Is the bladder a reliable witness for predicting detrusor overactivity?
Is the bladder a reliable witness for predicting detrusor overactivity?
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DOI：
10.1016/s0022-5347(05)00067-4
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发表时间：
2006-01-01
影响因子：
6.6
通讯作者：
Abrams, P
中科院分区：
文献类型：
--
作者：
Hashim, H;Abrams, P
目的：我们确定如何以及OAB综合征的症状与尿动力学DO使用国际尿失禁协会definitions.Materials和Methods：这项研究包括成年男性和女性18岁或以上谁参加了三级转诊中心尿动力学从2002年2月至2004年2月。根据OAB综合征症状（尿急、急迫性尿失禁和尿频）选择患者。计算单独出现症状或同时出现症状和DO的患者百分比。结果：男性OAB症状与DO尿动力学诊断之间的相关性比女性更好。在男性中，69%和44%的尿急（OAB干）女性有DO，而90%的男性和58%的尿急和尿急尿失禁（OAB湿）女性有DO。压力性尿失禁似乎是女性尿失禁发病率下降的原因，因为87%的女性急迫性尿失禁患者也有压力性尿失禁的症状。ICS的定义没有具体说明什么是异常排尿频率。结果分析表明，排尿频率的增加没有任何影响，增加诊断的准确性DO除了在女性10个或更多的白天排尿epissions.Conclusions：膀胱是一个更好的，更可靠的证人在男性比女性更大的相关性OAB症状和尿动力学DO，更是在OAB湿比CAB干患者。
Purpose: We determined how well the symptoms of OAB syndrome correlate with urodynamic DO using International Continence Society definitions.Materials and Methods: The study included adult males and females 18 years or older who attended a tertiary referral center for urodynamics from February 2002 to February 2004. Patients were selected based on OAB syndrome symptoms (urgency, urgency urinary incontinence and frequency). The percent of patients who had symptoms alone or in combination and DO was calculated.Results: There was a better correlation in results between OAB symptoms and the urodynamic diagnosis of DO in men than in women. Of men 69% and 44% of women with urgency (OAB dry) had DO, while 90% of men and 58% of women with urgency and urgency urinary incontinence (OAB wet) had DO. Stress urinary incontinence seems to have accounted for the decreased rates in women since 87% of women with urgency urinary incontinence also had the symptom of stress urinary incontinence. The ICS definition does not specify what constitutes abnormal voiding frequency. Analysis of results showed that increasing voiding frequency did not have any effect on increasing the accuracy of diagnosis of DO except in women with 10 or more daytime micturition episodes.Conclusions: The bladder is a better and more reliable witness in men than in women with a greater correlation between OAB symptoms and urodynamic DO, more so in the OAB wet than in CAB dry patients.