التفاصيل البيبلوغرافية
| العنوان: |
Evaluation of urodynamic pattern in short and long-standing diabetic patients. |
| المؤلفون: |
Elsakka, Haytham, Ibrahim, Ahmed, Khogeer, Abdulghani, Elatreisy, Adel, Elabbady, Rawan, Shalkamy, Osama, Khan, Ayesha, Sadri, Iman, AlShammari, Ahmad, Khalifa, Ahmad, Carrier, Serge, Aube-Peterkin, Melanie |
| المصدر: |
Archives of Italian Urology & Andrology / Archivio Italiano di Urologia Andrologia; 2023, Vol. 95 Issue 1, p1-5, 5p |
| مصطلحات موضوعية: |
PEOPLE with diabetes, TYPE 2 diabetes, URINATION disorders, URINARY organs |
| مستخلص: |
Purpose: To address the pattern of urodynamic findings in diabetic patients with lower urinary tract symptoms (LUTS), comparing short-standing and long-standing type 2 diabetes mellitus (T2DM). Methods: A prospective study was conducted on 50 patients presenting with LUTS and a concurrent diagnosis of T2DM, between February 2016 and May 2018. Patients were classified and evaluated according to the duration of diabetes into two groups: short-standing DM (< 15 years, n = 31), and long-standing DM (= 15 years, n = 19) groups. The impact of LUTS and quality of life were assessed in female patients using ICIQFLUTS and male patients using ICIQ-MLUTS. Results: A total of 50 patients were included in the study. The mean duration of T2DM was 10 ± 0.7 years. The mean age was 56.3 ± 1.2 years, and the mean HbA1c was 7.5 ± 1.2%. Urodynamic evaluation detected significantly higher detrusor overactivity (DO) and increased bladder sensation with the short-standing DM group (35.5 vs. 15.8%, p = 0.01 and 32.3 vs. 5.3%, p = 0.01, respectively). Comparatively, weak, or absent detrusor contractility were more frequent in patients with longstanding DM (52% and 26% respectively p = 0.01). As expected, overflow incontinence and straining during voiding were significantly higher in the long-standing DM group (p = 0.04 and p = 0.03, respectively). Surprisingly, there was no significant correlation between patients presenting with urgency in their voiding diary (subjective) and urodynamic detection of DO (p = 0.07). Conclusions: There are different patterns in urodynamic characterizations of T2DM. Patients with short-standing DM present more commonly with storage symptoms and detrusor overactivity on urodynamics. Contrastingly, patients with long-standing DM present more frequently with voiding symptoms and detrusor underactivity on urodynamics. Thus, screening for an underactive bladder is advisable in patients with long-standing T2DM. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
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