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Bladder Filling and Storage: “(Coarse) Sensation”

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Rapid and Practical Interpretation of Urodynamics

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Abstract

Adequate bladder sensation is important for normal bladder function. Normal bladder function is evaluated at three points during fill cystometry: (1) First sensation of filling, (2) First desire to void, (3) Strong desire to void. Studies in normal subjects show that volumes at which each sensation occurs at a fairly constant percentage of total bladder volume. First sensation of bladder filling occurs at an average of 40 % of maximal cystometric capacity while strong desire to void occurs at an average 70 % of maximal cystometric capacity. However, due to the variability in the way clinicians elicit information regarding bladder sensation and how patients interpret these questions, results can be difficult to reproduce across laboratories and among patients. Classic examples of sensory disorders include increased sensation with bladder pain syndrome and decreased sensation with neurogenic bladder disorders associated with peripheral neuropathies. Idiopathic overactive bladder represents a complex heterogeneous population in terms of disorders of bladder sensation.

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Authors and Affiliations

  1. Department of Urology, Stanford University School of Medicine, Stanford University, 300 Pasteur Drive, Stanford, CA, 94305-5118, USA

    Ying H. Jura MD & Christopher K. Payne

Authors
  1. Ying H. Jura MD
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  2. Christopher K. Payne
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Correspondence to Ying H. Jura MD .

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Editors and Affiliations

  1. Department of Urology, Medical University of South Carolina, Charleston, South Carolina, USA

    Eric S. Rovner

  2. Department of Urology, Kaiser Permanente Southern California, San Marcos, California, USA

    Michelle E. Koski

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Jura, Y.H., Payne, C.K. (2015). Bladder Filling and Storage: “(Coarse) Sensation”. In: Rovner, E., Koski, M. (eds) Rapid and Practical Interpretation of Urodynamics. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1764-8_13

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  • DOI: https://doi.org/10.1007/978-1-4939-1764-8_13

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  • Online ISBN: 978-1-4939-1764-8

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