A study of bladder dysfunction in diabetes mellitus

Abstract

Diabetic cystopathy was initially described as a complication of diabetes characterized by an increase in bladder capacity and in post voiding residual volumes accompanied by a decreased in bladder contraction and vesical sensation Today the term includes symptoms of overactive bladder The main of this study is to evaluate the prevalence of urinary symptoms in the diabetic population to compare it with the general population and to understand the impact that these symptoms have on this population Methods An inquiry of urinary symptoms was done to the diabetic patients followed in our hospital being excluded patients with other comorbidities eventually responsible for cystopathy We also evaluated the impact of symptoms on the daily basis From a number of patients were included in our study A similar number of a control healthy population was inquired respecting the same protocol The statistically study was made with nonparametric test Results From the patients evaluated were female Our population included DM and DM patients with an average of HbA c and of years of diabetes duration had more than one diabetes chronic complication and had symptoms of stress urinary incontinence patients had more than one symptom of bladder dysfunction on the storage phase and had symptoms of voiding dysfunction with only patients with no symptoms of urinary dysfunction Comparing to our healthy population we can attribute the bladder dysfunction symptoms to diabetes mellitus The impact of the urinary symptoms on their daily basis was on average seven on a scale of Conclusion Diabetic cystopathy is a highly prevalent complication For a correct evaluation other causes must be ruled out a good clinical history with an inquiry of urinary symptoms help to characterize the disease stage which is decisive for the choice of therapeutic strategy