Abstract
Aims: In men with prostatic obstruction and detrusor overactivity (DO), to ascertain whether urgency of micturition affects bladder contractility. Materials and Methods: We urodynamically assessed five groups of 20 men each who had bladder outflow obstruction (BOO) from benign prostatic enlargement-Groups 1 (with no DO and no urgency), 2 (with DO and no urgency), 3A (with DO and moderate urgency), 3B (with DO and severe urgency), and 4 (with DO, severe urgency and chronic ischemic cerebral lesions). Urgency was graded as moderate or severe by the ability to avert an urgent void at cystometry for ≥2 or max. Results: AG did not differ significantly in Groups 2, 3A, and 3B, proved higher in such groups than in Group 1, and was nearly the same in Groups 1 and 4. PIP and WFmax were significantly higher in Groups 2, 3A, and 3B than in Groups 1 and 4, had the highest levels in Group 3B, and did not differ significantly in Groups 1-4 and 2-3A. Conclusions: In DO patients with prostatic obstruction there seems to be a DO-related facilitation of bladder contractility. In the same patients, severe urgency of micturition might over-amplify (i.e., enhance a DO-related facilitation of) bladder contractility, provided there are no neurogenic (chronic ischemic cerebral) lesions.
| Original language | English |
|---|---|
| Pages (from-to) | 202-206 |
| Number of pages | 5 |
| Journal | Neurourology and Urodynamics |
| Volume | 24 |
| Issue number | 3 |
| DOIs | |
| Publication status | Published - 2005 |
Fingerprint
Keywords
- Bladder contractility
- Bladder outflow obstruction
- Bladder sensation
- Detrusor overactivity
- Urgency
ASJC Scopus subject areas
- Clinical Neurology
- Nephrology
- Urology
Cite this
Urgency of micturition and detrusor contractility in men with prostatic obstruction and overactive bladders. / Cucchi, Antonio; Quaglini, S.; Giannantoni, A.; Guarnaschelli, C.; Rovereto, B.
In: Neurourology and Urodynamics, Vol. 24, No. 3, 2005, p. 202-206.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Urgency of micturition and detrusor contractility in men with prostatic obstruction and overactive bladders
AU - Cucchi, Antonio
AU - Quaglini, S.
AU - Giannantoni, A.
AU - Guarnaschelli, C.
AU - Rovereto, B.
PY - 2005
Y1 - 2005
N2 - Aims: In men with prostatic obstruction and detrusor overactivity (DO), to ascertain whether urgency of micturition affects bladder contractility. Materials and Methods: We urodynamically assessed five groups of 20 men each who had bladder outflow obstruction (BOO) from benign prostatic enlargement-Groups 1 (with no DO and no urgency), 2 (with DO and no urgency), 3A (with DO and moderate urgency), 3B (with DO and severe urgency), and 4 (with DO, severe urgency and chronic ischemic cerebral lesions). Urgency was graded as moderate or severe by the ability to avert an urgent void at cystometry for ≥2 or max. Results: AG did not differ significantly in Groups 2, 3A, and 3B, proved higher in such groups than in Group 1, and was nearly the same in Groups 1 and 4. PIP and WFmax were significantly higher in Groups 2, 3A, and 3B than in Groups 1 and 4, had the highest levels in Group 3B, and did not differ significantly in Groups 1-4 and 2-3A. Conclusions: In DO patients with prostatic obstruction there seems to be a DO-related facilitation of bladder contractility. In the same patients, severe urgency of micturition might over-amplify (i.e., enhance a DO-related facilitation of) bladder contractility, provided there are no neurogenic (chronic ischemic cerebral) lesions.
AB - Aims: In men with prostatic obstruction and detrusor overactivity (DO), to ascertain whether urgency of micturition affects bladder contractility. Materials and Methods: We urodynamically assessed five groups of 20 men each who had bladder outflow obstruction (BOO) from benign prostatic enlargement-Groups 1 (with no DO and no urgency), 2 (with DO and no urgency), 3A (with DO and moderate urgency), 3B (with DO and severe urgency), and 4 (with DO, severe urgency and chronic ischemic cerebral lesions). Urgency was graded as moderate or severe by the ability to avert an urgent void at cystometry for ≥2 or max. Results: AG did not differ significantly in Groups 2, 3A, and 3B, proved higher in such groups than in Group 1, and was nearly the same in Groups 1 and 4. PIP and WFmax were significantly higher in Groups 2, 3A, and 3B than in Groups 1 and 4, had the highest levels in Group 3B, and did not differ significantly in Groups 1-4 and 2-3A. Conclusions: In DO patients with prostatic obstruction there seems to be a DO-related facilitation of bladder contractility. In the same patients, severe urgency of micturition might over-amplify (i.e., enhance a DO-related facilitation of) bladder contractility, provided there are no neurogenic (chronic ischemic cerebral) lesions.
KW - Bladder contractility
KW - Bladder outflow obstruction
KW - Bladder sensation
KW - Detrusor overactivity
KW - Urgency
UR - http://www.scopus.com/inward/record.url?scp=18144418161&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=18144418161&partnerID=8YFLogxK
U2 - 10.1002/nau.20128
DO - 10.1002/nau.20128
M3 - Article
C2 - 15791632
AN - SCOPUS:18144418161
VL - 24
SP - 202
EP - 206
JO - Neurourology and Urodynamics
JF - Neurourology and Urodynamics
SN - 0733-2467
IS - 3
ER -