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Task Interruption and Resumption Paradigm for Testing the Activation and Pursuit of an Abstract Thinking Goal
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Published on: April 18, 2017

Two types of urgency.

Jerry G Blaivas1, Georgia Panagopoulos, Jeffrey P Weiss

  • 1Weill Cornell Medical College, New York, New York 10021, USA.

Neurourology and Urodynamics
|March 24, 2009
PubMed
Summary
This summary is machine-generated.

Urinary urgency involves two distinct sensations: an intensified normal urge to void or a completely different, pathological feeling. Understanding this difference is key for effective treatment and understanding causes.

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Area of Science:

  • Urology
  • Symptom Perception Research

Background:

  • Urinary urgency is a common symptom impacting quality of life.
  • The International Continence Society defines urgency, but its nature as a sensation is debated.

Purpose of the Study:

  • To differentiate urinary urgency as either an intensified normal sensation or a distinct pathological symptom.
  • To explore the subjective experience of urinary urgency in patients.

Main Methods:

  • 48 patients with urinary urgency completed validated questionnaires.
  • Test-retest and crossover designs were employed to assess response consistency.
  • Kappa coefficient was used to measure agreement in dichotomous responses.

Main Results:

  • Excellent test-retest and crossover agreement (kappa = 1.0 and 0.95) confirmed response reliability.
  • Approximately 69% of patients perceived urgency as an intensification of the normal urge.
  • Around 29% experienced urgency as a distinctly different sensation.

Conclusions:

  • Urinary urgency is not a monolithic sensation, comprising at least two distinct types.
  • Identifying the type of urgency sensation may inform differential diagnosis and treatment strategies.
  • Further research is warranted to explore the etiological and therapeutic implications of these distinct urgency sensations.