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Nat Rev Urol ; 19(10): 581-596, 2022 10.
Article in English | MEDLINE | ID: mdl-35974244

ABSTRACT

Diabetes mellitus is a chronic metabolic disease, posing a considerable threat to global public health. Treating systemic comorbidities has been one of the greatest clinical challenges in the management of diabetes. Diabetic bladder dysfunction, characterized by detrusor overactivity during the early stage of the disease and detrusor underactivity during the late stage, is a common urological complication of diabetes. Oxidative stress is thought to trigger hyperglycaemia-dependent tissue damage in multiple organs; thus, a growing body of literature has suggested a possible link between functional changes in urothelium, muscle and the corresponding innervations. Improved understanding of the mechanisms of oxidative stress could lead to the development of novel therapeutics to restore the redox equilibrium and scavenge excessive free radicals to normalize bladder function in patients with diabetes.


Subject(s)
Diabetes Mellitus , Urinary Bladder , Humans , Oxidative Stress , Urinary Bladder/metabolism , Urothelium/metabolism
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