Association of symptoms with urodynamic findings in men with overactive bladder syndrome

作者：Al Zahrani Ali A; Gajewski Jerzy B^*

来源：BJU International, 2012, 110(11C): E891-E895.

DOI：10.1111/j.1464-410X.2012.11467.x

• bladder outlet obstruction
• BOO
• detrusor overactivity
• overactive bladder
• urodynamic study

OBJECTIVE %26lt;br%26gt;To assess the correlation between overactive bladder (OAB) symptoms with urodynamic (UD) findings in men. %26lt;br%26gt;PATIENTS AND METHODS %26lt;br%26gt;We conducted a retrospective study of all UD studies involving men with OAB symptoms. %26lt;br%26gt;All UD studies were carried out at a single centre from 1994 to 2009 and were reported by one urology specialist. %26lt;br%26gt;RESULTS %26lt;br%26gt;There were 668 UD reports included in the final analysis. All patients had symptoms of urgency with or without urgency incontinence (UI). %26lt;br%26gt;There was a weak correlation between OAB symptoms and UD findings. %26lt;br%26gt;All storage symptoms, except frequency, correlated with a finding of detrusor overactivity (DO). %26lt;br%26gt;Severity of urgency correlated inversely with a finding of bladder outlet obstruction (BOO). %26lt;br%26gt;Both nocturia and frequency correlated inversely with maximum cystometric capacity. %26lt;br%26gt;More than 75% of patients had concomitant voiding symptoms. Severity of voiding symptoms (slow stream and incomplete emptying) correlated inversely with documentation of DO. Voiding symptoms were predictors of BOO, while severe urgency was a negative predictor for BOO. %26lt;br%26gt;CONCLUSIONS %26lt;br%26gt;There were weak correlations between OAB symptoms and UD findings. Most men with OAB symptoms had concomitant voiding symptoms and more than a third (43%) of these had evidence of BOO. %26lt;br%26gt;A pressure flow study is of benefit in the evaluation of patients with OAB symptoms.

• 出版日期2012-12