Naslov
Overactive bladder symptoms in patients undergoing rigid and flexible cystoscopy

Autori
Saratlija Novakovic, Zana ; Puljak, Livia ; Sapunar, Damir ; Remzi, Mesut ; Fajkovic, Harun ; Resch, Irene ; Abufaraj, Mohammad ; Riedl, Claus ; Engelhardt, Paul ; Hübner, Wilhelm ; Breinl, Eckart ; Duvnjak, Mario ; Seklehner, Stephan

Izvornik
World Journal of Urology (0724-4983) Online ahead of print (2019); 10.1007/s00345-019-02993-3, 10

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
Cystoscopy ; LUTS ; OAB ; Overactive bladder.

Sažetak
Purpose: To evaluate overactive bladder (OAB) symptoms in patients undergoing diagnostic cystoscopy. Overall changes in the entire study population were assessed, as well as broken down by various subgroups. Methods: A prospective multi-center study among consecutive 450 adults undergoing diagnostic cystoscopy was conducted. OAB-symptoms were evaluated with the validated eight-item OAB Screening Awareness Tool (OAB-V8) immediately before and on days 1, 4, and 7 after cystoscopy. Patients were distinguished between being OAB-negative and OAB-positive (< 8 and ≥ 8 sum-score, respectively). Average sum-scores and subdomains were evaluated. Results: Before cystoscopy, 44.7% of patients were screened OAB-positive and 55.3% OAB- negative. Out of those being screened negative, development of de-novo OAB was noticed in 16.8%, declining to 8.1% on day 7 (p < 0.001). In patients being OAB-positive before cystoscopy, a decline of OAB-positivity was noted during follow-up (p < 0.001). No statistically significant differences were noted when broken down by gender (p = 0.92), age (p = 0.82) and type cystoscope (rigid vs. flexible, p = 0.38). Average sum-scores declined from 8.68 before cystoscopy to 6.9 during follow-up. Flexible cystoscopy was superior over rigid in four subdomains: uncomfortable urge to urinate (p = 0.04), sudden urge to urinate with little or no warning (p = 0.02), uncontrollable urge to urinate (p = 0.03), and urine loss associated with a strong desire to void (p = 0.009). Conclusion: OAB-symptoms are common in patients undergoing cystoscopy. Cystoscopy itself can cause de-novo OAB-symptoms. Controversially, a decline of OAB-symptoms was noted after cystoscopy when patients were screened OAB- positive before cystoscopy. Flexible scopes were superior in some subdomains.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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