Urodynamic Study of Diabetic Patients with Lower Urinary Tract Symptoms
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 1
Abstract
Background: - Lower urinary tract dysfunctions secondary to type 2 diabetes are common, chronic and costly disorders. They impose an important threat to the lower urinary tract morbidity and economic burdens for our future generations. Material and methods:- This was a hospital based cross sectional study conducted in the Department of Urology, Regional Institute of Medical Sciences, a tertiary care center in Imphal, Manipur,during the period November 2015 to October 2017 after taking ethical committee approval. Forty Diabetic patients who were presenting with lower urinary tract symptoms were enrolled in our study and underwent Urodynamic assessment. Results:- The urodynamic abnormalities found in our study were impaired first sensation in 25%, increased maximum cystometric capacity in 20%, poor compliance in 37.5%, impaired detrusor contraction in 29.41%, detrusor overactivity in 42.5%, detrusor areflexia in 7.5%, bladder outlet obstruction in 35.29%, high PVR in 40% and detrusor overactivity incontinence in 5% of cases. Diabetic cystopathy was seen in 20% of cases. Normal urodynamic study was seen in 6 (15%) cases. Conclusion:- It is important to consider urodynamic evaluation in patients with diabetes mellitus with persistent voiding complaints for proper management.
Authors and Affiliations
Khumukcham Somarendra, Ashish Kumar, Maharabam Mahele, Sumit Gupta, Pavan Kumar Koliwad, Akoijam Kaku Singh
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