Urodynamic Patterns of the Idiopathic Overactive Bladder
Science Journal of Clinical Medicine
Volume 6, Issue 5, September 2017, Pages: 74-79
Received: Aug. 16, 2017;
Accepted: Sep. 4, 2017;
Published: Oct. 19, 2017
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Yuriy M. Dekhtiar, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Fedir I. Kostyev, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Oleksandr V. Rudenko, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
Dmytro O. Kuznietsov, Department of Urology and Nephrology, Odessa National Medical University, Odessa, Ukraine
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The aim of study was the investigation of frequency and clinical significance of selected stereotypical recurring urodynamic patterns, which are manifested by the results of a complex urodynamic study in patients with idiopathic overactive bladder. The combined urodynamic study (CUS) was conducted in 137 patients with IOAB. The standard cystotonometry allowed to observe the maximum cystometric capacity. It also allowed to determine the bladder sensitivity (BS) and detect the presence of detrusor overactivity (DO). The results of retrograde cystotonometry established three variants of detrusor overactivity: phase DO, terminal DO, and stress-induced DO. The study of the bladder function using methods of UFM and EMG of anal sphincter in the emptying phase, confirmed the association of obstructive urination with incomplete discharge of the urethra from the effects of the sphincter. The coordination of function of the detrusor and external sphincter were assessed according to the results of CUS and sphincteric EMG. The EMG analysis in Work / Rest Assessment mode allowed to reveal the characteristic changes in the biopotential indices of the pelvic sphincter and indicated their correlation with the clinical features of the disease course. The imperative character of urination was established in 137 patients with IOAB during CUS characterized by hyperactivity and hypertensity of bladder, depending on the severity of the violation of the integrative function of LUT.
Overactive Bladder, Cystotonometry, Uroflowmetry, Detrusor Overactivity
To cite this article
Yuriy M. Dekhtiar,
Fedir I. Kostyev,
Oleksandr V. Rudenko,
Dmytro O. Kuznietsov,
Urodynamic Patterns of the Idiopathic Overactive Bladder, Science Journal of Clinical Medicine.
Vol. 6, No. 5,
2017, pp. 74-79.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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