Evidence map›Paper›PMID 40159923›Full record

Observational studyNeurourology and urodynamics2025

Expanded Physiological Testing of the Lower Urinary Tract in Asymptomatic Women and Those With Urgency Urinary Incontinence: Findings From the LURN-Organ Study.

James A Hokanson, John O L DeLancey, Anna C Kirby, Brenda Gillespie, H Henry Lai, Karl J Kreder, C Emi Bretschneider, Nick Slavik, Calvin Andrews, Victor Andreev and 6 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Neurourology and urodynamics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04557748 (Symptoms of Lower Urinary Tract Dysfunction Research Network), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT04557748 completednot on this map

Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Urinary Urgency Phenotyping Protocol

TypeobservationalSponsorArbor Research Collaborative for HealthRan2021 to 2025Enrolled1,030ConditionsLower Urinary Tract SymptomsArmsObservational, Observational Controls, Central Sensitization, Physical Activity and Sleep Tracker, Physical Activity and Sleep Tracker Controls
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

James A HokansonJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID http://orcid.org/0000-0002-0560-4503
John O L DeLanceyDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0002-1012-7713
Anna C KirbyDepartment of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0003-4653-4246
Brenda GillespieArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0003-4488-0612
H Henry LaiDepartments of Surgery and Anesthesiology, School of Medicine, Division of Urologic Surgery, Washington University, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0003-2691-994X
Karl J KrederDepartment of Urology, University of Iowa, Iowa City, Iowa, USA.ORCID http://orcid.org/0000-0002-8981-5286
C Emi BretschneiderDepartment of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0002-5349-9234
Nick SlavikJoint Department of Biomedical Engineering, Marquette University and Medical College of Wisconsin, Milwaukee, Wisconsin, USA.ORCID http://orcid.org/0009-0006-8626-0816
Calvin AndrewsArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.
Victor AndreevArbor Research Collaborative for Health, Ann Arbor, Michigan, USA.ORCID http://orcid.org/0000-0003-3812-1230
Linda BlackDepartments of Surgery and Anesthesiology, School of Medicine, Division of Urologic Surgery, Washington University, St. Louis, Missouri, USA.
Sarah RichardsonDepartment of Obstetrics and Gynecology, University of Michigan, Ann Arbor, Michigan, USA.
Kimberly KentonDepartment of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA.ORCID http://orcid.org/0000-0003-2567-2068
Ziya KirkaliNational Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, Maryland, USA.ORCID http://orcid.org/0000-0002-2918-4347
Claire C YangDepartment of Urology, University of Washington, Seattle, Washington, USA.ORCID http://orcid.org/0000-0002-4750-6258
Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Study Group

Funding

Northwestern University Clinical and Translational Science Institute (NUCATS)UL1TR001422 · NCATS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI D'AQUILA, RICHARD · 2015 to 2023
$56.8M
Continuation of the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Data Coordinating CenterU24DK099879 · NIDDK · ARBOR RESEARCH COLLABORATIVE FOR HEALTH · PI GRAFF, JOHN JOSEPH · 2019 to 2025
$6.9M
Phenotype of urinary symptoms and relationships with genotype, sleep and obesityU01DK097779 · NIDDK · UNIVERSITY OF CHICAGO · PI GRIFFITH, JAMES WILLIAM, KENTON, KIMBERLY SUE · 2012 to 2025
$5.7M
Advancing the Measurement and Classification of Lower Urinary Tract DysfunctionU01DK097780 · NIDDK · DUKE UNIVERSITY · PI AMUNDSEN, CINDY, JELOVSEK, JOHN ERIC · 2012 to 2025
$5.3M
University of Iowa LURN Research SiteU01DK097772 · NIDDK · UNIVERSITY OF IOWA · PI BRADLEY, CATHERINE S, KREDER, KARL J · 2012 to 2025
$5.0M
Expansion of Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN)U01DK099879 · NIDDK · ARBOR RESEARCH COLLABORATIVE FOR HEALTH · PI MERION, ROBERT M · 2013 to 2018
$4.6M
University of Washington LURN Research SiteU01DK100011 · NIDDK · UNIVERSITY OF WASHINGTON · PI YANG, CLAIRE C · 2013 to 2025
$4.5M
University of Michigan LURN Research SiteU01DK099932 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI CLEMENS, J. QUENTIN · 2013 to 2023
$4.4M
Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) Second Phase StudyU01DK100017 · NIDDK · WASHINGTON UNIVERSITY · PI LAI, HING HUNG HENRY · 2013 to 2025
$3.9M
Predicting Urinary Continence Status with Sacral Neuromodulation and Botulinum Toxin TreatmentsK01DK121866 · NIDDK · MEDICAL COLLEGE OF WISCONSIN · PI HOKANSON, JAMES ARTHUR · 2020 to 2022
$392k
NCATS NIH HHS UL1 TR001422NIDDK NIH HHS K01 DK121866NIDDK NIH HHS U01 DK097772NIDDK NIH HHS U01 DK097779NIDDK NIH HHS U01 DK097780NIDDK NIH HHS U01 DK099879NIDDK NIH HHS U01 DK099932NIDDK NIH HHS U01 DK100011NIDDK NIH HHS U01 DK100017NIDDK NIH HHS U24 DK099879This study is supported by the National Institute of Diabetes & Digestive & Kidney Diseases through cooperative agreements (grants DK097780, DK097772, DK097779, DK099932, DK100011, DK100017, DK099879). Dr. Hokanson was also funded in part by a K01 (DK121866). Research reported in this publication was supported at Northwestern University, in part, by the National Institutes of Health's National Center for Advancing Translational Sciences, Grant Number UL1TR001422.
6 · The paper itself

Abstract

purposeTo investigate sensory and motor function of the bladder and urethra in women with and without urgency urinary incontinence (UUI). MATERIALS AND

methodsTreatment-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.

resultsData 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.

conclusionsWomen 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 registrationClinicalTrials.gov Identifier: NCT04557748.

Indexed as

UrethraUrinary BladderUrinary Bladder, OveractiveUrinary Incontinence, UrgeAdultAgedCase-Control StudiesFemaleHumansMiddle AgedMuscle ContractionPelvic FloorPressureSensationUrodynamicsbladderlower urinary tract physiologyurethraurgency urinary incontinenceurodynamics

Identifiers

PMID40159923
PMCPMC12414437

What OpenQuestion holds

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Registered trials

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.