Urodynamic Detrusor Overactivity in Patients with Overactive Bladder Symptoms
2
조회
0
다운로드
2
인용
0
참고문헌
키워드
초록
Purpose: To evaluate the relationship between urodynamic detrusor overactivity (DO) and overactive bladder (OAB) symptoms in men and women. Methods: We reviewed the records of adult males and females who attended a tertiary referral center for urodynamic evaluation of OAB syndrome symptoms with the presence or absence of DO. DO was calculated for symptoms alone or in combination. Results: The overall incidence of DO was 76.1% and 58.7% in male and female OAB patients, respectively. Of men 63% and 61% of women with urgency (OAB dry) had DO, while 93% of men and 69.8% of women with urgency and urgency urinary incontinence (OAB wet) had DO. Of women, 58% who were OAB wet had stress urinary incontinence symptoms with 26.4% having urodynamic stress incontinence. 6% of men and 6.5% of women with OAB symptoms had urodynamic diagnosis of voiding difficulties with postvoid residual greater than 100 mL. Combination of symptoms is more accurate in predicting DO in OAB patients. The multivariate disease model for males included urge urinary incontinence (UUI) and urgency while for females it included UUI and nocturia. Conclusions: There was a better correlation in results between OAB symptoms and the urodynamic diagnosis of DO in men than in women, more so in OAB wet than in OAB dry. Combination of symptoms of the OAB syndrome seems to have a better correlation with objective parameters from the bladder diary, filling cystometry, and with the occurrence of DO.
Abstract
Purpose: To evaluate the relationship between urodynamic detrusor overactivity (DO) and overactive bladder (OAB) symptoms in men and women. Methods: We reviewed the records of adult males and females who attended a tertiary referral center for urodynamic evaluation of OAB syndrome symptoms with the presence or absence of DO. DO was calculated for symptoms alone or in combination. Results: The overall incidence of DO was 76.1% and 58.7% in male and female OAB patients, respectively. Of men 63% and 61% of women with urgency (OAB dry) had DO, while 93% of men and 69.8% of women with urgency and urgency urinary incontinence (OAB wet) had DO. Of women, 58% who were OAB wet had stress urinary incontinence symptoms with 26.4% having urodynamic stress incontinence. 6% of men and 6.5% of women with OAB symptoms had urodynamic diagnosis of voiding difficulties with postvoid residual greater than 100 mL. Combination of symptoms is more accurate in predicting DO in OAB patients. The multivariate disease model for males included urge urinary incontinence (UUI) and urgency while for females it included UUI and nocturia. Conclusions: There was a better correlation in results between OAB symptoms and the urodynamic diagnosis of DO in men than in women, more so in OAB wet than in OAB dry. Combination of symptoms of the OAB syndrome seems to have a better correlation with objective parameters from the bladder diary, filling cystometry, and with the occurrence of DO.
참고문헌 (13)
- Abrams P, "The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society", Neurourol Urodyn, 21, pp.167~178 (2002)
- Jarvis GJ, "An assessment of urodynamic examination in incontinent women", Br J Obstet Gynaecol, 87, pp.893~896 (1980)
- Cundiff GW, "Clinical predictors of urinary incontinence in women", Am J Obstet Gynecol, 177, pp.262~266 (1997)
- Blaivas JG, "The bladder is an unreliable witness", Neurourol Urodyn, 15, pp.443~445 (1996)
- Schäfer W, "Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies", Neurourol Urodyn, 21, pp.261~274 (2002)
- Flisser AJ, "Role of cystometry in evaluating patients with overactive bladder", Urology, 60(5 Suppl 1), pp.33~42 (2002)
- Sekido N, "How many uncomplicated male and female overactive bladder patients reveal detrusor overactivity during urodynamic study", Int J Urol, 13, pp.1276~1279 (2006)
- Hashim H, "Is the bladder a reliable witness for predicting detrusor overactivity", J Urol, 175, pp.191~194 (2006)
- Chapple CR, "The role of urinary urgency and its measurement in the overactive bladder symptom syndrome: current concepts and future prospects", BJU Int, 95, pp.335~340 (2005)
- Matharu G, "Relationship between urinary symptoms reported in a postal questionnaire and urodynamic diagnosis", Neurourol Urodyn, 24, pp.100~105 (2005)
- van Brummen HJ, "The association between overactive bladder symptoms and objective parameters from bladder diary and filling cystometry", Neurourol Urodyn, 23, pp.38~42 (2004)
- Van Kerrebroeck P, "Tolterodine Study Group. Tolterodine once-daily: superior efficacy and tolerability in the treatment of the overactive bladder", Urology, 57, pp.414~421 (2001)
- Colli E, "Are urodynamic tests useful tools for the initial conservative management of non-neurogenic urinary incontinence? A review of the literature", Eur Urol, 43, pp.63~69 (2003)