Bladder outlet obstruction is associated with bladder oversensitivity in women
| Autor: | Amnon Zisman, Kobi Stav, Ilia Baberashvili, Amos Neheman, Guy Verhovsky, Yishai H. Rappaport |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Multivariate analysis Urology Urinary system 030232 urology & nephrology Urination Physical examination urologic and male genital diseases 03 medical and health sciences Bladder outlet obstruction 0302 clinical medicine medicine Humans Prospective Studies Prospective cohort study Aged 030219 obstetrics & reproductive medicine medicine.diagnostic_test business.industry Area under the curve Obstetrics and Gynecology Middle Aged medicine.disease Urinary Bladder Neck Obstruction Urodynamics Overactive bladder Cohort Female business |
| Zdroj: | International Urogynecology Journal. 32:2771-2776 |
| ISSN: | 1433-3023 0937-3462 |
| Popis: | Bladder outlet obstruction (BOO) in women might be associated with significant lower urinary tract storage symptoms such as increased frequency, urgency, and incontinence. This prospective study was designed to assess whether there is an objective association between BOO and abnormal parameters during filling cystometry in women. A total of 169 consecutive women (mean age 56 ± 14 years) who were referred for urodynamic investigation were prospectively recruited. Comprehensive medical, obstetric, and gynecological histories were recorded. All patients underwent physical examination, renal and bladder ultrasound, and filled out the International Prostate Symptoms Score (IPSS) questionnaire. The cohort was divided into obstructed and un-obstructed groups based on pressure flow results (Obstruction: Qmax 25 cmH2O). There was no significant difference in the frequency of detrusor overactivity between the obstructed and non-obstructed group (37% vs 32%, p = 0.71). All bladder sensation volumes were significantly lower in obstructed women than non-obstructed women in univariate and multivariate logistic regression analyses. Of the sensation parameters, first desire to void (FDV) had the highest area under the curve (AUC = 0.75, 95% CI = 0.672–0.837, p |
| Databáze: | OpenAIRE |
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