Pathogenesis of reduced or increased bladder sensation
Objective Pathogenesis of reduced or increased bladder sensation is not well known. Hence, we systematically investigated the frequency of reduced or increased bladder sensation in neurologic/mental diseases. Methods We analyzed 911 patients who were referred from within our hospital. Data registrie...
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| Veröffentlicht in: | Neurourology and urodynamics 2011-03, Vol.30 (3), p.339-343 |
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| creator | Tsunoyama, Kuniko Sakakibara, Ryuji Yamaguchi, Chiharu Uchiyama, Tomoyuki Yamamoto, Tatsuya Yamanishi, Tomonori Takahashi, Osamu Sugiyama, Megumi Kishi, Masahiko Ogawa, Emina |
| description | Objective
Pathogenesis of reduced or increased bladder sensation is not well known. Hence, we systematically investigated the frequency of reduced or increased bladder sensation in neurologic/mental diseases.
Methods
We analyzed 911 patients who were referred from within our hospital. Data registries included a diagnosis, a lower urinary tract symptom questionnaire, a urodynamic study, and neurological examinations. Reduced bladder sensation is defined as bladder volume at the first sensation >300 ml. Increased bladder sensation is defined as bladder volume at the first sensation |
| doi_str_mv | 10.1002/nau.20953 |
| format | Article |
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Pathogenesis of reduced or increased bladder sensation is not well known. Hence, we systematically investigated the frequency of reduced or increased bladder sensation in neurologic/mental diseases.
Methods
We analyzed 911 patients who were referred from within our hospital. Data registries included a diagnosis, a lower urinary tract symptom questionnaire, a urodynamic study, and neurological examinations. Reduced bladder sensation is defined as bladder volume at the first sensation >300 ml. Increased bladder sensation is defined as bladder volume at the first sensation <100 ml. These patients were stratified into those with and without DO.
Results
Neuropathies are the most common cause of reduced bladder sensation (33.3–43.8% in diabetic neuropathy, etc.). Myelopathies are the second most common cause (17.4–25.0% in multiple sclerosis, etc.). Less common is brain diseases (9.6% in multiple system atrophy, etc.). In contrast, myelopathies are the most common cause of increased bladder sensation without DO (25.0–40.0% in spinal forms of systemic lupus erythematosus, Sjogren's syndrome, etc.). Neuropathies are the second most common (17.3–22.2% in post‐pelvic organ surgery, diabetic neuropathy, etc.). Less common is brain/mental diseases (20.0% in psychogenic bladder dysfunction, 8.1% in Parkinson's disease, etc.).
Conclusion
The present study revealed that neuropathies are the most common cause of reduced bladder sensation in neurologic/mental diseases. Increased bladder sensation without DO occurs mainly in peripheral and central sensory pathway lesions, as well as in basal ganglia lesions and psychogenic bladder dysfunction. Reduced and increased bladder sensation should be a major treatment target for maximizing patients' quality of life. Neurourol. Urodynam. 30:339–343, 2011. © 2011 Wiley‐Liss, Inc.</description><identifier>ISSN: 0733-2467</identifier><identifier>EISSN: 1520-6777</identifier><identifier>DOI: 10.1002/nau.20953</identifier><identifier>PMID: 21305587</identifier><language>eng</language><publisher>Hoboken: Wiley Subscription Services, Inc., A Wiley Company</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Child ; decreased bladder sensation ; Female ; Humans ; Hypesthesia - diagnosis ; Hypesthesia - etiology ; Hypesthesia - physiopathology ; Hypesthesia - therapy ; increased bladder sensation ; Japan ; Male ; Middle Aged ; neurologic disease ; Neurologic Examination ; psychogenic bladder dysfunction ; Registries ; Retrospective Studies ; Risk Factors ; Sensation ; sensory pathways ; Sensory Thresholds ; Surveys and Questionnaires ; Urinary Bladder - innervation ; Urinary Bladder Diseases - diagnosis ; Urinary Bladder Diseases - etiology ; Urinary Bladder Diseases - physiopathology ; Urinary Bladder Diseases - therapy ; Urodynamics ; Young Adult</subject><ispartof>Neurourology and urodynamics, 2011-03, Vol.30 (3), p.339-343</ispartof><rights>Copyright © 2011 Wiley‐Liss, Inc.</rights><rights>Copyright © 2011 Wiley-Liss, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4283-36a9576e411acd7477f170a3c26cf3692344d3a8907de064eda6a7c3c8e3243c3</citedby><cites>FETCH-LOGICAL-c4283-36a9576e411acd7477f170a3c26cf3692344d3a8907de064eda6a7c3c8e3243c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fnau.20953$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fnau.20953$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21305587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tsunoyama, Kuniko</creatorcontrib><creatorcontrib>Sakakibara, Ryuji</creatorcontrib><creatorcontrib>Yamaguchi, Chiharu</creatorcontrib><creatorcontrib>Uchiyama, Tomoyuki</creatorcontrib><creatorcontrib>Yamamoto, Tatsuya</creatorcontrib><creatorcontrib>Yamanishi, Tomonori</creatorcontrib><creatorcontrib>Takahashi, Osamu</creatorcontrib><creatorcontrib>Sugiyama, Megumi</creatorcontrib><creatorcontrib>Kishi, Masahiko</creatorcontrib><creatorcontrib>Ogawa, Emina</creatorcontrib><title>Pathogenesis of reduced or increased bladder sensation</title><title>Neurourology and urodynamics</title><addtitle>Neurourol. Urodyn</addtitle><description>Objective
Pathogenesis of reduced or increased bladder sensation is not well known. Hence, we systematically investigated the frequency of reduced or increased bladder sensation in neurologic/mental diseases.
Methods
We analyzed 911 patients who were referred from within our hospital. Data registries included a diagnosis, a lower urinary tract symptom questionnaire, a urodynamic study, and neurological examinations. Reduced bladder sensation is defined as bladder volume at the first sensation >300 ml. Increased bladder sensation is defined as bladder volume at the first sensation <100 ml. These patients were stratified into those with and without DO.
Results
Neuropathies are the most common cause of reduced bladder sensation (33.3–43.8% in diabetic neuropathy, etc.). Myelopathies are the second most common cause (17.4–25.0% in multiple sclerosis, etc.). Less common is brain diseases (9.6% in multiple system atrophy, etc.). In contrast, myelopathies are the most common cause of increased bladder sensation without DO (25.0–40.0% in spinal forms of systemic lupus erythematosus, Sjogren's syndrome, etc.). Neuropathies are the second most common (17.3–22.2% in post‐pelvic organ surgery, diabetic neuropathy, etc.). Less common is brain/mental diseases (20.0% in psychogenic bladder dysfunction, 8.1% in Parkinson's disease, etc.).
Conclusion
The present study revealed that neuropathies are the most common cause of reduced bladder sensation in neurologic/mental diseases. Increased bladder sensation without DO occurs mainly in peripheral and central sensory pathway lesions, as well as in basal ganglia lesions and psychogenic bladder dysfunction. Reduced and increased bladder sensation should be a major treatment target for maximizing patients' quality of life. Neurourol. Urodynam. 30:339–343, 2011. © 2011 Wiley‐Liss, Inc.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Child</subject><subject>decreased bladder sensation</subject><subject>Female</subject><subject>Humans</subject><subject>Hypesthesia - diagnosis</subject><subject>Hypesthesia - etiology</subject><subject>Hypesthesia - physiopathology</subject><subject>Hypesthesia - therapy</subject><subject>increased bladder sensation</subject><subject>Japan</subject><subject>Male</subject><subject>Middle Aged</subject><subject>neurologic disease</subject><subject>Neurologic Examination</subject><subject>psychogenic bladder dysfunction</subject><subject>Registries</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Sensation</subject><subject>sensory pathways</subject><subject>Sensory Thresholds</subject><subject>Surveys and Questionnaires</subject><subject>Urinary Bladder - innervation</subject><subject>Urinary Bladder Diseases - diagnosis</subject><subject>Urinary Bladder Diseases - etiology</subject><subject>Urinary Bladder Diseases - physiopathology</subject><subject>Urinary Bladder Diseases - therapy</subject><subject>Urodynamics</subject><subject>Young Adult</subject><issn>0733-2467</issn><issn>1520-6777</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kL1OwzAURi0EoqUw8AIoG2JIsX0dOxnb8iuhghCI0XLtGwikSbETAW9PILQb09WVzneGQ8gho2NGKT-tTDvmNEtgiwxZwmkslVLbZEgVQMyFVAOyF8IrpTQFke2SAWdAkyRVQyLvTPNSP2OFoQhRnUceXWvRRbWPisp6NKF7FqVxDn0UsAqmKepqn-zkpgx48HdH5PHi_GF2Fd_cXl7PJjexFTyFGKTJEiVRMGasU0KpnClqwHJpc5AZByEcmDSjyiGVAp2RRlmwKQIXYGFEjnvvytfvLYZGL4tgsSxNhXUbdJqolDGeiI486Unr6xA85nrli6XxX5pR_VNJd5X0b6WOPfqztoslug25ztIBpz3wUZT49b9JzyePa2XcL4rQ4OdmYfyblgpUop_ml_ohPZvN7ulUT-EbFbd-2Q</recordid><startdate>201103</startdate><enddate>201103</enddate><creator>Tsunoyama, Kuniko</creator><creator>Sakakibara, Ryuji</creator><creator>Yamaguchi, Chiharu</creator><creator>Uchiyama, Tomoyuki</creator><creator>Yamamoto, Tatsuya</creator><creator>Yamanishi, Tomonori</creator><creator>Takahashi, Osamu</creator><creator>Sugiyama, Megumi</creator><creator>Kishi, Masahiko</creator><creator>Ogawa, Emina</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201103</creationdate><title>Pathogenesis of reduced or increased bladder sensation</title><author>Tsunoyama, Kuniko ; Sakakibara, Ryuji ; Yamaguchi, Chiharu ; Uchiyama, Tomoyuki ; Yamamoto, Tatsuya ; Yamanishi, Tomonori ; Takahashi, Osamu ; Sugiyama, Megumi ; Kishi, Masahiko ; Ogawa, Emina</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4283-36a9576e411acd7477f170a3c26cf3692344d3a8907de064eda6a7c3c8e3243c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Child</topic><topic>decreased bladder sensation</topic><topic>Female</topic><topic>Humans</topic><topic>Hypesthesia - diagnosis</topic><topic>Hypesthesia - etiology</topic><topic>Hypesthesia - physiopathology</topic><topic>Hypesthesia - therapy</topic><topic>increased bladder sensation</topic><topic>Japan</topic><topic>Male</topic><topic>Middle Aged</topic><topic>neurologic disease</topic><topic>Neurologic Examination</topic><topic>psychogenic bladder dysfunction</topic><topic>Registries</topic><topic>Retrospective Studies</topic><topic>Risk Factors</topic><topic>Sensation</topic><topic>sensory pathways</topic><topic>Sensory Thresholds</topic><topic>Surveys and Questionnaires</topic><topic>Urinary Bladder - innervation</topic><topic>Urinary Bladder Diseases - diagnosis</topic><topic>Urinary Bladder Diseases - etiology</topic><topic>Urinary Bladder Diseases - physiopathology</topic><topic>Urinary Bladder Diseases - therapy</topic><topic>Urodynamics</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tsunoyama, Kuniko</creatorcontrib><creatorcontrib>Sakakibara, Ryuji</creatorcontrib><creatorcontrib>Yamaguchi, Chiharu</creatorcontrib><creatorcontrib>Uchiyama, Tomoyuki</creatorcontrib><creatorcontrib>Yamamoto, Tatsuya</creatorcontrib><creatorcontrib>Yamanishi, Tomonori</creatorcontrib><creatorcontrib>Takahashi, Osamu</creatorcontrib><creatorcontrib>Sugiyama, Megumi</creatorcontrib><creatorcontrib>Kishi, Masahiko</creatorcontrib><creatorcontrib>Ogawa, Emina</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurourology and urodynamics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tsunoyama, Kuniko</au><au>Sakakibara, Ryuji</au><au>Yamaguchi, Chiharu</au><au>Uchiyama, Tomoyuki</au><au>Yamamoto, Tatsuya</au><au>Yamanishi, Tomonori</au><au>Takahashi, Osamu</au><au>Sugiyama, Megumi</au><au>Kishi, Masahiko</au><au>Ogawa, Emina</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pathogenesis of reduced or increased bladder sensation</atitle><jtitle>Neurourology and urodynamics</jtitle><addtitle>Neurourol. Urodyn</addtitle><date>2011-03</date><risdate>2011</risdate><volume>30</volume><issue>3</issue><spage>339</spage><epage>343</epage><pages>339-343</pages><issn>0733-2467</issn><eissn>1520-6777</eissn><abstract>Objective
Pathogenesis of reduced or increased bladder sensation is not well known. Hence, we systematically investigated the frequency of reduced or increased bladder sensation in neurologic/mental diseases.
Methods
We analyzed 911 patients who were referred from within our hospital. Data registries included a diagnosis, a lower urinary tract symptom questionnaire, a urodynamic study, and neurological examinations. Reduced bladder sensation is defined as bladder volume at the first sensation >300 ml. Increased bladder sensation is defined as bladder volume at the first sensation <100 ml. These patients were stratified into those with and without DO.
Results
Neuropathies are the most common cause of reduced bladder sensation (33.3–43.8% in diabetic neuropathy, etc.). Myelopathies are the second most common cause (17.4–25.0% in multiple sclerosis, etc.). Less common is brain diseases (9.6% in multiple system atrophy, etc.). In contrast, myelopathies are the most common cause of increased bladder sensation without DO (25.0–40.0% in spinal forms of systemic lupus erythematosus, Sjogren's syndrome, etc.). Neuropathies are the second most common (17.3–22.2% in post‐pelvic organ surgery, diabetic neuropathy, etc.). Less common is brain/mental diseases (20.0% in psychogenic bladder dysfunction, 8.1% in Parkinson's disease, etc.).
Conclusion
The present study revealed that neuropathies are the most common cause of reduced bladder sensation in neurologic/mental diseases. Increased bladder sensation without DO occurs mainly in peripheral and central sensory pathway lesions, as well as in basal ganglia lesions and psychogenic bladder dysfunction. Reduced and increased bladder sensation should be a major treatment target for maximizing patients' quality of life. Neurourol. Urodynam. 30:339–343, 2011. © 2011 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>21305587</pmid><doi>10.1002/nau.20953</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Child decreased bladder sensation Female Humans Hypesthesia - diagnosis Hypesthesia - etiology Hypesthesia - physiopathology Hypesthesia - therapy increased bladder sensation Japan Male Middle Aged neurologic disease Neurologic Examination psychogenic bladder dysfunction Registries Retrospective Studies Risk Factors Sensation sensory pathways Sensory Thresholds Surveys and Questionnaires Urinary Bladder - innervation Urinary Bladder Diseases - diagnosis Urinary Bladder Diseases - etiology Urinary Bladder Diseases - physiopathology Urinary Bladder Diseases - therapy Urodynamics Young Adult |
| title | Pathogenesis of reduced or increased bladder sensation |
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