Urodynamic Findings of The Patients with Parkinson’s Disease: A Single Tertiary Center Results

Mehmet Fatih Şahin; Murat Akgül; Çağrı Doğan; Arzu Malak; Serkan Şeramet; Cenk Murat Yazıcı

Makale detayları

Urodynamic Findings of The Patients with Parkinson’s Disease: A Single Tertiary Center Results

Yazarlar:

Mehmet Fatih Şahin | Murat Akgül | Çağrı Doğan | Arzu Malak | Serkan Şeramet | Cenk Murat Yazıcı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.16 Issue 1, pp.42-45

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313152

pISSN:

1309-3878

Anahtar kelimeler:

Özet:

 Objective :In Parkinsons disease PD, lower urinary tract symptoms LUTS are common with a prevalence ranging from 25 to 57. Patients who are resistant to medical treatment for LUTS may require urodynamic examination and pressure flow study UD-PFS to better comprehend the bladders dynamics. To be able to comprehend the pathophysiology of LUTS, UD-PFS examinations should be performed. In this study, the demographics and clinical properties of PD patients were presented along with their UD-PFS examinations. Method : The data of 155 patients with PD followed up between 2010-2020 were retrospectively analyzed. UD-PFS was applied to 42 PD patients resistant to medical treatment of LUTS. Patients demographic and clinical data with their UD-PFS findings were studied separately. Result : Twenty-eight of the patients underwent UD-PFS were male, and 14 were female. In UD, the first urinary sensation was 86.0068.77cc, and the maximum cystometric capacity was 322.07194.25cc. Sixteen patients had a hypo-compliant bladder, 25 59.5 had a normo-compliant bladder. In PFS, Q max and peak detrusor pressure during voiding were 12.7210.08 mLsec and 43.9315.56 cm-H2O, respectively. Stress-type urinary incontinence was detected in 6 15 of the patients. When evaluating the detrusor activity, neurogenic detrusor overactivity in 18 44 patients, detrusor areflexia in 8 19 and normal UD-PFS in 16 22 patients. Conclusion: The majority of the patients presented with neurogenic detrusor overactivity accompanied by diminished bladder capacity and hypersensitivity. In the selected PD patients who are resistant to medical treatment with LUTS clinics, UD-PFS provides useful scientific information about the LUTS clinics of patients and may be helpful in treatment management.

 Objective :In Parkinsons disease PD, lower urinary tract symptoms LUTS are common with a prevalence ranging from 25 to 57. Patients who are resistant to medical treatment for LUTS may require urodynamic examination and pressure flow study UD-PFS to better comprehend the bladders dynamics. To be able to comprehend the pathophysiology of LUTS, UD-PFS examinations should be performed. In this study, the demographics and clinical properties of PD patients were presented along with their UD-PFS examinations. Method : The data of 155 patients with PD followed up between 2010-2020 were retrospectively analyzed. UD-PFS was applied to 42 PD patients resistant to medical treatment of LUTS. Patients demographic and clinical data with their UD-PFS findings were studied separately. Result : Twenty-eight of the patients underwent UD-PFS were male, and 14 were female. In UD, the first urinary sensation was 86.0068.77cc, and the maximum cystometric capacity was 322.07194.25cc. Sixteen patients had a hypo-compliant bladder, 25 59.5 had a normo-compliant bladder. In PFS, Q max and peak detrusor pressure during voiding were 12.7210.08 mLsec and 43.9315.56 cm-H2O, respectively. Stress-type urinary incontinence was detected in 6 15 of the patients. When evaluating the detrusor activity, neurogenic detrusor overactivity in 18 44 patients, detrusor areflexia in 8 19 and normal UD-PFS in 16 22 patients. Conclusion: The majority of the patients presented with neurogenic detrusor overactivity accompanied by diminished bladder capacity and hypersensitivity. In the selected PD patients who are resistant to medical treatment with LUTS clinics, UD-PFS provides useful scientific information about the LUTS clinics of patients and may be helpful in treatment management.

 Objective :In Parkinsons disease PD, lower urinary tract symptoms LUTS are common with a prevalence ranging from 25 to 57. Patients who are resistant to medical treatment for LUTS may require urodynamic examination and pressure flow study UD-PFS to better comprehend the bladders dynamics. To be able to comprehend the pathophysiology of LUTS, UD-PFS examinations should be performed. In this study, the demographics and clinical properties of PD patients were presented along with their UD-PFS examinations. Method : The data of 155 patients with PD followed up between 2010-2020 were retrospectively analyzed. UD-PFS was applied to 42 PD patients resistant to medical treatment of LUTS. Patients demographic and clinical data with their UD-PFS findings were studied separately. Result : Twenty-eight of the patients underwent UD-PFS were male, and 14 were female. In UD, the first urinary sensation was 86.0068.77cc, and the maximum cystometric capacity was 322.07194.25cc. Sixteen patients had a hypo-compliant bladder, 25 59.5 had a normo-compliant bladder. In PFS, Q max and peak detrusor pressure during voiding were 12.7210.08 mLsec and 43.9315.56 cm-H2O, respectively. Stress-type urinary incontinence was detected in 6 15 of the patients. When evaluating the detrusor activity, neurogenic detrusor overactivity in 18 44 patients, detrusor areflexia in 8 19 and normal UD-PFS in 16 22 patients. Conclusion: The majority of the patients presented with neurogenic detrusor overactivity accompanied by diminished bladder capacity and hypersensitivity. In the selected PD patients who are resistant to medical treatment with LUTS clinics, UD-PFS provides useful scientific information about the LUTS clinics of patients and may be helpful in treatment management.

 Amaç: Parkinson hastalığında PH, alt üriner sistem semptomları AÜSS yaygın olarak, 25 ila 57 arasında değişen bir prevalansla görülür. AÜSS için medikal tedaviye yanıt vermeyen hastalarda mesane dinamiklerini daha iyi anlamak için ürodinamik inceleme ve basınç akış çalışması ÜD-BAÇ gerekebilir. ÜD-BAÇ incelemeleri AÜSS patofizyolojisinin anlaşılmasına katkı sağlayabilir. Bu çalışmada Parkinson hastalarının demografik ve klinik bulgularının ÜD-BAÇ tetkiklerinin sonuçları ile birlikte değerlendirilmesi amaçlanmıştır. Metod : 2010-2020 yılları arasında takip edilen 155 Parkinson hastasının verileri retrospektif olarak incelendi. AÜSSları medikal tedaviden fayda görmeyen 42 Parkinson hastasına ÜD-BAÇ uygulandı. Hastaların klinik ve demografik verileri ile ÜD-BAÇ bulguları ayrı ayrı değerlendirildi. Bulgular: ÜD-BAÇ uygulanan hastaların 28i erkek, 14ü kadındı. ÜDde ilk idrar hissi 86.0068.77cc, maksimum sistometrik kapasite 322.07194.25cc idi. 16 hastada hipo-kompliyan mesane, 25inde 59,5 normo-kompliyan bir mesane vardı. BAÇta işeme fazındaki Qmax ve maksimum detrüsör basıncı sırasıyla 12,7210,08 mLsn ve 43,9315,56 cm-H2O idi. 6 15 hastada stres tipi üriner inkontinans saptandı. Detrusor foksiyonu değerlendirildiğinde ise 18 44,0 hastada nörojenik detrusor aşırı aktivitesi, 8 19 hastada detrusor arefleksi ve 16 22 hastada normal ÜD-BAÇ saptandı. Sonuç: Hastaların çoğunda azalmış mesane kapasitesi ve hipersensitivite ile nörojenik detrüsör aşırı aktivitesi vardı. AÜSS klinikleri ile medikal tedaviye dirençli PH grubundaki seçilmiş hastalarda ÜD-BAÇ, hastaların AÜSS klinikleri hakkında değerli bilimsel veriler sağlar ve tedavi yönetiminde faydalı olabilir.

Makale detayları

Urodynamic Findings of The Patients with Parkinson’s Disease: A Single Tertiary Center Results

Yazarlar:

Mehmet Fatih Şahin | Murat Akgül | Çağrı Doğan | Arzu Malak | Serkan Şeramet | Cenk Murat Yazıcı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.16 Issue 1, pp.42-45

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313152

pISSN:

1309-3878

Urodynamic examination

Pressure flow study

Parkinson’s diseaseÜrodinamik inceleme

Basınç Akım Çalışması

Parkinson Hastalığı

Sayı

Makale detayları

Urodynamic Findings of The Patients with Parkinson’s Disease: A Single Tertiary Center Results

Yazarlar: Mehmet Fatih Şahin | Murat Akgül | Çağrı Doğan | Arzu Malak | Serkan Şeramet | Cenk Murat Yazıcı

Yayıncı: Duzce University

Ana Başlıklar: Health Care Administration

Dergi: Konuralp Medical Journal Vol.16 Issue 1, pp.42-45

Belge Tipi: Makale

Yayın Tarihi: 3/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001313152

pISSN: 1309-3878

Urodynamic examination

Pressure flow study

Parkinson’s diseaseÜrodinamik inceleme

Basınç Akım Çalışması

Parkinson Hastalığı

Sayı

Yazarlar:

Mehmet Fatih Şahin | Murat Akgül | Çağrı Doğan | Arzu Malak | Serkan Şeramet | Cenk Murat Yazıcı

Yayıncı:

Duzce University

Ana Başlıklar:

Health Care Administration

Dergi:

Konuralp Medical Journal Vol.16 Issue 1, pp.42-45

Belge Tipi:

Makale

Yayın Tarihi:

3/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001313152

pISSN:

1309-3878