Koubaa Sonia, Ben Salah Fatma Zohra, Miri Imen, Ghorbel Sofien, Lebib Sonia, Dziri Catherine, Rokbani Lilia
Service de Médecine Physique et Réadaptation, Institut National d'Ortopédie M Kassab, La Manouba.
Tunis Med. 2009 Apr;87(4):279-82.
Diabetic bladder dysfunction is among the most common complications of diabetes mellitus. It is principally caused by autonomic neuropathy defining diabetic cystopathy.
characterize the bladder dysfunction in patients with diabetes mellitus.
The clinical and urodynamic records of patients with diabetes mellitus were reviewed.
40 patients with diabetes mellitus were included in the study mean aged 55 years. 32 patients had voiding dysfunction. Urinary frequency and difficulty emptying were the predominant symptoms that led to patient referral. 15 patients (31.25%) had decreased flow rates. 12 patients (37.5%) had diminished bladder sensation and/or impaired detrusor contractility. 10 patients (25%) had detrusor hyperreflexia and 6 patients had impaired detrusor contractility with increased bladder sensation. Vescico-uretral dyssynergia was found in 2 patients (5%).
This study suggests that classical diabetic cystopathy is not the most common urodynamic findings in patients with diabetes mellitus and demonstrates the importance of urodynamic studies in diagnosing bladder dysfunction in diabetics before initiation of therapy.
糖尿病膀胱功能障碍是糖尿病最常见的并发症之一。它主要由定义为糖尿病膀胱病的自主神经病变引起。
描述糖尿病患者的膀胱功能障碍。
回顾糖尿病患者的临床和尿动力学记录。
40例糖尿病患者纳入研究，平均年龄55岁。32例患者有排尿功能障碍。尿频和排尿困难是导致患者就诊的主要症状。15例患者（31.25%）尿流率降低。12例患者（37.5%）膀胱感觉减退和/或逼尿肌收缩力受损。10例患者（25%）有逼尿肌反射亢进，6例患者有逼尿肌收缩力受损伴膀胱感觉增强。2例患者（5%）发现膀胱尿道协同失调。
本研究表明，经典的糖尿病膀胱病并非糖尿病患者最常见的尿动力学表现，并证明了尿动力学研究在糖尿病患者治疗前诊断膀胱功能障碍中的重要性。
