Observations relating to urinary sensation during detrusor overactivity.
Observations relating to urinary sensation during detrusor overactivity.
复制标题
逼尿肌过度活动期间与排尿感觉相关的观察结果。
DOI：
10.1002/nau.20680
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发表时间：
2009
影响因子：
2
通讯作者：
FitzGerald,MaryP
中科院分区：
文献类型：
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作者：
Lowenstein,Lior;Pham,Thythy;Abbasy,Shameem;Kenton,Kimberly;Brubaker,Linda;Mueller,ElizabethR;Shott,Susan;Vardi,Yoram;Gruenwald,Ilan;FitzGerald,MaryP
AimsTo描述增加下尿路（LUT）的感觉和逼尿肌和/或尿道压力的变化之间的时间关系测量在真实的time.MethodsWe审查了33多通道尿动力学描记，其中包括一个连续记录的LUT感觉，并证明逼尿肌过度活动性尿失禁（DOI）或逼尿肌过度活动（DO）。四位医生审查了每个尿动力学跟踪和达成协议的时间关系之间的LUT的感觉和逼尿肌contractions.ResultsMedian年龄为60（36-82）岁。14例（42%）有混合性尿失禁的尿动力学诊断，18例（55%）有DOI，1例（3%）有DO无DOI。我们回顾了119次逼尿肌过度活动的33个录音。DO与DOI或不同尿动力学诊断之间的感觉水平变化无差异（P > 0.5）。整个组没有观察到显性时间模式（P = 0.84），也就是说，没有证据表明感觉水平的变化更可能发生在DO/DOI发作之前、期间或之后。当评估尿道压力的变化，看到的最常见的模式是增加的感觉水平下降后，尿道压力，但没有占主导地位的模式被seeed.ConclusionsOur研究结果表明，增加LUT的感觉在DO/DOI是不可靠的膀胱或尿道压力的可测量的变化所造成的。Neurorol。优强28：497-500，2009.© 2008 Wiley利斯公司
AimsTo describe the temporal relationship between increases in lower urinary tract (LUT) sensation and changes in detrusor and/or urethral pressures measured in real time.MethodsWe reviewed 33 multichannel urodynamic tracings that included a continuous recording of LUT sensation and that demonstrated detrusor overactivity incontinence (DOI) or detrusor overactivity (DO). Four physicians reviewed each urodynamic tracing and reached agreement about the temporal relationship between LUT sensation and detrusor contraction.ResultsMedian age was 60 (36–82) years. Fourteen (42%) had urodynamic diagnoses of mixed incontinence, 18 (55%) had DOI, and 1 (3%) had DO without DOI. We reviewed 119 episodes of detrusor overactivity from the 33 recordings. We found no difference in change in sensation level when comparing DO episodes with DOI episodes or between different urodynamic diagnoses (P > 0.5). There was no dominant temporal pattern seen for the whole group (P = 0.84), that is, there was no evidence that the change in sensation level was more likely to occur before, during, or after DO/DOI episodes. When evaluating the changes in the urethral pressure, the most common pattern seen was an increase in sensation level after a fall in urethral pressure, but no dominant pattern was seen.ConclusionsOur findings suggest that increased LUT sensation during DO/DOI is not reliably caused by measurable alterations in bladder or urethral pressure. Neurourol. Urodyn. 28:497–500, 2009. © 2008 Wiley‐Liss, Inc.