2267 DETRUSOR OVERACTIVITY: DO THE DIFFERENT PATTERNS HAVE CHARACTERISTICS RELATED TO GENDER OR CLINICAL CONDITION?

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Urodynamics Testing1 Apr 20132267 DETRUSOR OVERACTIVITY: DO THE DIFFERENT PATTERNS HAVE CHARACTERISTICS RELATED TO GENDER OR CLINICAL CONDITION? Françoise Valentini, Brigitte Marti, and Gilberte Robain Françoise ValentiniFrançoise Valentini Paris, France More articles by this author , Brigitte MartiBrigitte Marti Paris, France More articles by this author , and Gilberte RobainGilberte Robain Paris, France More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.2196AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Two patterns of detrusor overactivity (DO) are defined: phasic (DOP) and terminal (DOT) (1). Are there differences in pattern and characteristics according to age, gender, complaint and neurological status. In that last condition, are there differences according to the level of neurological injury? METHODS Retrospectively, 203 files of DO patients have been analyzed (127 women and 76 men, respectively 48 and 43 had neurological disease). Each gender was separately analyzed. Studied parameters were pattern of DO and characteristics of non-inhibited detrusor contraction (NIDC). RESULTS 1) DOP patients were significantly younger in the whole population (56±19 vs. 66±4 y; p<.0001) and whatever gender (56±19 vs. 65±15 y for women, p=.0052 and 57±18 vs. 68±12 for men, p=.0038). 2) Frequency of urgency was similar in DOP and DOT: 80.0 vs. 83.6% for women and 72.0 vs.79.5% for men. 3) Between both genders, there was neither difference in characteristics of NIDC #1: volume of occurrence (148±103 vs. 186±122 mL), amplitude which was nearly significant (13.1±10.7 vs. 18.5±16.4 cmH2O; p=.0535), rise time (7.7±3.2 vs. 8.8±5.1s), nor in number of NIDC (3.2±1.7 vs. 3.8±3.1). There was a significant increase of NIDC amplitude during bladder filling whatever the gender and a significant difference of last NIDC amplitude between women and men: 27.8±21.5 vs. 44.5±33.8 cmH2O (p=.0056). 4) For women, NIDC #1 occurred at significantly smaller volume in non-neurological (125±89 vs. 185±116 mL, p=.0223); NIDC at bladder functional capacity was more frequent in older women (60.3±18.3 vs. 47.4±19.3 y, p=.0103). 5) In the whole population, there was no difference in volume of occurrence of DOT: 228±127 mL for women vs. 253±138 mL for men. 6) For women with DOT, NIDC occurred at larger volume in non-neurological (274±126 vs. 153±90 mL, p=.0001), no difference in men. CONCLUSIONS The only difference between the patterns of DO is that DOP occurs in younger individuals. Except an expected higher detrusor pressure during the last NIDC in men with DOP, there is no significant difference between characteristics of each pattern whatever gender, complaint and neurological status. 1-NAU 2002; 21: 167-178 © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e929-e930 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Françoise Valentini Paris, France More articles by this author Brigitte Marti Paris, France More articles by this author Gilberte Robain Paris, France More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...