Ateşçi Yusuf Ziya, Aydoğdu Özgü, Karaköse Ayhan, Pekedis Mahmut, Karal Ömer, Şentürk Utku
Department of Urology, Izmir University School of Medicine, Uckuyular, 35200 Izmir, Turkey.
Department of Mechanical Engineering, Ege University Faculty of Engineering, Bornova, 35200 Izmir, Turkey.
ScientificWorldJournal. 2014 Jan 8;2014:846856. doi: 10.1155/2014/846856. eCollection 2014.
We aimed to investigate the role of urinary bladder shape which may potentially change with advancing age, increased waist circumference, pelvic ischemia, and loosening of the urachus on bladder emptying and UFR. We retrospectively investigated the medical records of 76 men. The patients were divided into two groups according to bladder shapes in MRI scan (cone and spheric shapes). There was a significant difference between the two groups in terms of IPSS, Qmax, Qave, and waist circumference. A positive correlation has been demonstrated between mean peak urinary flow rate measured with UFM and mean flow rate calculated using the CP. There was a significant difference between mean urinary flow rates calculated with CP of cone and sphere bladder shapes. The change in the bladder shape might be a possible factor for LUTS in men and LUTS may be improved if modifiable factors including increased waist circumference and loosening of the urachus are corrected.
我们旨在研究膀胱形状的作用，其可能会随着年龄增长、腰围增加、盆腔缺血以及脐尿管松弛而发生潜在变化，进而影响膀胱排空和尿流率（UFR）。我们回顾性研究了76名男性的病历。根据磁共振成像（MRI）扫描中的膀胱形状（锥形和球形）将患者分为两组。两组在国际前列腺症状评分（IPSS）、最大尿流率（Qmax）、平均尿流率（Qave）和腰围方面存在显著差异。经尿流率测定仪（UFM）测得的平均最大尿流率与使用排尿期膀胱尿道造影（CP）计算出的平均尿流率之间存在正相关。锥形和球形膀胱形状通过CP计算出的平均尿流率之间存在显著差异。膀胱形状的改变可能是男性下尿路症状（LUTS）的一个潜在因素，如果纠正包括腰围增加和脐尿管松弛在内的可改变因素，LUTS可能会得到改善。
