A comparison of normal and high post-void residual urine and urodynamic parameters in women with overactive bladder/ Asiri aktif mesanesi olan kadinlarda normal ve artmis iseme sonrasi rezidulerin ve urodinamik parametrelerin karsilastirilmasi

• Published in: Turkish journal of obstetrics and gynecology Vol. 14; no. 4; p. 210
• Main Authors: Dagdeviren, Hediye, Cengiz, Huseyin, Helvacioglu, Caglar, Heydarova, Ulkar, Kaya, Cihan, Ekin, Murat
• Format: Journal Article
• Language: English
• Published: Galenos Yayinevi Tic. Ltd 01-12-2017
• Subjects: Bladder; Development and progression; Gynecological research; Health aspects; Physiological aspects; Urinary incontinence; Urinary tract physiology
• ISSN: 2149-9322
• DOI: 10.4274/tjod.84666

Objective: To investigate voiding functions and assess the relationships of voiding parameters to overactive bladder symptoms and postvoiding residue volumes. Materials and Methods: This is a retrospective study analyzing urodynamic parameters in patients who were diagnosed as having overactive in our urogynecology clinic between April 2014 and April 2016. A total of 290 women who met the selection criteria were included in the study The patients were divided into two groups according to postvoiding residue volumes: group 1, postvoiding residue volumes <100 mL (n=135); group 2, postvoiding residue volumes [greater than or equal to]100 mL (n=155). Results: A total of 290 women were included in the study; the mean age was 71.4 years. A total of 158 (54.5%) patients had detrusor over-activity during urodynamic testing. The mean maximum bladder capacity in elevated group 2 (postvoiding residue volumes [greater than or equal to]100 mL) was significantly higher than in group 1 (postvoiding residue volumes <100 mL) (p<0.01). Additionally there was a significant difference between detrusor pressure at [Q.sub.max] in both study groups (p<0.05). There were no significant differences in the first-sensation volume between the normal and elevated postvoiding residue volumes groups. Conclusion: In conclusion, patients with overactive with elevated postvoiding residue volumes showed increased maximum bladder capacity but detrusor over-activity was not more prevalent in these women compared with women with normal postvoiding residue volumes. Keywords: Residue urine, urodynamics, voiding, bladder pressure Oz Amac: Calismanin amaci iseme fonksiyonlarini ve iseme fonksiyonlari ile asiri aktif mesane semptomlari ve iseme sonrasi rezidu idrar volumu arasindaki iliskiyi degerlendirmektir. Gerec ve Yontemler: Calismada 2014 Nisan ile 2016 Nisan arasinda urojinekoloji klinigimizde asiri aktif mesane tanisi alan hastalarin urodinamik parametrelerini geriye donuk olarak degerlendirdik. Calismaya secilme kriterlerini karsilayan 290 hasta dahil edildi. Hastalar iseme sonrasi rezidu miktarlarina gore 2 gruba bolundu: Grup 1, rezidu <100 mL (n=135); grup 2, rezidu [greater than or equal to]100 mL (n=155). Bulgular: Toplam 290 hasta calismaya dahil edildi ve hastalarin ortalama yaslari 71,4 idi. Urodinamik testler sonucunda toplam 158 hastada (54,5%) detrusor asiri aktivitesi saptandi. Grup 2'deki (rezidu [greater than or equal to]100 mL) hastalarin ortalama mesane kapasitesi grup 1'deki (rezidu <100 mL) hastalardan belirgin olarak yuksekti (p<0,01). Ayrica 2 grup arasindaki maksimum akis hizindaki detrusor basinclari belirgin olarak farkliydi (p<0,05). Ancak 2 grup arasinda hastalarin ilk idrar hissi miktarinda belirgin fark yoktu. Sonuc: Sonuc olarak; artmis rezidu idrar volumune sahip asiri aktif mesaneli hastalarda artmis maksimum mesane kapasitesi gozlenirken, bu grupta iseme sonrasi normal reziduye sahip olan gruba gore detrusor asiri aktivitesi prevelansi daha fazla degildi. Anahtar Kelimeler: Rezidu idrar, urodinami, iseme, mesane basinci PRECIS: We studied urodynamic parameters and their clinical importance in patients with overactive bladders.