Patterns of urodynamics in elderly patients - 08/12/17
, M. Ismail, H. HashimBienvenue sur EM-consulte, la référence des professionnels de santé.
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Abstract |
Purpose |
To assess whether clinical diagnoses of lower urinary tract symptoms in elderly patients associates with urodynamic diagnosis.
Materials and methods |
A retrospective analysis of an urodynamic database between the years 2000 and 2011 was conducted to assess whether clinical diagnoses correlate with urodynamic findings in elderly population. Patients were divided into 4 groups according to clinical diagnoses; overactive bladder, stress urinary incontinence, bladder outlet obstruction and underactive bladder symptoms.
Results |
Nine hundred and sixty-six patients were at or above the age of 75 years. The most common clinical presentation was overactive bladder. The highest association between clinical and urodynamic diagnosis was at the overactive bladder group (85%) in men and stress urinary incontinence group (74%) in women.
Conclusion |
Patients with OAB symptoms will most likely have a diagnosis of detrusor overactivity on urodynamic studies. Urodynamic studies will unlikely change the management of frail elderly patients thus should be only offered to selected patients above the age of 75 years.
Le texte complet de cet article est disponible en PDF.Keywords : Elderly, Urodyamics, Pathophysiology, Diagnoses
Plan
Vol 8 - N° 5-6
P. 505-508 - novembre 2017 Retour au numéro
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