Peculiarities of urodynamics of lower urinary ways in patients with idiopathic hyperactive bladder

Keywords: hyperactive bladder; urodynamics; lower urinary ways

Abstract

Introduction. Hyperactivity of the bladder (HAB) – severe disorder of urination, which is revealed in almost 17% of population, ageing more than 40 yrs, of them 56% - women, 44% - men.

Objective. Determination of rate and clinical significance of some urodynamic symptoms, which are revealed in accordance to results of complex examination in idiopathic HAB.

Маterials and methods. Combined urodynamic investigation was conducted in 137 patients, suffering HAB (105 women, 32 men).

Results. Іmperative character of urination in patients with HAB causes reduction of maximal cystometric capacity - in 75.9% of patients, lowering of the bladder sensitivity threshold in 70.8%, the bladder detrusor muscle hyperactivity - in 35,8%, compliance - in 43.1%, ureteric instability - in 24.8%.

Conclusion. Reduction of the bladder capacity of gathering and withholding of urine in normal or low intrabladder pressure and frequent combination of the bladder nonstability with signs of the urination obstruction constitutes the main peculiarities of disorder of the lower urinary ways urination in patients, suffering HAB.

Author Biographies

Yu. М. Dekhtyar, Оdessa National Medical University

Dekhtiar Yurii Mykolaiovych – PhD, Associate Professor
Department of urology and nephrology,
Odessa National Medical University
Ukraine, Odesa, st. Malinovsky 61a, 65074.
+380509603077,
ddoctor@i.ua

F. І. Коstev, Odessa National Medical University

Kostyev Fedir Ivanovich – PhD
Head of Department of urology and nephrology,
Odessa National Medical University,
Ukraine, Odesa, st. Malinovsky 61a, 65074.
+380674822311,
prof.kostev@gmail.com

О. І. Yatsyna, Odessa National Medical University

Iatsyna Oleksandr Ivanovich – PhD
Senior Researcher Department of urology and nephrology,
Odessa National Medical University
Ukraine, Odesa, st. Malinovsky 61a, 65074.
+380676985511,
yatsyna@gmail.com

R. V. Savchuk, Odessa National Medical University

Savchuk Ruslan Valeriiovych, PhD, Associate Professor
Department of urology and nephrology,
Odessa National Medical University
Ukraine, Odesa, st. Malinovsky 61a, 65074.
+380677924763,
savrus7@rambler.ru

К. А. Zalyva, Odessa National Medical University

Zalyva Kseniia Anatoliivna
Junior Researcher of urology and nephrology,
Odessa National Medical University,
Ukraine, Odesa, st. Malinovsky 61a, 65074.
+380978335687,
kzalyva@gmail.com

References

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2. Thüroff JA, Abrams P, Andersson KE. EAU guidelines on urinary incontinence. Eur Urol. 2011 Mar;59(3):387-400. doi: 10.1016/j.eururo.2010.11.021. Epub 2010 Nov 24.

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Published
2018-01-28
Section
General Problems of Surgery