Evaluation of urodynamic pattern in short and long-standing diabetic patients.

Autor: Elsakka H; Urology Department, East Lancashire Hospitals NHS trust, Balckburn, Lancashire. haythamurology@gmail.com., Ibrahim A; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. eldemerdash90@gmail.com., Khogeer A; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC; Department of Surgery, Faculty of Medicine, Rabigh, King Abdulaziz University, Jeddah, Saudi Arabia. dr-abdulghani@hotmail.com., Elatreisy A; Urology Department, Faculty of Medicine, Al-Azhar University, Cairo. adel.elatreisy@azhar.edu.eg., Elabbady R; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. rawanelabbady93@hotmail.com., Shalkamy O; Urology Department, Faculty of Medicine, Al-Azhar University, Cairo. Dr_shalkamy@azhar.edu.eg., Khan A; Urology Department, East Lancashire Hospitals NHS trust, Balckburn, Lancashire. Ayesha.khan@elht.nhs.uk., Sadri I; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. iman.sadri@mail.mcgill.ca., AlShammari A; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. dr.shammar@gmail.com., Khalifa A; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. khalifa.urology@gmail.com., Carrier S; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. serge.carrier@mcgill.ca., Aube-Peterkin M; Department of Surgery, Division of Urology, McGill University Health Center, Montreal QC. Melanie.aube-peterkin@mcgill.ca.
Jazyk: angličtina
Zdroj: Archivio italiano di urologia, andrologia : organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica [Arch Ital Urol Androl] 2023 Mar 13; Vol. 95 (1), pp. 11072. Date of Electronic Publication: 2023 Mar 13.
DOI: 10.4081/aiua.2023.11072
Abstrakt: 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 ICIQ-FLUTS 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 long-standing 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.
Databáze: MEDLINE
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