DIAGNOSIS OF LOWER DETRUSOR CONTRACTILITY IN PATIENTS WITH BENIGN PROSTATE HYPERPLASIA
https://doi.org/10.24884/1561-6274-2010-14-2-72-77
Abstract
THE AIM. To develop a method for determining reduced detrusor contractility according to urodynamic studies in patients with benign prostate hyperplasia (BPH). PATIENTS AND METHODS. 138 patients with BPH, the average age of 63 ± 1.4 years old, had full urological examination including urodynamic investigation, which included uroflowmetry and micturating cystometry (the study of «pressure-flow»). Interpretation of the results of cystometry for determination of detrusor contractility and IVO was performed by W. Shafer and P. Abrams method. RESULTS. For the analysis were identified two groups of patients with very weak and the weak contractility of detrusor with Schafer nomogram. In the first group was 21 patient with BPH and low index discharge (less than 60%), the second – 36 patients with an index value discharge more than 60%. We assessed the reliability of indicators micturating cystometry in the diagnosis of lower detrusor contractility in patients with BPH. Based on the most reliable urodynamic parameters, we developed a formula for the diagnosis of lower detrusor contractility on the basis of a comprehensive performance assessment micturating cystometry. Diagnosis of detrusor contractility according to our proposed formula is based on a comprehensive assessment of the most informative indicators cystometry. In this regard, the reliability of diagnosis of detrusor contractility using the formula is higher, than in determining on the basis of evaluation of a single parameter cystometry. CONCLUSION. Based on the evaluation of urodynamic parameters, we developed a formula for the diagnosis to reduce detrusor contractility on the basis of a comprehensive evaluation of the parameters of micturating cystometry with detrusor contraction force, and the index discharge.
About the Authors
G. I. Daraghma
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
R. E. Amdy
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
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Review
For citations:
Daraghma G.I., Amdy R.E. DIAGNOSIS OF LOWER DETRUSOR CONTRACTILITY IN PATIENTS WITH BENIGN PROSTATE HYPERPLASIA. Nephrology (Saint-Petersburg). 2010;14(2):72-77. (In Russ.) https://doi.org/10.24884/1561-6274-2010-14-2-72-77
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