Kaynar Mehmet, Kucur Mustafa, Kiliç Ozcan, Akand Murat, Gul Murat, Goktas Serdar
Department of Urology, Selcuk University, Faculty of Medicine, Konya, Turkey.
Neurourol Urodyn. 2016 Jun;35(5):622-4. doi: 10.1002/nau.22762. Epub 2015 Apr 7.
To investigate the effect of the bladder sensation grade on uroflowmetry parameters.
Fifty healthy volunteering young men were enrolled in the present study. In total, three uroflowmetry evaluations were made. Qmax , Qave , VV, and PVR urine was obtained three times in three described bladder sensation grades, nearly at the same time of the day.
The mean age of the participants in the present study is 29.08 ± 3.8 years. The mean Qmax values of the volunteers were 17.4 ± 4.8 ml/s, 24.1 ± 6.0 ml/s, and 29.6 ± 6.5 ml/s in the first, second, and third, voiding desire grades, respectively. The mean Qave values were 9.9 ± 2.1 ml/s, 12.9 ± 2.9 ml/s, and 15.9 ± 4.0 ml/s for each of the voiding desire grades mentioned. A statistically significant difference was obvious for all three bladder sensation grades in terms of Qmax and Qave values (P = 0.000). However, no statistically significant difference was seen regarding the PVR urine volumes. The mean voided volume in the first, second and third uroflowmetry were 140 ± 42 ml, 245 ± 64 ml, and 449 ± 105 ml, respectively. The highest Qmax and Qave values were obtained when the desire to void was urgent.
The findings of the study show that, uroflowmetry evaluations are to be made if the patients have a strong desire to void. Only thus the highest Qmax values can be obtained; yet, the degree of perceived bladder sensation does not have a statistically significant impact on PVR quantity. Neurourol. Urodynam. 35:622-624, 2016. © 2015 Wiley Periodicals, Inc.
研究膀胱感觉分级对尿流率参数的影响。
本研究纳入了50名健康的年轻男性志愿者。总共进行了三次尿流率评估。在三种所述的膀胱感觉分级下,几乎在一天中的同一时间获取最大尿流率(Qmax)、平均尿流率(Qave)、排尿量(VV)和残余尿量(PVR),各进行三次。
本研究参与者的平均年龄为29.08±3.8岁。志愿者在第一次、第二次和第三次排尿欲望分级时的平均Qmax值分别为17.4±4.8毫升/秒、24.1±6.0毫升/秒和29.6±6.5毫升/秒。上述各排尿欲望分级的平均Qave值分别为9.9±2.1毫升/秒、12.9±2.9毫升/秒和15.9±4.0毫升/秒。在Qmax和Qave值方面,所有三种膀胱感觉分级均存在明显的统计学差异(P = 0.000)。然而,残余尿量方面未观察到统计学差异。第一次、第二次和第三次尿流率测量时的平均排尿量分别为140±42毫升、245±64毫升和449±105毫升。当排尿欲望急迫时,可获得最高的Qmax和Qave值。
研究结果表明,若患者有强烈的排尿欲望,则应进行尿流率评估。只有这样才能获得最高的Qmax值;然而,膀胱感觉程度对残余尿量没有统计学上的显著影响。《神经泌尿学与尿动力学》35:622 - 624,2016年。©2015威利期刊公司