Urodynamic distinctions between idiopathic detrusor overactivity and detrusor overactivity secondary to multiple sclerosis

Urology
Gary E LemackPriya Ramnarayan

Abstract

To evaluate the urodynamic characteristics of neurogenic detrusor overactivity (NDO) secondary to multiple sclerosis (MS) compared with idiopathic DO (IDO) to determine whether urodynamic distinctions could differentiate the different etiologies of DO. The urodynamic characteristics of DO in women with MS (n = 54) were compared with the overactive contractions found in women with lower urinary tract symptoms and IDO (n = 42). Among other parameters, the amplitude of the first overactive contraction, maximal detrusor contraction, and threshold volume for the first overactive contraction were evaluated to assess the DO severity. A sensitivity analysis using cutoff values determined from those urodynamic parameters that differed between the patient groups is presented. The amplitude of the first overactive contraction was statistically greater in the patients with MS and NDO compared with patients with IDO (28.3 cm H2O versus 20.5 cm H2O, P = 0.003), as was the maximal detrusor contraction (46.4 cm H2O versus 30.8 cm H2O, P = 0.002). The threshold volume for DO was greater among patients with NDO (186.8 mL versus 150.5 mL, P = 0.037), likely secondary to the elevated postvoid residual urine volume noted among patients with MS (P =...Continue Reading

References

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Citations

Jul 27, 2014·The Urologic Clinics of North America·Benjamin E Dillon, Gary E Lemack
Oct 27, 2012·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Tomohiro MagariKazuhiro Suzuki
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Apr 4, 2009·Complementary Therapies in Clinical Practice·Gil RavivAnat Achiron
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Sep 8, 2010·The New England Journal of Medicine·Elliot M Frohman, Dean M Wingerchuk
Nov 8, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Tomasz GolabekBarry O'Reilly
Jan 12, 2012·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Françoise A ValentiniPierre P Nelson
Nov 26, 2013·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Françoise A ValentiniGilberte Robain
Aug 24, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Lauren Folgosa Cooley, Stephanie Kielb
Oct 20, 2018·American Journal of Physical Medicine & Rehabilitation·Adélia Correia LúcioCarlos Arturo Levi D'ancona
Mar 21, 2019·American Journal of Physical Medicine & Rehabilitation·Adélia LúcioCarlos Arturo Levi Dʼancona

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