지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 247 - 254 (8page)
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초록· 키워드
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Purpose: To compare several contemporary urodynamic criteria for diagnosing detrusor underactivity (DU) and estimate how well they coincide with each other. Materials and Methods: From our prospective urodynamic database we identified nonneurogenic lower urinary tract symptoms (LUTS) patients older than 60 years between 2003 and 2014. Patients were reclassified based on four and three contemporary criteria for DU among men and women. Each criterion was compared with the others using the McNemar test. Results: Urodynamic data of 4,372 patients (3,357 men and 1,015 women) were analyzed. In men, the prevalence of DU was estimated to be 56%, 17%, 5%, and 10% based on bladder contractility index, Abrams-Griffith number, maximal detrusor pressure at maximal flow rate (PdetQmax) 30, and bladder voiding efficiency (BVE) criteria. In women, 14.9%, 9.6%, and 6.4% of patients were classified as having DU based on maximal flow rate/postvoid residual (Qmax/PVR), PdetQmax 30, and BVE criteria. For individual subjects, all 4 criteria for men were significantly different from each other, while PdetQmax 30 and BVE criteria for women did not differ significantly (p=0.065). Additionally, BVE criterion for men and PdetQmax 30 and BVE criteria for women could distinguish the differences of patient age, free Qmax and free PVR between patient with and without DU. Conclusions: Each urodynamic criterion for men does not coincide with each other in the diagnosis of DU within individual subjects. On the other hand, PdetQmax 30 criteria and BVE criteria for women could be appropriately applied to clinical practice when diagnosing DU in women with LUTS.
목차
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참고문헌 (12)
참고문헌 신청
Osman NI / 2014 / Detrusor underactivity and the underactive bladder:a new clinical entity? A review of current terminology, definitions, epidemiology, aetiology, and diagnosis / Eur Urol 65:389~398
정성진 / 2012 / Prevalence and Clinical Features of Detrusor Underactivity among Elderly with Lower Urinary Tract Symptoms: A Comparison between Men and Women / Investigative and Clinical Urology 53(5):342~348
Abrams P / 2003 / The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society / Urology 61:37~49
Abrams P / 1999 / Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function / BJU Int 84:14~15
Nitti VW / 2002 / Lower urinary tract symptoms in young men: videourodynamic findings and correlation with noninvasive measures / J Urol 168:135~138
정성진 / 2012 / Prevalence and Clinical Features of Detrusor Underactivity among Elderly with Lower Urinary Tract Symptoms: A Comparison between Men and Women / Investigative and Clinical Urology 53(5):342~348
Abrams P / 2003 / The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society / Urology 61:37~49
Abrams P / 1999 / Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function / BJU Int 84:14~15
Nitti VW / 2002 / Lower urinary tract symptoms in young men: videourodynamic findings and correlation with noninvasive measures / J Urol 168:135~138
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