Expanded Physiological Testing of the Lower Urinary Tract in Asymptomatic Women and Those With Urgency Urinary Incontinence: Findings From the LURN‐Organ Study Article Swipe
Jim Hokanson
,
John O. L. DeLancey
,
Anna C. Kirby
,
Brenda W. Gillespie
,
H. Henry Lai
,
Karl J. Kreder
,
C. Emi Bretschneider
,
Nick Slavik
,
Calvin Andrews
,
Victor P. Andreev
,
Linda Black
,
Sarah J. Richardson
,
Kimberly Kenton
,
Ziya Kırkalı
,
Claire C. Yang
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/nau.70038
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1002/nau.70038
Purpose To investigate sensory and motor function of the bladder and urethra in women with and without urgency urinary incontinence (UUI). Materials and Methods Treatment‐seeking women with UUI and healthy, asymptomatic, nontreatment seeking controls enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network Organ‐Based study (LURN‐Organ) and underwent a single session of physiological testing. Testing included rapid‐fill cystometry before and after lidocaine administration, urethral pressure profiles, pelvic floor contraction (Kegel) testing, and tuning fork sensation testing at the urethral meatus. Results Data were collected from 31 asymptomatic controls and 56 women with UUI. Women with UUI were more likely to demonstrate detrusor overactivity (DO) (32% vs. 10% in controls, p = 0.019). In addition, women with UUI on average generated 25% lower active urethral closure pressures during maximal contraction ( p = 0.0016) and reported sensations at lower volumes during cystometry (34% lower for first desire to void, p = 0.028; 34% lower for strong desire to void, p = 0.0017; and 32% lower for maximum cystometric capacity, p = 0.0047). Women with UUI demonstrated diminished urethral sensation on the tuning fork test (median of 7 vs. 8 in controls) though the difference was not significant ( p = 0.054). Considerable overlap in all findings occurred between cases and controls in each parameter. While individual component comparisons revealed some differences, additional multivariable analysis demonstrated prominently the physiological heterogeneity of women with UUI. Conclusions Women with UUI demonstrated varying amounts of bladder sensory dysfunction, urethral motor dysfunction and bladder motor dysfunction. Considering the function of lower urinary tract components in combination may reveal UUI phenotypes, highlighting the need to study UUI from a multifactorial perspective. Clinical Trial Registration ClinicalTrials.gov Identifier: NCT04557748.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/nau.70038
- https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70038
- OA Status
- bronze
- References
- 23
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4409035689
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4409035689Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/nau.70038Digital Object Identifier
- Title
-
Expanded Physiological Testing of the Lower Urinary Tract in Asymptomatic Women and Those With Urgency Urinary Incontinence: Findings From the LURN‐Organ StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-03-31Full publication date if available
- Authors
-
Jim Hokanson, John O. L. DeLancey, Anna C. Kirby, Brenda W. Gillespie, H. Henry Lai, Karl J. Kreder, C. Emi Bretschneider, Nick Slavik, Calvin Andrews, Victor P. Andreev, Linda Black, Sarah J. Richardson, Kimberly Kenton, Ziya Kırkalı, Claire C. YangList of authors in order
- Landing page
-
https://doi.org/10.1002/nau.70038Publisher landing page
- PDF URL
-
https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70038Direct link to full text PDF
- Open access
-
YesWhether a free full text is available
- OA status
-
bronzeOpen access status per OpenAlex
- OA URL
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https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70038Direct OA link when available
- Concepts
-
Medicine, Cystometry, Asymptomatic, Urology, Urinary incontinence, Urinary system, Pelvic floor, Sensation, Urodynamic testing, Internal medicine, Urinary bladder, Surgery, Biology, NeuroscienceTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- References (count)
-
23Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| primary_location.pdf_url | https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/nau.70038 |
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| primary_location.raw_source_name | Neurourology and Urodynamics |
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| publication_date | 2025-03-31 |
| publication_year | 2025 |
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