Urology Clinic, The State Hospital of Usak, Usak, Turkey.
Department of Urology, Faculty of Medicine Celal Bayar University, Manisa, Turkey.
Int Braz J Urol. 2014 Mar-Apr;40(2):232-9. doi: 10.1590/S1677-5538.IBJU.2014.02.14.
We aimed to determine the differences of the urodynamic findings of mix urinary incontinence (MUI), urge urinary incontinence (UUI), and stress urinary incontinence (SUI), and to evaluate the urodynamic findings in different groups by using bladder sensitivity index (BSI).
The data of 99 patients who underwent urodynamic testing related to the suspicion of SUI, UUI or MUI were analysed. This analysis included a retrospective evaluation of patients' cards, voiding diaries, and urodynamic reports. At filling cystometry, the parameters of first sensation of bladder filling (FSBF), first desire to void (FDV), strong desire to void (SDV), and bladder capacity (Vmax), which were related to the bladder sensation, were determined. Subsequently, uroflowmetric findings were recorded during bladder emptying. BSI was defined as the ratio of Vmax/ FDV. These results were statistically compared among the goups.
The sample included 35(35.5%) MUI, 33(33.3%) UUI and 31 (31.1%) SUI. The mean ages were similar in all groups (P = 0.868). The mean FSBF, FDV, SDV and Vmax values were significantly different among groups (p = 0.004, p < 0.001, p < 0.001, p < 0.001 respectively). Nevertheless, there was no statistically significant difference among the mean daily voiding accounts (P = 0.005). Although the mean maximum flow rate (Qmax) values were similar (P = 0.428), the mean maximum detrusor pressure (Pdet(max)) values were significantly different (P = 0.021). The mean BSI values showed no significant differences (P = 0.097).
It was concluded that while the use of urodynamic testing could contribute to the management of urinary incontinence, the indexes including BSI requere more detailed and comprehensive studies.
本研究旨在确定混合性尿失禁（MUI）、急迫性尿失禁（UUI）和压力性尿失禁（SUI）的尿动力学表现差异，并通过膀胱敏感指数（BSI）评估不同组别中的尿动力学表现。
对 99 例因疑似 SUI、UUI 或 MUI 而接受尿动力学检查的患者资料进行分析。该分析包括回顾性评估患者病历、排尿日记和尿动力学报告。在充盈性膀胱测压时，确定与膀胱感觉相关的首次膀胱充盈感觉（FSBF）、首次排尿意愿（FDV）、强烈排尿意愿（SDV）和膀胱容量（Vmax）等参数。随后，在膀胱排空期间记录尿流率结果。BSI 定义为 Vmax/FDV 的比值。对各组结果进行统计学比较。
本样本包括 35 例（35.5%）MUI、33 例（33.3%）UUI 和 31 例（31.1%）SUI。所有组间的平均年龄相似（P = 0.868）。FSBF、FDV、SDV 和 Vmax 值在组间存在显著差异（p = 0.004、p < 0.001、p < 0.001、p < 0.001）。然而，每日排尿次数的平均值在组间无统计学差异（P = 0.005）。尽管平均最大尿流率（Qmax）值相似（P = 0.428），但最大逼尿肌压力（Pdet(max)）值存在显著差异（P = 0.021）。BSI 值的平均值无显著差异（P = 0.097）。
尽管尿动力学检查有助于管理尿失禁，但包括 BSI 在内的指标需要更详细和全面的研究。
