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Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder

OBJECTIVE: To investigate the urodynamic study (UDS) patterns, obstruction status, continence status, and their correlations among neurologically intact women with lower urinary tract symptoms (LUTS) through an epidemiological and logistic regression analyses. METHODS: We retrospectively analyzed th...

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Autores principales: Wang, Linhui, Wang, Cunzhou, Qu, Chuangyu, Yin, Lei, Xu, Danfeng, Cui, Xingang, Liu, Bing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Second Military Medical University 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730814/
https://www.ncbi.nlm.nih.gov/pubmed/29264157
http://dx.doi.org/10.1016/j.ajur.2015.11.004
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author Wang, Linhui
Wang, Cunzhou
Qu, Chuangyu
Yin, Lei
Xu, Danfeng
Cui, Xingang
Liu, Bing
author_facet Wang, Linhui
Wang, Cunzhou
Qu, Chuangyu
Yin, Lei
Xu, Danfeng
Cui, Xingang
Liu, Bing
author_sort Wang, Linhui
collection PubMed
description OBJECTIVE: To investigate the urodynamic study (UDS) patterns, obstruction status, continence status, and their correlations among neurologically intact women with lower urinary tract symptoms (LUTS) through an epidemiological and logistic regression analyses. METHODS: We retrospectively analyzed the UDS data of 3265 neurologically intact women with LUTS (2002–2014). Five UDS patterns were identified: normo-active detrusor/sphincter (NA, or DSI, detrusor/sphincter intact), idiopathic detrusor overactivity (IDO), idiopathic sphincter overactivity (ISO), IDO + ISO, and detrusor underactivity (DUA). Analyses of UDS pattern distribution and stratification were performed (based on a modification of the European Urological Association-Madersbacher classification system), and their correlations with bladder outlet obstruction (BOO) and stress urinary incontinence (SUI) status were evaluated via logistic regression analysis. RESULTS: NA, IDO, IDO + ISO, ISO, and DUA were noted in 927 (28.4%), 678 (20.8%), 320 (9.8%), 689 (21.1%), and 651 (19.9%) cases, respectively. Moreover, storage, storage + voiding, and voiding symptoms were noted in 62.4%, 21.1%, and 16.5% cases, respectively, whereas BOO and SUI were observed in 12.1% and 29.0% cases, respectively. The risk factors for BOO included NA, IDO, ISO, and IDO + ISO, whereas the protective factors against BOO included storage symptoms, SUI, storage + voiding symptoms, and complaint duration within 1–12 months. NA was the only risk factor for SUI, whereas BOO, storage + voiding symptoms, IDO, and storage symptoms were protective factors for SUI. CONCLUSION: Five UDS patterns were identified among neurologically intact women with LUTS. Functional abnormalities of the detrusor and/or sphincter were the main causes of LUTS, and were correlated with the BOO or SUI status. Thus, the UDS pattern can provide additional information regarding the risk factors for BOO or SUI status, as compared to symptomatic typing.
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spelling pubmed-57308142017-12-20 Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder Wang, Linhui Wang, Cunzhou Qu, Chuangyu Yin, Lei Xu, Danfeng Cui, Xingang Liu, Bing Asian J Urol Asian Focus OBJECTIVE: To investigate the urodynamic study (UDS) patterns, obstruction status, continence status, and their correlations among neurologically intact women with lower urinary tract symptoms (LUTS) through an epidemiological and logistic regression analyses. METHODS: We retrospectively analyzed the UDS data of 3265 neurologically intact women with LUTS (2002–2014). Five UDS patterns were identified: normo-active detrusor/sphincter (NA, or DSI, detrusor/sphincter intact), idiopathic detrusor overactivity (IDO), idiopathic sphincter overactivity (ISO), IDO + ISO, and detrusor underactivity (DUA). Analyses of UDS pattern distribution and stratification were performed (based on a modification of the European Urological Association-Madersbacher classification system), and their correlations with bladder outlet obstruction (BOO) and stress urinary incontinence (SUI) status were evaluated via logistic regression analysis. RESULTS: NA, IDO, IDO + ISO, ISO, and DUA were noted in 927 (28.4%), 678 (20.8%), 320 (9.8%), 689 (21.1%), and 651 (19.9%) cases, respectively. Moreover, storage, storage + voiding, and voiding symptoms were noted in 62.4%, 21.1%, and 16.5% cases, respectively, whereas BOO and SUI were observed in 12.1% and 29.0% cases, respectively. The risk factors for BOO included NA, IDO, ISO, and IDO + ISO, whereas the protective factors against BOO included storage symptoms, SUI, storage + voiding symptoms, and complaint duration within 1–12 months. NA was the only risk factor for SUI, whereas BOO, storage + voiding symptoms, IDO, and storage symptoms were protective factors for SUI. CONCLUSION: Five UDS patterns were identified among neurologically intact women with LUTS. Functional abnormalities of the detrusor and/or sphincter were the main causes of LUTS, and were correlated with the BOO or SUI status. Thus, the UDS pattern can provide additional information regarding the risk factors for BOO or SUI status, as compared to symptomatic typing. Second Military Medical University 2016-01 2015-12-02 /pmc/articles/PMC5730814/ /pubmed/29264157 http://dx.doi.org/10.1016/j.ajur.2015.11.004 Text en © 2016 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Asian Focus
Wang, Linhui
Wang, Cunzhou
Qu, Chuangyu
Yin, Lei
Xu, Danfeng
Cui, Xingang
Liu, Bing
Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title_full Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title_fullStr Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title_full_unstemmed Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title_short Relationship between urodynamic patterns and lower urinary tract symptoms in Chinese women with a non-neurogenic bladder
title_sort relationship between urodynamic patterns and lower urinary tract symptoms in chinese women with a non-neurogenic bladder
topic Asian Focus
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5730814/
https://www.ncbi.nlm.nih.gov/pubmed/29264157
http://dx.doi.org/10.1016/j.ajur.2015.11.004
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