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Urodynamics in a community-dwelling population of females 80 years or older: which motive? Which diagnosis?
Valentini, Françoise A; Robain, Gilberte; Marti, Brigitte G; Nelson, Pierre P.
  • Valentini, Françoise A; Université Pierre et Marie Curie. ER6. Paris. FR
  • Robain, Gilberte; Université Pierre et Marie Curie. ER6. Paris. FR
  • Marti, Brigitte G; Hôpital Charles Foix. Department of Physical Medicine and Rehabilitation. Ivry-sur-Seine. FR
  • Nelson, Pierre P; Université Pierre et Marie Curie. ER6. Paris. FR
Int. braz. j. urol ; 36(2): 218-224, Mar.-Apr. 2010. tab
Artículo en Inglés | LILACS | ID: lil-548383
ABSTRACT

PURPOSE:

To determine why community-dwelling women aged 80 years or over were referred for urodynamic evaluation despite their advanced age and which urodynamic diagnosis was made. MATERIALS AND

METHODS:

One hundred consecutive females (80-93 years) were referred to our urodynamics outpatient clinic for evaluation of lower urinary tract symptoms (LUTS) between 2005 and 2008. Clinical evaluation comprised of a previous history of LUTS, previous medical history of neurological disease or dementia, pelvic floor dysfunction or prior pelvic surgery. Exclusion criteria were complete retention and severe dementia involving failure to understand simple instructions. Assessed items were results of uroflows (free flow and intubated flow), cystometry and urethral pressure profilometry, and final urodynamic diagnosis.

RESULTS:

The main complaint evoked by the patients was incontinence (65.0 percent) of which 61.5 percent was "complicated" and urgency was reported by 70.0 percent. Interpretable free flow at arrival was very low (44.0 percent). Prevalence of detrusor overactivity was high, found in 45 patients of whom 16 had detrusor hyperactivity with impaired detrusor contractility. Detrusor overactivity and urgency were strongly associated (p = 0.004). Twenty-five patients had intrinsic sphincteric deficiency alone and 15 detrusor underactivity.

CONCLUSION:

In this particular community-dwelling with an elderly female population, urodynamics is easily feasible. Incontinence, mainly "complicated" is the more frequent complaint and urgency the more frequent symptom. Urodynamic diagnosis underlines the high incidence of detrusor overactivity as well as impaired detrusor function.
Asunto(s)

Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Urodinámica / Vejiga Urinaria / Obstrucción del Cuello de la Vejiga Urinaria Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Anciano / Aged80 / Femenino / Humanos País/Región como asunto: Europa Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2010 Tipo del documento: Artículo País de afiliación: Francia Institución/País de afiliación: Hôpital Charles Foix/FR / Université Pierre et Marie Curie/FR

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Urodinámica / Vejiga Urinaria / Obstrucción del Cuello de la Vejiga Urinaria Tipo de estudio: Estudio diagnóstico / Estudio de incidencia / Estudio de prevalencia / Estudio pronóstico / Factores de riesgo Límite: Anciano / Aged80 / Femenino / Humanos País/Región como asunto: Europa Idioma: Inglés Revista: Int. braz. j. urol Asunto de la revista: Urología Año: 2010 Tipo del documento: Artículo País de afiliación: Francia Institución/País de afiliación: Hôpital Charles Foix/FR / Université Pierre et Marie Curie/FR