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CLINICAL AND URODYNAMIC PARALLELS IN IDIOPATHIC HYPERACTIVITY OF THE BLADDER: THE RESULTS OF 341 OBSERVATIONS

https://doi.org/10.21886/2308-6424-2017-5-2-12-18

Abstract

Introduction. The function of the bladder, according to the recommendations of the Committee for Standardization (ICS), is based on evaluation of sensitivity studies, detrusor activity, bladder dilatation and maximum cystometric capacity. The results of cystometry should be interpreted according to the anamnesis and clinical manifestations of the disease, as well as the results of other studies, such as uroflowmetry and ultrasound. The purpose of this research was to study the relationship between the severity of clinical manifestations of bladder hyperactivity (BH) and the results of a cystometric study.

Materials and methods. We analized the relationship between the results of filling cystometry and clinical indices in 341 patients with idiopathic hyperactivity of the bladder.

Results. A reliable correlation was established between the patient’s sex and the presence of involuntary detrusor activity, as well as the maximum cystometric capacity. The only symptom of BH, which is associated with all cystometric parameters of the filling phase, is the increasing frequency of urination. Among the urodynamic parameters, the maximum clinical value is the maximum cystometric capacity, the index of the sensitivity of the bladder and the presence of involuntary detrusor activity.

Conclusion. The results of the conducted studies confirmed the presence of a reliable relationship between the cystometric parameters and the severity of the clinical manifestations of the BH. Among the urodynamic parameters, the maximum clinical value is the maximum cystometric capacity, the index of the sensitivity of the bladder and the presence of involuntary detrusor activity in the filling phase.

About the Authors

S. H. Al-Shukri
First Pavlov State Medical University
Russian Federation
Saint Petersburg


I. V. Kuzmin
First Pavlov State Medical University
Russian Federation
Saint Petersburg


N. O. Shabudina
First Pavlov State Medical University
Russian Federation
Saint Petersburg


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Review

For citations:


Al-Shukri S.H., Kuzmin I.V., Shabudina N.O. CLINICAL AND URODYNAMIC PARALLELS IN IDIOPATHIC HYPERACTIVITY OF THE BLADDER: THE RESULTS OF 341 OBSERVATIONS. Urology Herald. 2017;5(2):12-18. (In Russ.) https://doi.org/10.21886/2308-6424-2017-5-2-12-18

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