Kathryn L Burgio1, Aimee S James2, D Yvette LaCoursiere3, Elizabeth R Mueller4, Diane K Newman5, Lisa Kane Low6, Kevin P Weinfurt7, Jean F Wyman8, Shayna D Cunningham9, Keith Vargo10, John Connett10, Beverly Rosa Williams11. 1. University of Alabama at Birmingham School of Medicine, Birmingham, AL; Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL. Electronic address: kburgio@uabmc.edu. 2. Washington University School of Medicine, St. Louis, MO. 3. University of California at San Diego, LaJolla CA. 4. Loyola University Medical Center-Chicago, Maywood, IL. 5. University of Pennsylvania, Perelman School of Medicine, Philadelphia, PA. 6. University of Michigan School of Nursing, Ann Arbor, MI. 7. Duke University School of Medicine, Durham, NC. 8. University of Minnesota, School of Nursing, Minneapolis, MN. 9. Yale University School of Public Health, New Haven, CT. 10. University of Minnesota School of Public Health, Minneapolis, MN. 11. University of Alabama at Birmingham School of Medicine, Birmingham, AL; Department of Veterans Affairs, Birmingham/Atlanta Geriatric Research, Education, and Clinical Center, Birmingham, AL.
Abstract
OBJECTIVE: To explore the perspectives of normal bladder function among women with lower urinary tract symptoms. METHODS: This was a secondary analysis of qualitative data from structured interviews with 50 adult women with lower urinary tract symptoms. A directed content analysis of the transcripts explored women's perspectives on normal bladder function. RESULTS: Participants' descriptions of "normal" took many forms and were based on several aspects of bladder function. A prominent feature of normal was that voiding occurred as a seamless process, beginning with an urge sensation, followed by voiding with ease and to completion, and then "being done." Descriptions of normal were based largely on concepts of voiding regularity, including voiding frequency, intervals, and patterns during the day and night. Another aspect of normal bladder function was the notion of having control in terms of not leaking urine, as well as the ability to hold urine and defer urination. Views of normal bladder function extended to the absence of symptoms and the impact of being symptom-free on day-to-day life, including not having to think about or worry about the bladder or limit daily activities. CONCLUSION: Women's perspectives on normal bladder function are multifaceted, reflecting attributes most salient to each individual and likely informed by their personal experience with symptoms and their influence on daily life. This work has implications for how clinicians might engage women in discussing bladder symptoms and can inform future research and public health messaging about normal bladder function.
OBJECTIVE: To explore the perspectives of normal bladder function among women with lower urinary tract symptoms. METHODS: This was a secondary analysis of qualitative data from structured interviews with 50 adult women with lower urinary tract symptoms. A directed content analysis of the transcripts explored women's perspectives on normal bladder function. RESULTS: Participants' descriptions of "normal" took many forms and were based on several aspects of bladder function. A prominent feature of normal was that voiding occurred as a seamless process, beginning with an urge sensation, followed by voiding with ease and to completion, and then "being done." Descriptions of normal were based largely on concepts of voiding regularity, including voiding frequency, intervals, and patterns during the day and night. Another aspect of normal bladder function was the notion of having control in terms of not leaking urine, as well as the ability to hold urine and defer urination. Views of normal bladder function extended to the absence of symptoms and the impact of being symptom-free on day-to-day life, including not having to think about or worry about the bladder or limit daily activities. CONCLUSION: Women's perspectives on normal bladder function are multifaceted, reflecting attributes most salient to each individual and likely informed by their personal experience with symptoms and their influence on daily life. This work has implications for how clinicians might engage women in discussing bladder symptoms and can inform future research and public health messaging about normal bladder function.
Authors: Cindy L Amundsen; Matthew Parsons; Bill Tissot; Linda Cardozo; Ananias Diokno; Alfred C Coats Journal: Neurourol Urodyn Date: 2007 Impact factor: 2.696
Authors: James W Griffith; Emily E Messersmith; Brenda W Gillespie; Jonathan B Wiseman; Kathryn E Flynn; Ziya Kirkali; John W Kusek; Tamara Bavendam; David Cella; Karl J Kreder; Jasmine J Nero; Maria E Corona; Catherine S Bradley; Kimberly S Kenton; Brian T Helfand; Robert M Merion; Kevin P Weinfurt Journal: J Urol Date: 2017-07-20 Impact factor: 7.450
Authors: Jean F Wyman; Jincheng Zhou; D Yvette LaCoursiere; Alayne D Markland; Elizabeth R Mueller; Laura Simon; Ann Stapleton; Carolyn R T Stoll; Haitao Chu; Siobhan Sutcliffe Journal: Neurourol Urodyn Date: 2020-01-09 Impact factor: 2.696
Authors: Bernard L Harlow; Tamara G Bavendam; Mary H Palmer; Linda Brubaker; Kathryn L Burgio; Emily S Lukacz; Janis M Miller; Elizabeth R Mueller; Diane K Newman; Leslie M Rickey; Siobhan Sutcliffe; Denise Simons-Morton Journal: J Womens Health (Larchmt) Date: 2017-09-15 Impact factor: 2.681
Authors: Beverly Rosa Williams; Keith Vargo; Diane K Newman; D Yvette Lacoursiere; Elizabeth R Mueller; John Connett; Lisa Kane Low; Aimee S James; Ariana L Smith; Kathryn H Schmitz; Kathryn L Burgio Journal: Urol Nurs Date: 2020 Nov-Dec