Clinical and Urodynamic Evaluation of Diabetic Patients Presented with Voiding Disorders
Iraqi Postgraduate Medical Journal,
2007, Volume 6, Issue 3, Pages 215-220
To ascertain the relationship between diabetic voiding dysfunction and vesico-sphincteric behavior, and try to point out any clinical prediction to bladder cystopathy in diabetic patients.
Fifty-one diabetic patients complaining of voiding disorders were studied over two years (Oct/2000-Oct/2002), according to history, clinical examination and investigations especially full urodynamic assessment, patients were classified urodynamiclly as either impaired detrusor contractility, detrusor hyperreflexia , detrusor areflexia , and normal.
Mean bladder capacity was 479±123.9ml. with a mean first sensation of filling of 241.1±61.2ml. of the 55 patients 23(45.3%) impaired detrusor contractility), 18 (35.2%) had detrusor hyperreflexia, 4 (7.8%) had detrusor areflexia, and 6 (11.7%) were normal. The presence of sacral neurological signs and infection were found statistically significant in predicting an abnormal urodynamic pattern, while neither age, sex, nor the type and severity of diabetes were found related.
These data suggest that classical diabetic cystopathy is not the most common urodynamic findings in patients with diabetes mellitus and voiding dysfunction, and in fact these patients present with variable pathophysiological findings. These findings demonstrate the importance of urodynamic studies in diagnosing voiding dysfunction in diabetics before initiation of therapy.
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