Evolution of male patients with detrusor underactivity and conservative treatment. Five-year follow-up
| العنوان: | Evolution of male patients with detrusor underactivity and conservative treatment. Five-year follow-up |
|---|---|
| المؤلفون: | J. Bolón, Oriol Colet, Esther Martínez-Cuenca, Miguel Ángel Bonillo, I. Sáez, E. Broseta, Salvador Arlandis, E. Morán |
| المصدر: | ACTAS UROLOGICAS ESPANOLAS r-IIS La Fe. Repositorio Institucional de Producción Científica del Instituto de Investigación Sanitaria La Fe instname |
| بيانات النشر: | ENE EDICIONES SL, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Multivariate analysis, Time Factors, 030232 urology & nephrology, Conservative Treatment, 03 medical and health sciences, 0302 clinical medicine, Bladder contraction, Risk Factors, Internal medicine, Urinary Bladder, Underactive, medicine, Humans, Cateterismo limpio intermitente, Clean intermittent catheterization, Detrusor hipoactivo, Detrusor underactivity, Follow-up, Seguimiento, Intermittent Urethral Catheterization, Longitudinal Studies, Urinary Bladder, Neurogenic, Aged, business.industry, Five year follow up, General Medicine, Middle Aged, Log-rank test, Conservative treatment, Neurologic injury, Treatment Outcome, Male patient, Cohort, business, Follow-Up Studies |
| الوصف: | The objective of the study was to compare the evolution of male patients with neurogenic detrusor underactivity (NDU) versus non-neurogenic DU (NNDU) and to establish risk factors to predict the need for clean intermittent catheterization (CIC) during the follow-up period.Longitudinal, descriptive study of a cohort of patients diagnosed with DU, and 2,496 urodynamic studies (2008-2018) were reviewed. Patients with DU (ICS 2002 and/or Bladder contraction index (100)) without treatment were included. Patients with CIC or interventional treatment were excluded. Follow-up included flowmetry every six months. CIC was indicated in cases of high residual volume (PVR)200 mL or voiding efficiency (VE)50%. The need for CIC during follow-up or the appearance of complications (urinary tract infections (UTI), bladder lithiasis) were compared.DU was found in 172 (6.89%) men. Neurological causes were observed in 106 (61,6%) cases. Finally, 62 patients were included with a mean follow-up of 4.9 years (+/- 2.6). Of these patients, 33 (53%) presented NDU and 29 (47%) NNDU. Six patients with NDU needed CIC versus none with NNDU (p = 0.04). Patients requiring CIC had higher PVR (p = 0.009) and lower VE (p = 0.017)), and there were also differences in terms of time until the need for CIC (log Rank: 0.009), which was 15.1 months [4-38]. In the multivariate analysis, none of the variables showed to be predictive of the need for CIC.The most common cause of DU is neurologic injury. Patients with NDU remain stable without requiring CIC. We have not detected any risk factors that identify patients at risk of needing CIC. |
| تدمد: | 0210-4806 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3418a675c73531f3af0272b8c0a74c2c https://fundanet.iislafe.san.gva.es/publicaciones/ProdCientif/PublicacionFrw.aspx?id=13064 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....3418a675c73531f3af0272b8c0a74c2c |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 02104806 |
|---|