Document Detail

Urodynamical findings on women with voiding problems and earlier vesico-ureteral reflux.
MedLine Citation:
PMID:  19274759     Owner:  NLM     Status:  In-Process    
AIMS: Examine bladder function behind an abnormal urine flow curve pattern or lower urinary tract symptoms (LUTS) in women with earlier vesicoureteral reflux (VUR). METHODS: Seventeen earlier female VUR patients with weak, fractionated or tower-shaped flow pattern, 10 patients with normal voiding and 2 patients with a big bladder were urodynamically studied. RESULTS: A third of the patients had a large (>800 ml) cystometric bladder capacity. Sensitivity of the bladder was decreased especially in weak urine flow group. Half of these patients felt the "first sensation" when at least 40% of the bladder capacity was filled. Neither the earlier treatment modality nor grade of childhood VUR had an influence on the bladder sensitivity. Urinary tract infections were reported significantly more often (P = 0.028) in patients with decreased bladder sensitivity than in the other patients. Overactive detrusor and decreased bladder compliance were uncommon findings. The detrusor pressure was good exceeding 15 cm H(2)O during the maximum flow rate in almost all patients. Abnormal sphincteric EMG activity during voiding was found in 70% of all patients and especially in fractionated flow group (89%). The EMG activity was seen twice as often in patients with earlier bilateral dilating VUR as in those who had suffered of non-dilating VUR (P = 0.005). CONCLUSIONS: Despite of high frequency of symptoms in female patients with earlier VUR, detrusor overactivity was a rarity, but decreased sensitivity and large capacity of the bladder were found frequently. The patients with weak or fractionated urine flow seemed to suffer from an overactive urethral sphincter.
Tuija T Lahdes-Vasama; Hanna-Mari Roihuvuo-Leskinen; Juha E Koskimäki; Teuvo L J Tammela
Related Documents :
18987529 - Cerebral control of bladder storage in patients with detrusor overactivity.
446249 - Biofeedback in the management of partial anal incontinence: a preliminary report.
11970929 - Hirschsprung's disease: functional and psychological follow up comparing total colonic ...
11156459 - Rectal compliance as a routine measurement: extreme volumes have direct clinical impact...
1097579 - Hematospermia.
11025379 - Urodynamic evaluation and management prior to renal transplantation.
23263339 - Detection of carboxyhemefibrinogen and methemefibrinogen in a patient with thrombosis o...
23643309 - Prominent fatigue in spinal muscular atrophy and spinal and bulbar muscular atrophy: ev...
2146849 - Treatment with an lhrh analogue in patients with advanced pancreatic cancer. a prelimin...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Neurourology and urodynamics     Volume:  28     ISSN:  1520-6777     ISO Abbreviation:  Neurourol. Urodyn.     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303326     Medline TA:  Neurourol Urodyn     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1015-21     Citation Subset:  IM    
Pediatric Research Centre, Tampere University Hospital, Tampere, Finland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Mixed incontinence: comparing definitions in women having stress incontinence surgery.
Next Document:  The psychometric validation of the OAB family impact measure (OAB-FIM).