Clinical significance of urodynamic detection in patients with diabetic cystopathy complicated with benign prostatic hyperplasia
10.3760/cma.j.issn.1673-4904.2014.23.003
- VernacularTitle:糖尿病膀胱病变合并良性前列腺增生症尿动力学检查的临床价值
- Author:
Jianmin ZHOU
;
Shijie NIU
;
Song TU
;
Faying YANG
;
Xiaoying SONG
;
Yongwei SHAN
;
Changjun YANG
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus;
Urinary bladder diseases;
Prostatic hyperplasia;
Urodynamics
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(23):6-8
- CountryChina
- Language:Chinese
-
Abstract:
Objective To obtain reasonable treatment by urodynamic detection and analysis in patients with diabetic cystopathy (DCP) complicated with benign prostatic hyperplasia (BPH).Methods Sixty patients with DCP complicated with BPH were selected,among the total 32 patients (duration of diabetes ＞ 12 years,blood glucose control was not ideal) were recognized as experimental group,and 28 patients (duration of diabetes ≤ 8 years,blood glucose control was stable) were recognized as control group.Using the Laborie UDS-120XLT urodynamic detection instrument,the urodynamic was detected and the international prostate symptom score (IPSS) was evaluate,and the results were compared between the 2 groups.Results There was no statistical difference in residual urine volume between experimental group and control group [(146 ±71) ml vs.(160 ±64) ml,P ＞0.05].The maximum urinary flow-rate in experimental group was significantly lower than that in control group [(5.4 ± 2.0) ml/s vs.(8.0 ± 3.2) ml/s],the symptom total score of IPSS was significantly higher than that in control group [(25.8 ± 4.1) scores vs.(22.6 ±5.0) scores],there were statistical differences (P ＜0.01).The maximum bladder capacity,compliance,incipient micturition desire volume in experimental group were significantly lower than those in control group,there were statistical differences (P ＜ 0.01).Conclusions The influence of DCP on the function of the bladder in BPH patients is significant.Urodynamic detection can provide objective basis for the selection of therapeutic methods,suitable to be operated and forecast the postoperative effect.It has an important reference value in DCP complicated with BPH patients.
