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Bladder sensitivity testing using a visual analogue scale: comparative cystometric study on women.

Philippe Dompeyre1, Xavier Fritel, Georges Bader

  • 1Department of Gynaecology, Obstetrics and Reproductive Medicine, CHI Poissy-St-Germain, St-Germain en Laye, France.

Neurourology and Urodynamics
|January 25, 2007
PubMed
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The visual analogue scale (VAS) offers a more accurate assessment of bladder sensitivity during cystometry than the standard International Continence Society (ICS) method. VAS demonstrates bladder filling sensation as a continuous desire to void.

Area of Science:

  • Urology
  • Medical Devices
  • Clinical Assessment

Background:

  • Assessing bladder sensitivity during cystometry is crucial for diagnosing lower urinary tract conditions.
  • The standard International Continence Society (ICS) method for cystometry may not fully capture the nuances of bladder sensation.
  • A more precise method for evaluating bladder sensitivity is needed to improve diagnostic accuracy.

Purpose of the Study:

  • To enhance the assessment of bladder sensitivity during cystometry.
  • To compare the efficacy of a 10 cm visual analogue scale (VAS) with the standard ICS method.
  • To analyze bladder sensation patterns and their correlation with bladder volume.

Main Methods:

  • Twenty-five patients with normal bladder function underwent cystometry using both VAS and standard ICS methods.

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  • The order of the cystometry methods was randomized for each patient.
  • Graphical analysis and principal component analysis were used to compare bladder sensation parameters between the two methods.

    • Main Results:

    • The visual analogue scale (VAS) revealed a continuous progression of the desire to void during bladder filling.
    • A distinct latency phase followed by a linear increase in the desire to void was observed in 72% of patients using VAS.
    • VAS measurements for first sensation of bladder filling and maximum cystometric capacity showed strong correlation with the standard method (r=0.9).

    Conclusions:

    • The visual analogue scale (VAS) provides a more refined understanding of bladder sensitivity compared to the standard ICS method.
    • VAS indicates that distinct sensations perceived with the standard method are part of a single, continuously increasing desire to void.
    • The slope of the linear regression line for desire to void using VAS is an independent parameter for bladder sensitivity assessment.