Clinical and urodynamic evaluation of women referred with diabetes mellitus.


INTRODUCTION AND HYPOTHESIS:We investigated the impact of diabetes mellitus (DM) on female lower urinary tract dysfunction. METHODS:We prospectively collected data of 1,640 consecutive diabetic women from the inpatient departments and outpatient clinics of urology, endocrinology, geriatrics, and nephrology in primary, secondary, and tertiary referral hospitals, rural healthcare stations, and nursing homes in Dujiangyan, China. Clinical histories were taken on an individualized basis depending on patient presentation. Urodynamics were performed in the enrolled female diabetic patients after excluding other causes of lower urinary tract dysfunction. Data on lower urinary tract symptoms and urodynamic parameters were analyzed. RESULTS:Ninety-three percent of diabetic women complained of lower urinary tract symptoms, and 88 % had positive urodynamic findings. Sixty-three percent presented with storage symptoms, 918 cases of which had detrusor overactivity, 787 impaired detrusor contractility, and 131 detrusor areflexia. Among the 918 patients with impaired detrusor contractility or detrusor areflexia, the mean first sensation of filling was 238.1 ml, with a mean maximum cystometric capacity of 624 ml, mean maximum flow rate of 9.6 ml/s, mean detrusor pressure at maximum flow rate of 32.4 cmH2O, and mean postvoid residual of 323 ml. Thirty-eight of 131 patients with detrusor areflexia had impaired renal function on blood chemistry test, and massive bilateral ureterohydronephrosis and "Christmas-tree-shaped" bladder in videourodynamic studies. On the whole, 95 % diabetic women had diabetic cystopathy. CONCLUSIONS:DM alters voiding patterns significantly, causing various lower urinary tract symptoms in a significant proportion of diabetic women. Diabetic cystopathy is a progressive condition with a spectrum of clinical symptoms and urodynamic findings. The prevalence of diabetic cystopathy is very high in Dujiangyan, China.


Int Urogynecol J


Changxiao H,Zhengyong Y,Shibing Y,Caiwen W,Yingchuan H,Wei H,Hanhui W,Dong L,Peng H,Jing L,Rui Z,Jia L,Hong S




Has Abstract


2014-07-01 00:00:00












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    abstract:INTRODUCTION AND HYPOTHESIS:The vagina and surrounding structures have been shown to remodel during pregnancy. Our objective was to characterize the biomechanical properties of the vagina in the rodent model in vivo utilizing three-dimensional (3D) ultrasound. METHODS:The vagina was visualized by ultrasound after dist...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Feola A,Endo M,Deprest J

    更新日期:2014-07-01 00:00:00

  • Latin American consensus on uncomplicated recurrent urinary tract infection-2018.

    abstract::An estimated 20-30% of adult women who experience an initial urinary tract infection (UTI) will have recurrent infection. In these patients, prophylaxis may be considered to improve their quality of life and control overuse of antibiotics. Despite this need, there is currently no Latin American consensus on the treatm...

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    更新日期:2020-01-01 00:00:00

  • The rectovaginal septum: visible on magnetic resonance images of women with Mayer-Rokitansky-Küster-Hauser syndrome (Müllerian agenesis).

    abstract:INTRODUCTION AND HYPOTHESIS:Ongoing debate exists about whether the rectovaginal septum (Denonvilliers' fascia) is myth or reality. This study evaluates magnetic resonance images (MRI) of women with Müllerian agenesis for the presence of fascial layers between the rectum and the bladder to test the hypothesis that this...

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    pub_type: 杂志文章


    authors: Huebner M,Rall K,Brucker SY,Reisenauer C,Siegmann-Luz KC,DeLancey JO

    更新日期:2014-03-01 00:00:00

  • Prospective comparison of obstetric anal sphincter injury incidence between an Asian and Western hospital.

    abstract:INTRODUCTION AND HYPOTHESIS:Obstetric anal sphincter injury (OASIS) rates are reported to be higher in Asian women living in Western countries than in those living in Asia, but the reasons for the differences remain unclear. The objectives of this study were for a single examiner to prospectively compare OASIS rates in...

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    pub_type: 杂志文章


    authors: Bates LJ,Melon J,Turner R,Chan SSC,Karantanis E

    更新日期:2019-03-01 00:00:00

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Adams K,Osmundsen B,Gregory WT

    更新日期:2014-05-01 00:00:00

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Hoskey KA,Shippey SH,Handa VL

    更新日期:2012-03-01 00:00:00

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    pub_type: 杂志文章


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    更新日期:2014-11-01 00:00:00

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Wu YM,Reid J,Chou Q,MacMillan B,Leong Y,Welk B

    更新日期:2019-04-01 00:00:00

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    journal_title:International urogynecology journal

    pub_type: 历史文章,杂志文章


    authors: Ostergard DR

    更新日期:2011-07-01 00:00:00

  • Vaginal repair of supratrigonal vesicovaginal fistulae--a 10-year review.

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    pub_type: 杂志文章


    authors: Rajamaheswari N,Bharti A,Seethalakshmi K

    更新日期:2012-12-01 00:00:00

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    pub_type: 杂志文章


    authors: Riss S,Winstanley J,Collie M

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    pub_type: 杂志文章


    authors: Orejuela FJ,Shek KL,Dietz HP

    更新日期:2012-02-01 00:00:00

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    pub_type: 杂志文章


    authors: Moen MD,Richter HE

    更新日期:2014-09-01 00:00:00

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    pub_type: 杂志文章


    authors: Miotla P,Cartwright R,Skorupska K,Bogusiewicz M,Markut-Miotla E,Futyma K,Rechberger T

    更新日期:2017-06-01 00:00:00

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    authors: Baruch Y,Nale R,Parma M,Di Fatta S,Fedele L,Candiani M,Salvatore S

    更新日期:2020-12-01 00:00:00

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    pub_type: 杂志文章


    authors: Shatkin-Margolis A,Duke E,Ghodsi V,Hill A,Crisp CC,Pauls RN

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    pub_type: 杂志文章,多中心研究,随机对照试验


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    pub_type: 杂志文章


    authors: Plair A,Dutta R,Overholt TL,Matthews C

    更新日期:2021-01-13 00:00:00

  • Apical suspension is underutilized for repair of stage IV pelvic organ prolapse: an analysis of national practice patterns in the United States.

    abstract:INTRODUCTION AND HYPOTHESIS:Support of the vaginal apex is paramount for a durable repair of pelvic organ prolapse (POP). Our aim is to assess national utilization of apical suspension procedures for the surgical treatment of complete POP. We hypothesize that there might be a high rate of apical suspension with advance...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Manning J

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Quiroz LH,Shobeiri SA,White D,Wild RA

    更新日期:2013-09-01 00:00:00

  • Laparoscopic sacral colpoperineopexy: abdominal versus abdominal-vaginal posterior graft attachment.

    abstract:INTRODUCTION AND HYPOTHESIS:Laparoscopic sacral colpoperineopexy (LSCP) involves posterior graft extension to the perineum for improved posterior support. The objective of this study was to determine whether posterior measurements differed between those that had graft extension done abdominally (A-LSCP) or abdomino-vag...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: McDermott CD,Park J,Terry CL,Woodman PJ,Hale DS

    更新日期:2011-04-01 00:00:00

  • Joint report on the terminology for surgical procedures to treat stress urinary incontinence in women.

    abstract:INTRODUCTION AND HYPOTHESIS:Standardized terminology for surgical procedures commonly performed to treat stress urinary incontinence in women is needed to facilitate research, clinical care, and teaching in female pelvic medicine and reconstructive surgery. METHODS:This report combines the input of members of the Amer...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Developed by the Joint Writing Group of the American Urogynecologic Society and the International Urogynecological Association.

    更新日期:2020-03-01 00:00:00

  • The impact of the 2011 US Food and Drug Administration transvaginal mesh communication on utilization of synthetic mid-urethral sling procedures.

    abstract:INTRODUCTION AND HYPOTHESIS:We sought to examine the change in utilization of the midurethral sling (MUS) for the treatment of stress urinary incontinence (SUI) after the 2011 US FDA communication regarding transvaginal mesh. METHODS:This is a retrospective cohort study evaluating surgical utilization of MUS at a mana...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Berger AA,Tan-Kim J,Menefee SA

    更新日期:2020-11-18 00:00:00

  • Predictors and reasons for help-seeking behavior among women with urinary incontinence.

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Schreiber Pedersen L,Lose G,Høybye MT,Jürgensen M,Waldmann A,Rudnicki M

    更新日期:2018-04-01 00:00:00

  • Pubococcygeal activity on perineal ultrasound in incontinent women.

    abstract:INTRODUCTION AND HYPOTHESIS:The aim of this study was to investigate the applicability and reproducibility of perineal ultrasound (US) in the evaluation of the pubococcygeal muscle (PCM) activity in urinary incontinent women. METHODS:Thirty women were assessed twice by two examiners who measured the angle between the ...

    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: de Abreu Etienne M,de Oliveira AL,da Silva Carramão S,Macea JR,Aoki T,Auge AP

    更新日期:2011-03-01 00:00:00

  • Oxybutynin: past, present, and future.

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    journal_title:International urogynecology journal

    pub_type: 杂志文章,评审


    authors: Jirschele K,Sand PK

    更新日期:2013-04-01 00:00:00

  • Missing data frequency and correlates in two randomized surgical trials for urinary incontinence in women.

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    journal_title:International urogynecology journal

    pub_type: 杂志文章,随机对照试验


    authors: Brubaker L,Litman HJ,Kim HY,Zimmern P,Dyer K,Kusek JW,Richter HE,Stoddard A,Urinary Incontinence Treatment Network.

    更新日期:2015-08-01 00:00:00

  • Impact of intravesical hyaluronic acid and chondroitin sulfate on bladder pain syndrome/interstitial cystitis.

    abstract:INTRODUCTION AND HYPOTHESIS:Intravesical instillations of hyaluronic acid (HA) and chondroitin sulfate (CS) may lead to regeneration of the damaged glycosaminoglycan layer in interstitial cystitis/bladder pain syndrome (IC/BPS). METHODS:Twenty-two patients with IC/BPS received intravesical instillations (40 ml) of sod...

    journal_title:International urogynecology journal

    pub_type: 临床试验,杂志文章


    authors: Porru D,Leva F,Parmigiani A,Barletta D,Choussos D,Gardella B,Daccò MD,Nappi RE,Allegri M,Tinelli C,Bianchi CM,Spinillo A,Rovereto B

    更新日期:2012-09-01 00:00:00

  • The effect of solifenacin on urethral sphincter morphology.

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    journal_title:International urogynecology journal

    pub_type: 杂志文章


    authors: Duckett J,Basu M

    更新日期:2011-08-01 00:00:00