DETRUSOR INSTABILITY IN MEN: CORRELATION OF LOWER URINARY TRACT SYMPTOMS WITH URODYNAMIC FINDINGS
2001; Lippincott Williams & Wilkins; Volume: 166; Issue: 2 Linguagem: Inglês
10.1016/s0022-5347(05)65982-4
ISSN1527-3792
AutoresMICHAEL J. HYMAN, Asnat Groutz, Jerry G. Blaivas,
Tópico(s)Urological Disorders and Treatments
ResumoNo AccessJournal of UrologyCLINICAL UROLOGY: Original Articles1 Aug 2001DETRUSOR INSTABILITY IN MEN: CORRELATION OF LOWER URINARY TRACT SYMPTOMS WITH URODYNAMIC FINDINGS MICHAEL J. HYMAN, ASNAT GROUTZ, and JERRY G. BLAIVAS MICHAEL J. HYMANMICHAEL J. HYMAN , ASNAT GROUTZASNAT GROUTZ , and JERRY G. BLAIVASJERRY G. BLAIVAS View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65982-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We evaluated the correlation of lower urinary tract symptoms suggestive of detrusor instability with urodynamic findings in men. Materials and Methods: Enrolled in our prospective study were 160 consecutive neurologically intact men referred for urodynamic evaluation of persistent lower urinary tract symptoms. All patients had storage symptoms suggestive of detrusor instability. Patients were further clinically categorized according to the chief complaint of urge incontinence, frequency and urgency, nocturia or difficult voiding. The clinical and urodynamic diagnosis in all patients as well as specific urodynamic characteristics of those with detrusor instability were analyzed according to the these 4 clinical categories. Results: Mean patient age was 61 ± 15 years. The chief complaint was urge incontinence in 28 cases (17%), frequency and urgency in 57 (36%), nocturia in 30 (19%) and difficult voiding in 45 (28%). Detrusor instability was diagnosed in 68 cases (43%). A higher incidence of detrusor instability was associated with urge incontinence than with the other clinical categories (75% versus 36%, p <0.01). Of the patients 109 (68%) had bladder outlet obstruction, including 50 (46%) with concomitant detrusor instability. The prevalence of bladder outlet obstruction was similar in all patients regardless of the chief complaint. All other urodynamic diagnoses were also similar in the 4 clinical categories. The mean bladder volume at which involuntary detrusor contractions occurred were lower in patients with urge incontinence and frequency and urgency than in those with nocturia and difficult voiding (277.1 ± 149.4 and 267.7 ± 221.7 versus 346.7 ± 204.6 and 306.2 ± 192.1 ml., respectively, not statistically significant, p = 0.07). Conclusions: Detrusor instability and bladder outlet obstruction are common in men with lower urinary tract symptoms. The symptom of urge incontinence strongly correlated with detrusor instability. Other lower urinary tract symptoms did not correlate well with any urodynamic findings. Therefore, we believe that an accurate urodynamic diagnosis may enable focused and more efficient management of lower urinary tract symptoms in men. 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Google Scholar From the Weill Medical College, Cornell University, New York, New York© 2001 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited ByHu H, Zhang W, Liu X, Wang H, Fang Z, Liang C, Wang T and Xu K (2018) Nerve Growth Factor Levels are Associated with Overactive Bladder Symptoms and Long-Term Treatment Outcome after Transurethral Resection of the Prostate in Patients with Benign Prostatic HyperplasiaJournal of Urology, VOL. 200, NO. 3, (620-625), Online publication date: 1-Sep-2018.Antunes A, Iscaife A, Reis S, Albertini A, Nunes M, Lucon A, Nahas W and Srougi M (2018) Can We Predict Which Patients will Experience Resolution of Detrusor Overactivity after Transurethral Resection of the Prostate?Journal of Urology, VOL. 193, NO. 6, (2028-2032), Online publication date: 1-Jun-2015.Chung D, Lee R, Kaplan S and Te A (2018) Concordance of Near Infrared Spectroscopy With Pressure Flow Studies in Men With Lower Urinary Tract SymptomsJournal of Urology, VOL. 184, NO. 6, (2434-2439), Online publication date: 1-Dec-2010.Blaivas J, Marks B, Weiss J, Panagopoulos G and Somaroo C (2018) Differential Diagnosis of Overactive Bladder in MenJournal of Urology, VOL. 182, NO. 6, (2814-2818), Online publication date: 1-Dec-2009.Liu H and Kuo H (2018) Urinary Nerve Growth Factor Level Could be a Potential Biomarker for Diagnosis of Overactive BladderJournal of Urology, VOL. 179, NO. 6, (2270-2274), Online publication date: 1-Jun-2008.Kaplan S, Walmsley K and Te A (2018) Tolterodine Extended Release Attenuates Lower Urinary Tract Symptoms in Men With Benign Prostatic HyperplasiaJournal of Urology, VOL. 179, NO. 5S, (S82-S85), Online publication date: 1-May-2008.Hashim H and Abrams P (2018) Is the Bladder a Reliable Witness for Predicting Detrusor Overactivity?Journal of Urology, VOL. 175, NO. 1, (191-194), Online publication date: 1-Jan-2006.KAPLAN S, WALMSLEY K and TE A (2018) TOLTERODINE EXTENDED RELEASE ATTENUATES LOWER URINARY TRACT SYMPTOMS IN MEN WITH BENIGN PROSTATIC HYPERPLASIAJournal of Urology, VOL. 174, NO. 6, (2273-2276), Online publication date: 1-Dec-2005. Volume 166Issue 2August 2001Page: 550-553 Advertisement Copyright & Permissions© 2001 by American Urological Association, Inc.Keywordsurinary incontinencebladder neck obstructionurodynamicsbladderMetricsAuthor Information MICHAEL J. HYMAN More articles by this author ASNAT GROUTZ More articles by this author JERRY G. BLAIVAS More articles by this author Expand All Advertisement PDF DownloadLoading ...
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