary frequency. Conclusion Women with vaginal agenesis had significant levels of Urinary symptoms and to our knowledge this has not been reported before. The majority of symptoms were not altered by treatment.
Bradley A. Erickson - One of the best experts on this subject based on the ideXlab platform.
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The Association of Lower Urinary Tract Symptoms, Depression and Suicidal Ideation: Data from the 2005–2006 and 2007–2008 National Health and Nutrition Examination Survey
The Journal of urology, 2013Co-Authors: Benjamin N. Breyer, Stacey A. Kenfield, Sarah D. Blaschko, Bradley A. EricksonAbstract:Purpose: We examine the association among depression, suicidal ideation and self-reported lower Urinary tract symptoms using a large, cross-sectional, population based study.Materials and Methods: The study included 2,890 men from the 2005–2006 or 2007–2008 cycles of the NHANES (National Health and Nutrition Examination Survey) who were 40 years old or older. Men were asked if they experienced nocturia, Urinary Hesitancy and/or incomplete bladder emptying. The PHQ-9 (Patient Health Questionnaire-9) was used to determine the likelihood of clinical depression and suicidal ideation.Results: The prevalence of lower Urinary tract symptoms was 33.7% and 10.3% for men reporting 1 and 2 or more symptoms, respectively. Moderate to severe depression (PHQ-9 score 10 or greater) and suicidal ideation were reported by 181 (6.3%) and 105 (3.6%) men, respectively. Men reporting moderate to severe depression (compared to those reporting minimal depression) had a higher odds of reporting lower Urinary tract symptoms (adju...
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Association of Bowel Habits with Lower Urinary Tract Symptoms in Men: Findings from the 2005-2006 and 2007-2008 National Health and Nutrition Examination Survey
The Journal of urology, 2012Co-Authors: Kerri L. Thurmon, Benjamin N. Breyer, Bradley A. EricksonAbstract:Purpose: We examine the association between self-reported lower Urinary tract symptoms and bowel habits in men in a large, cross-sectional, population based cohort study.Materials and Methods: The study included 3,077 men participating in the 2005–2006 or 2007–2008 cycles of the NHANES (National Health and Nutrition Examination Survey) who were 40 years old or older and without a history of prostate cancer. Men were considered to have lower Urinary tract symptoms if they reported nocturia, Urinary Hesitancy and/or incomplete bladder emptying. Bowel habits were characterized by frequency of bowel movements per week and stool consistency based on the Bristol Stool Form Scale. Weighted associations between bowel habits and lower Urinary tract symptoms were determined using univariate and multivariate techniques, adjusting for age, race, body mass index, diabetes, alcohol intake, activity level and smoking.Results: The prevalence of lower Urinary tract symptoms was 37%, with 4% reporting all 3 symptoms. Repor...
