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Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger

PURPOSE: We investigated the etiologies of lower urinary tract symptoms (LUTS) and compared urodynamic characteristics between different diagnostic groups in young men with chronic LUTS. MATERIALS AND METHODS: We reviewed the medical records of 308 men aged 18 to 50 years who had undergone a urodyna...

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Autores principales: Jeong, Seong Jin, Yeon, Jae Seung, Lee, Jeong Keun, Jeong, Jin Woo, Lee, Byung Ki, Park, Yong Hyun, Lee, Sang Cheol, Jeong, Chang Wook, Kim, Jeong Hyun, Hong, Sung Kyu, Byun, Seok-Soo, Lee, Sang Eun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Urological Association 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026661/
https://www.ncbi.nlm.nih.gov/pubmed/24868339
http://dx.doi.org/10.4111/kju.2014.55.5.341
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author Jeong, Seong Jin
Yeon, Jae Seung
Lee, Jeong Keun
Jeong, Jin Woo
Lee, Byung Ki
Park, Yong Hyun
Lee, Sang Cheol
Jeong, Chang Wook
Kim, Jeong Hyun
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
author_facet Jeong, Seong Jin
Yeon, Jae Seung
Lee, Jeong Keun
Jeong, Jin Woo
Lee, Byung Ki
Park, Yong Hyun
Lee, Sang Cheol
Jeong, Chang Wook
Kim, Jeong Hyun
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
author_sort Jeong, Seong Jin
collection PubMed
description PURPOSE: We investigated the etiologies of lower urinary tract symptoms (LUTS) and compared urodynamic characteristics between different diagnostic groups in young men with chronic LUTS. MATERIALS AND METHODS: We reviewed the medical records of 308 men aged 18 to 50 years who had undergone a urodynamic study for chronic LUTS (≥6 months) without symptoms suggestive of chronic prostatitis. RESULTS: The men's mean age was 40.4 (±10.1) years and their mean duration of symptoms was 38.8 (±49.2) months. Urodynamic evaluation demonstrated voiding phase dysfunction in 62.1% of cases (primary bladder neck dysfunction [PBND] in 26.0%, dysfunctional voiding [DV] in 23.4%, and detrusor underactivity [DU]/acontractile detrusor [AD] in 12.7%) and a single storage phase dysfunction in 36.4% of cases (detrusor overactivity [DO] in 13.3%, small cystometric capacity in 17.9%, and reduced bladder sensation in 5.2%). Most of the demographic characteristics and clinical symptoms did not differ between these diagnostic groups. Whereas 53.9% of patients with voiding dysfunction had concomitant storage dysfunction, 69.6% of those with storage dysfunction had concomitant voiding dysfunction. Men with DV or DU/AD exhibited lower maximum cystometric capacity than did those with normal urodynamics. Low bladder compliance was most frequent among patients with PBND (10.0%, p=0.025). In storage dysfunctions, men with DO exhibited higher detrusor pressure during voiding than did those with other storage dysfunctions (p<0.01). CONCLUSIONS: Because clinical symptoms are not useful for predicting the specific urodynamic etiology of LUTS in this population, urodynamic investigation can help to make an accurate diagnosis and, potentially, to guide appropriate treatment.
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spelling pubmed-40266612014-05-27 Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger Jeong, Seong Jin Yeon, Jae Seung Lee, Jeong Keun Jeong, Jin Woo Lee, Byung Ki Park, Yong Hyun Lee, Sang Cheol Jeong, Chang Wook Kim, Jeong Hyun Hong, Sung Kyu Byun, Seok-Soo Lee, Sang Eun Korean J Urol Original Article PURPOSE: We investigated the etiologies of lower urinary tract symptoms (LUTS) and compared urodynamic characteristics between different diagnostic groups in young men with chronic LUTS. MATERIALS AND METHODS: We reviewed the medical records of 308 men aged 18 to 50 years who had undergone a urodynamic study for chronic LUTS (≥6 months) without symptoms suggestive of chronic prostatitis. RESULTS: The men's mean age was 40.4 (±10.1) years and their mean duration of symptoms was 38.8 (±49.2) months. Urodynamic evaluation demonstrated voiding phase dysfunction in 62.1% of cases (primary bladder neck dysfunction [PBND] in 26.0%, dysfunctional voiding [DV] in 23.4%, and detrusor underactivity [DU]/acontractile detrusor [AD] in 12.7%) and a single storage phase dysfunction in 36.4% of cases (detrusor overactivity [DO] in 13.3%, small cystometric capacity in 17.9%, and reduced bladder sensation in 5.2%). Most of the demographic characteristics and clinical symptoms did not differ between these diagnostic groups. Whereas 53.9% of patients with voiding dysfunction had concomitant storage dysfunction, 69.6% of those with storage dysfunction had concomitant voiding dysfunction. Men with DV or DU/AD exhibited lower maximum cystometric capacity than did those with normal urodynamics. Low bladder compliance was most frequent among patients with PBND (10.0%, p=0.025). In storage dysfunctions, men with DO exhibited higher detrusor pressure during voiding than did those with other storage dysfunctions (p<0.01). CONCLUSIONS: Because clinical symptoms are not useful for predicting the specific urodynamic etiology of LUTS in this population, urodynamic investigation can help to make an accurate diagnosis and, potentially, to guide appropriate treatment. The Korean Urological Association 2014-05 2014-05-12 /pmc/articles/PMC4026661/ /pubmed/24868339 http://dx.doi.org/10.4111/kju.2014.55.5.341 Text en © The Korean Urological Association, 2014 http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Jeong, Seong Jin
Yeon, Jae Seung
Lee, Jeong Keun
Jeong, Jin Woo
Lee, Byung Ki
Park, Yong Hyun
Lee, Sang Cheol
Jeong, Chang Wook
Kim, Jeong Hyun
Hong, Sung Kyu
Byun, Seok-Soo
Lee, Sang Eun
Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title_full Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title_fullStr Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title_full_unstemmed Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title_short Chronic Lower Urinary Tract Symptoms in Young Men Without Symptoms of Chronic Prostatitis: Urodynamic Analyses in 308 Men Aged 50 Years or Younger
title_sort chronic lower urinary tract symptoms in young men without symptoms of chronic prostatitis: urodynamic analyses in 308 men aged 50 years or younger
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026661/
https://www.ncbi.nlm.nih.gov/pubmed/24868339
http://dx.doi.org/10.4111/kju.2014.55.5.341
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