DETRUSOR CONTRACTILITY DISORDERS IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA
https://doi.org/10.24884/1561-6274-2010-14-3-52-57
Abstract
THE GOAL of the study was evaluation of detrusor contractility disorders in patients with benign prostatic hyperplasia (BPH). PATIENTS AND METHODS. 146 patients were undergone urodynamic investigations including urofluometry and miction cystometry (pressure-flow testing). Miction cystometry data obtained was further interpreted by W.Shafer nomogram. Bladder emptying index as ratio of urine voiding volume to maximal bladder volume by cystometry was determined as well. RESULTS. Decrease of detrusor contractility has been found in 56,2% of patients with BPH. Bladder contractility data, as determined by W.Shafer nomogram, depends on degree of infravesical obstruction (IVO). Bladder emptying index characterizing both degree of bladder emptying and duration of contraction does not depend on the presence and degree of IVO. Presence of lumbar osteoarthrosis and diabetes mellitus aggravate bladder emptying. CONCLUSION. In a significant proportion of patients with BPH disorders of lower urinary tract function are stipulated by the decrease of bladder contractility, but not by IVO, that should be considered in a treatment decision.
About the Authors
S. Kh. Al-Shukri
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
R. E. Amdiy
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
I. V. Kuzmin
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
G. I. Daragma
Санкт-Петербургский государственный медицинский университет им. акад. И.П. Павлова
Russian Federation
Russian Federation
References
1. Thomas AW, Cannon A, Bartlett E et al. The natural history of lower urinary tract dysfunction in men: the influence of detrusor underactivity on the outcome after transurethral resection of the prostate with minimum 10-year urodynamic follow-up. BJU International 2004; 93:745-750
2. Abrams P, Cardozo L, Fall M et al. The standardisation of terminology in lower urinary tract function : report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodynam 2002; 21 (2): 167-178
3. Shafer W. Basic principles and clinical application of advanced analysis of bladder voiding function. Urol Clin North Am 1990; 17 (2): 553-566
4. Abrams P. Bladder outlet obstruction index, blader contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU International 1999; 84: 745-750
5. Schafer W, Abrams P, Liao L et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn 2002; 21(3): 261-274
6. Kaplan SA, Te AE, Blaivas JG. Urodynamic findings in patients with diabetic cystopathy. J Urol 1995; 153: 342-344
7. Yamamoto T, Sakakibara R, Uchiyama T et al. Neurological diseases that cause detrusor hyperactivity with impaired contractile function.Neurourol Urodyn 2006; 25 (2): 119-123
8. Chancellor MB, Rivas DA, Keeley F et al. Similarity of the American Urological Association symptom index among men with benign prostatic hyperplasia, urethral obstruction not due to BPH and detrusor instability without bladder outlet obstruction. Br J Urol 1994; 74 (2): 200-203
9. Hindley RG, Brierly RD, McLarty E et al. A qualitative ultrastructural study of the hypocontractile detrusor. J Urol 2002;168(1): 126-131
10. Steele GS, Sullivan MP, Sleep DJ, Yalla SV. Combination of symptom score, flow rate and prostate volume for predicting bladder outflow obstruction in men with lower urinary tract symptoms. J Urol 2000; 164 (2): 344-348
11. Chancellor MB, Blaivas JG, Kaplan SA, Axelrod S. Bladder outlet obstruction versus impaired detrusor contractility: the role of outflow. J Urol 1991; 145(4): 810-812
12. Van Venrooij GE, Eckhardt MD, Boon TA. Data from frequency-volume charts versus maximum free flow rate, residual volume, and voiding cystometric estimated urethral obstruction grade and detrusor contractility grade in men with lower urinary tract symptoms suggestive of benign prostatic hyperplasia. Neurourol Urodyn 2002; 21(5): 450-456
Review
For citations:
Al-Shukri S.Kh., Amdiy R.E., Kuzmin I.V., Daragma G.I. DETRUSOR CONTRACTILITY DISORDERS IN PATIENTS WITH BENIGN PROSTATIC HYPERPLASIA. Nephrology (Saint-Petersburg). 2010;14(3):52-57. (In Russ.) https://doi.org/10.24884/1561-6274-2010-14-3-52-57
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