Dear Editor. We thank Monaghan et al. for their letter [ 1 ], which underlines the interest of our work and the new Time to be Ready to Void test (TRV) [2]. The interest of the neuro-urologist seeing the patient as a whole seemed important to us, without, until now, having a simple test to do so. Indeed, previous tests, questionnaires and global evaluation scores, specific or not (Expanded Disability Status Scale in multiple sclerosis, Barthel index in stroke, Functional Independence Measure in the global population), do not really take into account the whole urination process, from the initial warning (e.g., desire to void) to the full achievement of voiding, with all the necessary steps (standing up, walking, undressing, correct positioning on the toilet etc.). In this sense, we agree that the emphasis on warning time may seem restrictive, but it was the starting point for our reflection because overactive bladder is often the most frequent symptom [3], whether related to detrusor overactivity, detrusor underactivity or sensitive disorder [4]. A quality-of-life assessment, possibly specifically related to urinary disorders (SF-Qualiveen [5], Neurogenic Bladder Symptom Score [6]) is likely a relevant association with the TRV test.
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