Volume 6, Issue 5, September 2017, Page: 74-79
Urodynamic Patterns of the Idiopathic Overactive Bladder
Yuriy M. Dekhtiar, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Fedir I. Kostyev, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Oleksandr V. Rudenko, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Dmytro O. Kuznietsov, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Received: Aug. 16, 2017;       Accepted: Sep. 4, 2017;       Published: Oct. 19, 2017
DOI: 10.11648/j.sjcm.20170605.12      View  1905      Downloads  149
Abstract
The aim of study was the investigation of frequency and clinical significance of selected stereotypical recurring urodynamic patterns, which are manifested by the results of a complex urodynamic study in patients with idiopathic overactive bladder. The combined urodynamic study (CUS) was conducted in 137 patients with IOAB. The standard cystotonometry allowed to observe the maximum cystometric capacity. It also allowed to determine the bladder sensitivity (BS) and detect the presence of detrusor overactivity (DO). The results of retrograde cystotonometry established three variants of detrusor overactivity: phase DO, terminal DO, and stress-induced DO. The study of the bladder function using methods of UFM and EMG of anal sphincter in the emptying phase, confirmed the association of obstructive urination with incomplete discharge of the urethra from the effects of the sphincter. The coordination of function of the detrusor and external sphincter were assessed according to the results of CUS and sphincteric EMG. The EMG analysis in Work / Rest Assessment mode allowed to reveal the characteristic changes in the biopotential indices of the pelvic sphincter and indicated their correlation with the clinical features of the disease course. The imperative character of urination was established in 137 patients with IOAB during CUS characterized by hyperactivity and hypertensity of bladder, depending on the severity of the violation of the integrative function of LUT.
Keywords
Overactive Bladder, Cystotonometry, Uroflowmetry, Detrusor Overactivity
To cite this article
Yuriy M. Dekhtiar, Fedir I. Kostyev, Oleksandr V. Rudenko, Dmytro O. Kuznietsov, Urodynamic Patterns of the Idiopathic Overactive Bladder, Science Journal of Clinical Medicine. Vol. 6, No. 5, 2017, pp. 74-79. doi: 10.11648/j.sjcm.20170605.12
Copyright
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, Das AK, Foster Jr HE, Scarpero HM, Tessier CD, Vasavada SP. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol. 2012; 188(6): 2455–63.
[2]
Vaughan CP, Johnson TM, 2nd, Ala-Lipasti MA, Cartwright R, Tammela TL, Taari K, et al. The Prevalence of Clinically Meaningful Overactive Bladder: Bother and Quality of Life Results from the Population-Based FINNO Study. Eur Urol 2011; Jan 25.
[3]
Link CL, Steers WD, Kusek JW, et al. The association of adiposity and overactive bladder appears to differ by gender: Results from the Boston Area Community Health survey. J Urol 2011; 185: 955-63.;
[4]
Patra PB, Patra S. Sex differences in the physiology and pharmacology of the lower urinary tract. Curr Urol 2013; 6: 179-88.
[5]
Choo MS, Ku JH, Lee JB, et al. Cross-cultural differences for adapting overactive bladder symptoms: Results of an epidemiologic survey in Korea. World J Uro 2007; 25: 505-11.
[6]
Coyne KS, Sexton CC, Vats V, et al. National community prevalence of overactive bladder in the United States stratified by sex and age. Urology 2011; 77: 1081-7.
[7]
Gammie A, Clarkson B, Constantinou C, et al. International continence society guidelines on urodynamic equipment performance. Neurourol. Urodyn. 2014; 33: 370–379.
[8]
Digesu GA, Khullar V, Cardozo L, Salvatore S. Overactive bladder symptoms: do we need urodynamics? Neurourol Urodyn. 2003; 22: 105-8. Erratum in: Neurourol Urodyn. 2003; 22: 356.
[9]
Gormley, EA; Lightner, DJ; Faraday, M; Vasavada, SP (May 2015). "Diagnosis and Treatment of Overactive Bladder (Non-Neurogenic) in Adults: AUA/SUFU Guideline Amendment." The Journal of Urology. 193 (5): 1572–80.
[10]
Farzeen Firoozi. Interpretation of Basic and Advanced Urodynamics. Springer International Publishing Switzerland; 2017. p. 134.
Browse journals by subject