Evidence map›Paper›PMID 27654469›Full record

ArticleNeurourology and urodynamics2017

Non-invasive characterization of real-time bladder sensation using accelerated hydration and a novel sensation meter: An initial experience.

Anna S Nagle, John E Speich, Stefan G De Wachter, Peter P Ghamarian, David M Le, Andrew F Colhoun, Paul H Ratz, Robert W Barbee, Adam P Klausner

Abstract read
In one paragraph

Article in Neurourology and urodynamics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  16. New Diagnostics for Male Lower Urinary Tract Symptoms.Current bladder dysfunction reports · 2019
    Article
  17. Observational
  18. Article
  19. Review
  20. NEW CONCEPTS IN BLADDER SENSATION AND URINARY URGENCY.Current bladder dysfunction reports · 2018
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Anna S NagleDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University School of Engineering, Richmond, Virginia.
John E SpeichDepartment of Mechanical & Nuclear Engineering, Virginia Commonwealth University School of Engineering, Richmond, Virginia.
Stefan G De WachterDepartment of Urology, University Hospital Antwerpen, Edegem, University of Antwerpen, Wilrijk, Belgium.
Peter P GhamarianDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
David M LeDepartment of Biomedical Engineering, Virginia Commonwealth University School of Engineering, Richmond, Virginia.
Andrew F ColhounDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Paul H RatzDepartment of Biochemistry & Molecular Biology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Robert W BarbeeDepartment of Emergency Medicine, Virginia Commonwealth University School of Medicine, Richmond, Virginia.
Adam P KlausnerDepartment of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, Virginia.

Funding

The Detrusor Tension Sensor: A Model for Novel Cystometrics in Overactive BladderR01DK101719 · NIDDK · VIRGINIA COMMONWEALTH UNIVERSITY · PI KLAUSNER, ADAM PHILIP, SPEICH, JOHN E · 2015 to 2023
$2.4M
NIDDK NIH HHS R01 DK101719
6 · The paper itself

Abstract

aimsThe purpose of this investigation was to develop a non-invasive, objective, and unprompted method to characterize real-time bladder sensation.

methodsVolunteers with and without overactive bladder (OAB) were prospectively enrolled in a preliminary accelerated hydration study. Participants drank 2L Gatorade-G2® and recorded real-time sensation (0-100% scale) and standardized verbal sensory thresholds using a novel, touch-screen "sensation meter." 3D bladder ultrasound images were recorded throughout fillings for a subset of participants. Sensation data were recorded for two consecutive complete fill-void cycles.

resultsData from 14 normal and 12 OAB participants were obtained (ICIq-OAB-5a = 0 vs. ≥3). Filling duration decreased in fill2 compared to fill1, but volume did not significantly change. In normals, adjacent verbal sensory thresholds (within fill) showed no overlap, and identical thresholds (between fill) were similar, demonstrating effective differentiation between degrees of %bladder capacity. In OAB, within-fill overlaps and between-fill differences were identified. Real-time %capacity-sensation curves left shifted from fill1 to fill2 in normals, consistent with expected viscoelastic behavior, but unexpectedly right shifted in OAB. 3D ultrasound volume data showed that fill rates started slowly and ramped up with variable end points.

conclusionsThis study establishes a non-invasive means to evaluate real-time bladder sensation using a two-fill accelerated hydration protocol and a sensation meter. Verbal thresholds were inconsistent in OAB, and the right shift in OAB %capacity-sensation curve suggests potential biomechanical and/or sensitization changes. This methodology could be used to gain valuable information on different forms of OAB in a completely non-invasive way.

Indexed as

AdultFemaleHumansMaleMiddle AgedSensationUltrasonographyUrinary BladderUrinationUrodynamicsYoung Adult3D ultrasoundnon-invasive urgency characterizationperception of bladder fullnessurinary urgencyvariable fill rateverbal sensory thresholds

Identifiers

PMID27654469
PMCPMC5360553

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.