Value of urodynamic study in guiding the treatment of lower urinary tract dysfunction in elderly patients with ischemic stroke during convalescence
10.3969/j.issn.1009-8291.2024.09.006
- VernacularTitle:尿动力检查对指导老年缺血性脑卒中患者康复期下尿路功能障碍治疗的价值
- Author:
Feng SI
1
;
Jia ZUO
;
Qingbin LI
;
Songyang WANG
;
Yakai LIU
;
Maochuan FAN
;
Huiqing ZHANG
;
Jianguo WEN
Author Information
1. 新乡医学院第一附属医院泌尿外科,河南新乡 453100
- Keywords:
ischemic stroke;
lower urinary tract dysfunction;
urodynamic study;
lower urinary tract symptoms;
elderly
- From:
Journal of Modern Urology
2024;29(9):776-780
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of urodynamic study(UDS)in guiding the treatment of lower urinary tract dysfunction(LUTD)in elderly patients with ischemic stroke(IS)during convalescence,in order to provide reference for clinical treatment.Methods A total of 50 LUTD patients with IS who were admitted to the First Affiliated Hospital of Xinxiang Medical University during Jan.2020 and Jan.2022 were selected.Oral tolterodine was administered to patients with detrusor overactivity(DO),clean intermittent catheterization(CIC)to those with no detrusor reflex and symptomatic increased residual urine,and oral administration of tamsulosin to those with functional obstruction of bladder outlet.The lower urinary tract symptoms(LUTS)relief rate,UDS parameters and quality of life(QoL)scores were compared before treatment and 3 months after treatment.Results The UDS examination results showed that 25 cases(50.0％)had simple DO,9 cases(18.0％)had DO with impaired detrusor muscle contraction function,5 cases(10.0％)had DO with bladder outlet functional obstruction,4 cases(8.0％)had no detrusor reflex,and 7 cases(14.0％)had simple bladder outlet functional obstruction.After 3 months of treatment,the symptoms of LUTS,including frequent urination,urgent urination,incontinence,dysuria and urinary retention were significantly improved(P＜0.05).The maximum urine flow rate and urine output were significantly increased,the residual urine volume was significantly reduced,QoL scores were significantly reduced,with significant differences(P＜0.001).Conclusion UDS is significant in guiding the treatment of LUTD in elderly patients with IS during convalescence.
