Incont Pelvic Floor Dysfunct 2009; 3(Suppl 1):9-14

Assessment of Overactive Bladder (OAB) — Symptom Scores

Yi-Ting Lin, M.D., Eric Chieh-Lung Chou, M.D.

Department of Urology, China Medical University Hospital, Taichung, Taiwan

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ÄÉäçïW
OAB symptom score (OABSS) developed by Y. Homma (2006)
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Appendix A OABSS (Homma et al)

TABLE I. Overactive bladder symptom score*

Question Frequency Score

How many times do you typically urinate from waking in the morning until sleeping ≤7 0
at night? 8-14 1
≥ 15 2
How many times do you typically wake up to urinate from sleeping at night until 0 0
waking in the morning? 1 1
2 2
≥3 3
How often do you have a sudden desire to urinate, which is difficult to defer? Not at all 0
Less than once a week 1
Once a week or more 2
About once a day 3
2-4 times a day 4
5 times a day or more 5
How often do you leak urine because you cannot defer the sudden desire to urinate? Not at all 0
Less than once a week 1
Once a week or more 2
About once a day 3
2-4 times a day 4
5 times a day or more 5

* Patients were instructed to circle the score that best applied to their urinary condition during the past week; the overall score was the sum of the four scores.

Homma Y, et al. Urology 2006; 68:318-323.

Received: April 23, 2009 Accepted: April 23, 2009

Address correspondence to: Dr. Eric Chieh-Lung Chou, Department of Urology, China
Medical University Hospital, 2, Yu-Der Road, Taichung, Taiwan
Email: ericchou66@yahoo.com.tw

V
Y. T. Lin, et al

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íÜÉ=tÉëíK
OAB Symptoms Score (OABSS) developed by JG Blaivas (2007)
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Appendix B OABSS (Blaivas et al)

OAB Questionnaire

NAME:_____________________________DATE:________________

1. How often do you usually urinate during the day ?

=no more often than once in 4 hours

=about every 3-4 hours

=about every 2-3 hours

=about every 1-2 hours

=at least once an hour
2. How many times do you usually urinate at night (from the time you go to bed until the time you wake up for the day)?

=0-1 times

=2 times

=3 times

=4 times

=5 or more times
3. What is the reason that you usually urinate?

=out of convenience (no urge or desire)

=because I have a mild urge or desire (but can delay urination for over an hour if I have to)

=because I have a moderate urge or desire (but can delay urination for more than 10 but less than 60 minutes if I have to)

=because I have a severe urge or desire (but can delay urination for less than 10 minutes if I have to)

=because I have desperate urge or desire (must stop what I am doing and go immediately)
4. Once you get the urge or desire to urinate, how long can you usually postpone it comfortably?

=more than 60 minutes

=about 30-60 minutes

=about 10-30 minutes

=a few minutes (less than 10 minutes)

=must go immediately
5. How often do you get a sudden urge or desire to urinate that makes you want to stop what you are doing and rush to the bathroom?

=never

=rarely

=a few times a month

=a few times a week

=at least once a day
6. How often do you get a sudden urge or desire to urinate that makes you want to stop what you are doing and rush to the bathroom but you do not get there in time
(ie you leak urine or wet pads)?

=never

=rarely

=a few times a month

=a few times a week

=at least once a day
7. In you opinion how good is your bladder control?

=perfect control

=very good

=good

=poor

=no control at all

Blaivas JG, et al. Urol 2007; 178:543-547.

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Y. T. Lin, et al

Appendix C OAB-q

This questionnaire asks about how much you have been bothered by selected bladder symptoms during the past 4 weeks. Please circle the number that best describes
the extent to which you were bothered by each symptom during the past 4 weeks. There are no right or wrong answers. Please be sure to answer every question.

During the past 4 weeks, how bothered were you by... Not at all A little bit Some what Quite a bit A great deal A very great deal

1. Frequent urination during the daytime hours 1 2 3 4 5 6

2. An uncomfortable urge to urinate 1 2 3 4 5 6
3. A sudden urge to urinate with little or no warning 1 2 3 4 5 6
4. Accidental loss of small amounts of urine 1 2 3 4 5 6
5. Nighttime urination 1 2 3 4 5 6
6. Waking up at night because you had to urinate 1 2 3 4 5 6
7. An uncontrollable urge to urinate 1 2 3 4 5 6
8.Urine loss associated with a strong desire to urinate 1 2 3 4 5 6

The above questions asked about your feelings about individual bladder symptoms. For the following questions, please think about your overall bladder symptoms in
the past 4 weeks and how these symptoms have affected your life. Please answer cach question about how often you have felt this way to the best of your ability. Please
circle the number that best answers each question.

During the past 4 weeks, how often have your None of A little of Some of A good bit Most of the All of the time
bladder symptoms... the time the time the time of the time time

9. Made you carefully plan your commute? 1 2 3 4 5 6

10. Caused you to feel drowsy or sleepy during the day? 1 2 3 4 5 6
11. Caused you to plan 'escape routes' to restrooms in 1 2 3 4 5 6
public places?
12. Caused you distress? 1 2 3 4 5 6
13. Frustrated you? 1 2 3 4 5 6
14. Made you feel like there is something wrong with 1 2 3 4 5 6
you?
15. Interfered with your ability to get a good night's rest? 1 2 3 4 5 6
16. Caused you to decrease your physical activities 1 2 3 4 5 6
(exercising, sports, etc.)?
17. Prevented you from feeling rested upon walking in 1 2 3 4 5 6
the morning?
18. Frustrated your family and friends? 1 2 3 4 5 6
19. Caused you anxiety or worry? 1 2 3 4 5 6
20. Caused you to stay home more often than you would 1 2 3 4 5 6
prefer?
21. Caused you to adjust your travel plans so that you are 1 2 3 4 5 6
always near a restroom?
22. Made you avoid activities away from restrooms 1 2 3 4 5 6
(i.e., walks, running, hiking)?
23. Made you frustrated or annoyed about the amount of 1 2 3 4 5 6
time you spend in the restroom?
24. Awakened you during sleep? 1 2 3 4 5 6
25. Made you worry about odor or hygiene? 1 2 3 4 5 6
26. Made you uncomfortable while traveling with others 1 2 3 4 5 6
because of needing to stop for a restroom?
27. Affected your relationships with family and friends? 1 2 3 4 5 6
28. Caused you to decrease participating in social 1 2 3 4 5 6
gatherings, such as parties or visits with family or
friends?
29. Caused you embarrassment? 1 2 3 4 5 6
30. Interfered with getting the amount of sleep you 1 2 3 4 5 6
needed?
31. Caused you to have problems with your partner or 1 2 3 4 5 6
spouse?
32. Caused you to plan activities more carefully? 1 2 3 4 5 6
33. Caused you to locate the closest restroom as soon as 1 2 3 4 5 6
you arrive at a place you have never been?

Coyne KS, et al. Qual Life Res 2002; 11:563-574.

NO
 OAB Symptom Scores

Appendix D The Patient Perception of Bladder Gondition (PPBC)

Which of the following statements describes your bladder condition best at the moment? Please mark “X” in one box only.

My bladder condition does not cause me any problems at all.

My bladder condition causes me some very minor porblems.

My bladder condition causes me some minor problems.

My bladder condition causes me (some) moderate problems.

My bladder condition causes me severe problems.

My bladder condition causes me many severe problems.

Coyne KS, et al. Eur Urol 2006; 49:1079-1086.

Appendix E OABSS in Chinese Version

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NP
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