Terminology for bladder health research in women and girls: Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions

Jerry L. Lowder, Tamara G. Bavendam, Amanda Berry, Sonya S Brady, Colleen M. Fitzgerald, Cynthia S Fok, Patricia S. Goode, Cora E. Lewis, Elizabeth R. Mueller, Diane K. Newman, Mary H. Palmer, Leslie Rickey, Ann Stapleton, Emily S. Lukacz

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aim: To report research terminology and definitions for describing healthy bladder function among women and girls. Methods: The Prevention of Lower Urinary tract Symptoms (PLUS) Consortium developed research terminology and definitions for elements of healthy bladder function based on existing understanding of storage and emptying functions of the bladder and accepted definitions of lower urinary tract symptoms (LUTS). The novel concept of a bladder “bioregulatory” function was also proposed. Elements of bladder function corresponding to bladder health (BH) and LUTS were developed and refined using an iterative process. A comprehensive reference table structured by bladder function (Storage, Emptying, and Bioregulatory) and elements of each function was created to document proposed research terminology and definitions. Results: The BH research definitions for each bladder function are: (1) Storage: the ability to hold urine for a reasonable duration of time and sense bladder fullness without fear of or concern about urgency, discomfort or leakage; (2) Emptying: the ability to empty the bladder completely in a timely, efficient, effortless, comfortable manner; and (3) Bioregulatory: the bladder barrier protects the individual/host from pathogens, chemicals, and malignancy. Research definitions for seven Storage, seven Emptying, and three Bioregulatory elements of function are presented. Novel LUTS research definitions were developed when gaps in existing definitions were identified or nonclinical language was desired. Conclusions: PLUS BH definitions reflect a transdisciplinary approach to standardizing research definitions for elements of bladder function from a perspective of health rather than dysfunction and provide a framework for studying BH in clinical practice, public health promotion, and LUTS prevention.

Original languageEnglish (US)
Pages (from-to)1339-1352
Number of pages14
JournalNeurourology and Urodynamics
Volume38
Issue number5
DOIs
StatePublished - Jun 2019

Fingerprint

Lower Urinary Tract Symptoms
Terminology
Urinary Bladder
Health
Research
Aptitude
Health Promotion

Keywords

  • bladder health
  • girls
  • terminology
  • transdisciplinary
  • women

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

Cite this

Terminology for bladder health research in women and girls : Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions. / Lowder, Jerry L.; Bavendam, Tamara G.; Berry, Amanda; Brady, Sonya S; Fitzgerald, Colleen M.; Fok, Cynthia S; Goode, Patricia S.; Lewis, Cora E.; Mueller, Elizabeth R.; Newman, Diane K.; Palmer, Mary H.; Rickey, Leslie; Stapleton, Ann; Lukacz, Emily S.

In: Neurourology and Urodynamics, Vol. 38, No. 5, 06.2019, p. 1339-1352.

Research output: Contribution to journalArticle

Lowder, JL, Bavendam, TG, Berry, A, Brady, SS, Fitzgerald, CM, Fok, CS, Goode, PS, Lewis, CE, Mueller, ER, Newman, DK, Palmer, MH, Rickey, L, Stapleton, A & Lukacz, ES 2019, 'Terminology for bladder health research in women and girls: Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions', Neurourology and Urodynamics, vol. 38, no. 5, pp. 1339-1352. https://doi.org/10.1002/nau.23985
Lowder, Jerry L. ; Bavendam, Tamara G. ; Berry, Amanda ; Brady, Sonya S ; Fitzgerald, Colleen M. ; Fok, Cynthia S ; Goode, Patricia S. ; Lewis, Cora E. ; Mueller, Elizabeth R. ; Newman, Diane K. ; Palmer, Mary H. ; Rickey, Leslie ; Stapleton, Ann ; Lukacz, Emily S. / Terminology for bladder health research in women and girls : Prevention of Lower Urinary Tract Symptoms transdisciplinary consortium definitions. In: Neurourology and Urodynamics. 2019 ; Vol. 38, No. 5. pp. 1339-1352.
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abstract = "Aim: To report research terminology and definitions for describing healthy bladder function among women and girls. Methods: The Prevention of Lower Urinary tract Symptoms (PLUS) Consortium developed research terminology and definitions for elements of healthy bladder function based on existing understanding of storage and emptying functions of the bladder and accepted definitions of lower urinary tract symptoms (LUTS). The novel concept of a bladder “bioregulatory” function was also proposed. Elements of bladder function corresponding to bladder health (BH) and LUTS were developed and refined using an iterative process. A comprehensive reference table structured by bladder function (Storage, Emptying, and Bioregulatory) and elements of each function was created to document proposed research terminology and definitions. Results: The BH research definitions for each bladder function are: (1) Storage: the ability to hold urine for a reasonable duration of time and sense bladder fullness without fear of or concern about urgency, discomfort or leakage; (2) Emptying: the ability to empty the bladder completely in a timely, efficient, effortless, comfortable manner; and (3) Bioregulatory: the bladder barrier protects the individual/host from pathogens, chemicals, and malignancy. Research definitions for seven Storage, seven Emptying, and three Bioregulatory elements of function are presented. Novel LUTS research definitions were developed when gaps in existing definitions were identified or nonclinical language was desired. Conclusions: PLUS BH definitions reflect a transdisciplinary approach to standardizing research definitions for elements of bladder function from a perspective of health rather than dysfunction and provide a framework for studying BH in clinical practice, public health promotion, and LUTS prevention.",
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