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      Is Open Access

      The Prevalence of Detrusor Underactivity and its Symptoms Co-relation with Urodynamic Study Findings in Patients with Lower Urinary Tract Symptoms

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          Abstract

          Purpose

          This study determines the prevalence and clinical presentation of detrusor underactivity (DU) and its urodynamic characteristics in adult patients with lower urinary tract symptoms (LUTS).

          Patients and Methods

          This retrospective study has reviewed the symptoms and urodynamic study (UDS) findings of 283 patients with LUTS. Chi-square analysis was used to present the prevalence of UDS characteristics in both sexes.

          Results

          Out of records of 206 patients included in this study, fifty-one (24.76%) patients were diagnosed with DU based on bladder contractility index. Storage lower urinary tract symptoms were the most prevalent characteristic presentation in both sexes as compared to the difficulty in voiding, recurrent urine retention, and urinary incontinence. Bladder outlet, sphincter EMG findings, and degree of DU were significantly correlated with gender.

          Conclusion

          DU is a prevalent and sophisticated bladder pathology rather than a simple one. It requires more attention from the urologists, and evaluations, including UDS, to differentiate it from other pathologies.

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          Most cited references23

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          Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies.

          Werner Schäfer, Paul Abrams, Limin Liao … (2002)
          This is the first report of the International Continence Society (ICS) on the development of comprehensive guidelines for Good Urodynamic Practice for the measurement, quality control, and documentation of urodynamic investigations in both clinical and research environments. This report focuses on the most common urodynamics examinations; uroflowmetry, pressure recording during filling cystometry, and combined pressure-flow studies. The basic aspects of good urodynamic practice are discussed and a strategy for urodynamic measurement, equipment set-up and configuration, signal testing, plausibility controls, pattern recognition, and artifact correction are proposed. The problems of data analysis are mentioned only when they are relevant in the judgment of data quality. In general, recommendations are made for one specific technique. This does not imply that this technique is the only one possible. Rather, it means that this technique is well-established, and gives good results when used with the suggested standards of good urodynamic practice. Copyright 2002 Wiley-Liss, Inc.
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            Urinary Tract Infection and Asymptomatic Bacteriuria in Older Adults.

            Nicolas W Cortes-Penfield, Barbara Trautner, Robin L.P. Jump (2017)
            Urinary tract infections (UTIs) are a significant cause of morbidity among older adults. However, antibiotic prescriptions for clinically suspected UTIs are often inappropriate. Health care providers frequently struggle to differentiate UTI from asymptomatic bacteriuria, particularly in patients presenting with nonspecific symptoms. Patients with baseline cognitive impairments that limit history-taking can be particularly challenging. This article reviews the epidemiology and pathogenesis of UTI in older adults. It discusses an approach to diagnosis and treatment focused on recognizing patients who would likely benefit from antibiotic treatment and on identifying patients for whom empiric antibiotic therapy should not be given.
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              Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function.

              Murray Abrams (1999)
              Article 0 comments Cited 33 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Res Rep Urol
                Journal ID (publisher-id): rru
                Journal ID (pmc): rru
                Title: Research and Reports in Urology
                Publisher: Dove
                ISSN (Electronic): 2253-2447
                Publication date (Electronic): 24 September 2020
                Publication date Collection: 2020
                Volume: 12
                Pages: 415-422
                Affiliations
                [1 ]Section of Urology, Department of Special Surgery, Faculty of Medicine, Mu’tah University , Karak, Jordan
                [2 ]Istishari Urology Center, Istishari Hospital , Amman, Jordan
                Author notes
                Correspondence: Fadi Sawaqed Tel +962 797350996 Email fadi.sawaqed@mutah.edu.jo
                Author information
                http://orcid.org/0000-0002-5743-880X
                http://orcid.org/0000-0002-3164-7822
                http://orcid.org/0000-0002-6736-0946
                Article
                Publisher ID: 264237
                DOI: 10.2147/RRU.S264237
                PMC ID: 7522515
                SO-VID: f6ef1685-abb9-48c4-8e5d-a9e66129af1f
                Copyright © © 2020 Sawaqed et al.
                License:

                This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License ( http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms ( https://www.dovepress.com/terms.php).

                History
                Date received : 23 May 2020
                Date accepted : 03 August 2020
                Page count
                Figures: 1, Tables: 6, References: 25, Pages: 8
                Funding
                Funded by: not funded;
                This research is not funded by any resource.
                Categories
                Subject: Original Research

                Keywords: detrusor underactivity,prevalence,lower urinary tract symptoms,urodynamic study
                Data availability:
                Keywords: detrusor underactivity, prevalence, lower urinary tract symptoms, urodynamic study

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