1956 BLADDER CAPACITY AND ITS ASSOCIATION WITH THE PROFILES OF DETRUSOR OVERACTIVITY AND THE DEGREE OF SYMPTOMS RELATED TO OVERACTIVE BLADDER IN MEN WITH BENIGN PROSTATIC ENLARGEMENT

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20111956 BLADDER CAPACITY AND ITS ASSOCIATION WITH THE PROFILES OF DETRUSOR OVERACTIVITY AND THE DEGREE OF SYMPTOMS RELATED TO OVERACTIVE BLADDER IN MEN WITH BENIGN PROSTATIC ENLARGEMENT Nouval Shahab, Narihito Seki, Shunichi Kajioka, Mineo Takei, Akito Yamaguchi, and Seiji Naito Nouval ShahabNouval Shahab Fukuoka, Japan More articles by this author , Narihito SekiNarihito Seki Fukuoka, Japan More articles by this author , Shunichi KajiokaShunichi Kajioka Fukuoka, Japan More articles by this author , Mineo TakeiMineo Takei Fukuoka, Japan More articles by this author , Akito YamaguchiAkito Yamaguchi Fukuoka, Japan More articles by this author , and Seiji NaitoSeiji Naito Fukuoka, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.2160AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The associations of maximum cystometric capacity (MCC) with urodynamic parameters (profiles) of detrusor overactivity (DO) and with symptoms severity related to overactive bladder (OAB) have not been reported and were investigated accordingly in men with benign prostatic enlargement (BPE). METHODS All symptomatic BPE men who had undergone transurethral resection of the prostate (TURP) between January 1993 and December 2000 in our hospital were reviewed retrospectively. Those who had DO confirmed by preoperative full urodynamic investigation including pressure flow study (PFS) were included in this study. The severity of the symptoms related to OAB (urgency, nocturia and frequency) was graded based on international prostate symptom score (IPSS). Preoperative evaluations including urodynamics with PFS were performed. Patients were categorized according to MCC, small MCC (<350 ml), average MCC (350 - 650 ml), and large MCC (>650 ml). The profiles of DO including maximum DO pressure (pDOmax), the time for pDOmax (tDOmax), the ratio of pDOmax to tDOmax (rDOmax), the duration of DO (tDO), the detrusor pressure at the beginning of the first DO ([email protected]) and the bladder filling volume at the beginning of the first DO ([email protected]) were determined. If two episode of DO occurred, only predominant DO according to the amplitude was analyzed. Spearman correlation test and Mann Whitney U test were used for statistical analysis. RESULTS Of 231 symptomatic BPE men associated with DO who were enrolled in this study, small MCC was found in 201 patients while only 30 patients had average MCC and no patients with large MCC. Significant negative correlations were demonstrated between MCC with the severity of nocturia symptoms (r = −0.146; P = 0.026), pDOmax (r = −0.227 ; P = 0.001; fig.1 A) and rDOmax (r = −0.348 ; P = 0.000; fig.1 B ). In addition, MCC was also significantly correlated with tDOmax (r = 0.131; P = 0.047; fig 1.C) and [email protected] (r = 0.782; P = 0.000; fig.1 D). Patients with small MCC had significantly higher tDOmax and higher rDOmax with smaller [email protected] CONCLUSIONS The associations of MCC with some profiles of DO were confirmed. Higher amplitude of DO, higher rDOmax, shorter tDOmax, smaller [email protected] and more severe nocturia symptoms were occurred at lower MCC. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 4SApril 2011Page: e782-e783 Peer Review Report Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.MetricsAuthor Information Nouval Shahab Fukuoka, Japan More articles by this author Narihito Seki Fukuoka, Japan More articles by this author Shunichi Kajioka Fukuoka, Japan More articles by this author Mineo Takei Fukuoka, Japan More articles by this author Akito Yamaguchi Fukuoka, Japan More articles by this author Seiji Naito Fukuoka, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...