ArticleThe Journal of urology2026
Patients With Urinary Urgency Have Central Sensitization Symptoms-A LURN II Phenotyping Study.
Article in The Journal of urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeWe examined central sensitization in patients with urinary urgency, with or without urgency urinary incontinence. MATERIALS AND
methodsAdult male and female patients who presented with urinary urgency, with or without urgency incontinence, and seeking treatment for their overactive bladder (OAB) were enrolled in the Symptoms of Lower Urinary Tract Dysfunction Research Network (LURN) II Study. A control group without urgency or incontinence was also enrolled. Symptoms associated with central sensitization were assessed using the validated self-reported questionnaire Central Sensitization Inventory (CSI). CSI ≥ 40 is associated with a higher likelihood of having central sensitization.
resultsSix hundred seventeen cases with urinary urgency and 125 controls without urinary symptoms were included. Cases had higher CSI part A scores compared with controls (median 28.0 vs 15.0). The percentage of participants likely to have central sensitization (CSI ≥40) was significantly higher in cases vs controls (21% vs 3.2%,
conclusionsPatients with OAB with urinary urgency had more central sensitization symptoms compared with controls. Our data suggested that central sensitization may play a role in at least a subset of patients with urinary urgency, with or without urgency urinary incontinence.
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