Analysis of rhythmic rectal contractions during filling cystometry in women
| Autor: | Brigitte Marti, Gilberte Robain, Francoise Valentini, Pierre Nelson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2009 |
| Předmět: |
Adult
Urologic Diseases medicine.medical_specialty Urology Urinary system medicine.medical_treatment Population Rectum Disease lcsh:RC870-923 Young Adult Rhythm Lower urinary tract symptoms Humans Medicine rectum education Saline Aged Retrospective Studies Aged 80 and over education.field_of_study medicine.diagnostic_test business.industry Cystometry Middle Aged medicine.disease lcsh:Diseases of the genitourinary system. Urology Surgery medicine.anatomical_structure Anesthesia Female urinary tract diseases women business urodynamics Muscle Contraction |
| Zdroj: | International Brazilian Journal of Urology, Vol 35, Iss 4, Pp 475-483 (2009) International braz j urol v.35 n.4 2009 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 35, Issue: 4, Pages: 475-483, Published: AUG 2009 |
| ISSN: | 1677-6119 1677-5538 |
| Popis: | Purpose: Rhythmic or random rectal contractions independent of bladder activity are frequently observed during cystometry and usually attributed either to a neurological disease, or to ageing. The aim of our study was to search for an association of rhythmic rectal contractions (RRCs) with a specific lower urinary tract symptom or/and an urodynamic diagnosis. Materials and Methods: The population consisted of 534 consecutive women with lower urinary tract symptoms and without specific gastro-intestinal disease referred for urodynamics; 382 (non-ND) had no history of neurological disease and 152 (ND) a history of neurological disease. Cystometries were performed according to ICS recommendations. Rectal pressure was measured using a punctured balloon filled with 2 mL of saline. RRCs were defined as rhythmic changes in the rectal pressure of at least 3 cm H2O independent of the total vesical pressure. Results: RRCs were observed in 69 patients, with no difference in neurological status or age (non-ND: 12.3% and 65.5y; ND: 14.5% and 62.7y). Patients with RRCs were significantly older than the negative population (p = 0.0002). RRCs had a low frequency: 1 - 4/min; their amplitude was ≤ 15 cm H2O in 67 patients. RRCs were associated with urgency (35 patients) whatever the neurological status and with detrusor overactivity only in the neurological patients. Conclusions: RRCs cannot be considered as artefactual events during cystometry in women, occur in the older population, are frequently associated with urgency but not with detrusor overactivity or neurological disease. Occurrence of RRCs should prompt the physician to look at the possible causes of urgency (colonic or bladder). |
| Databáze: | OpenAIRE |
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