Urodynamic findings in stroke patients with overactive bladder symptoms

YILMAZ, Bilge; Adiguzel, Emre; Aydemir, Koray

Urodynamic findings in stroke patients with overactive bladder symptoms

Koray AYDEMİR, (Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey)

Emre ADIGÜZEL, (Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey)

Bilge YILMAZ (Gulhane Military Medical Academy, Department of Physical Medicine and Rehabilitation, Turkish Armed Forces Rehabilitation Center, Ankara, Turkey)

Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi

2 0

Yıl: 2016 Cilt: 62 Sayı: 1 Sayfa Aralığı: 51 - 56 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Urodynamic findings in stroke patients with overactive bladder symptoms

Öz:

Amaç: Bu çalışmada inme hastalarında beyindeki lezyon yerinin mesane fonksiyonları üzerine olan etkisi belirlendi.Hastalar ve yöntemler: Bu çalışmada aşırı aktif mesanesi olan, iskemik ve hemorajik inmeli toplam 51 hastanın (34 erkek, 17 kadın; ort. yaş 65.8±16.2 yıl; dağılım: 13-88 yıl) tıbbi kayıtları ve ürodinamik verileri retrospektif olarak incelendi. İnme yerleri, Oxfordshire Topluluğu İnme Projesi inme alt tiplerine göre sınıflandırıldı. Ürodinamik parametreler arasında ilk mesane doluluk hissi, maksimum mesane hacmi, maksimum detrüsör basıncı, detrüsör kompliyansı, rezidüel hacim, ortalama akış hızı, işeme hacmi, işeme zamanı, normal sıkışma ve çok sıkışma hacimleri yer almaktaydı. Hastalar cinsiyete göre de sınıflandırıldı ve beyin lezyon lateralitesi açısından karşılaştırıldı.Bulgular: Otuz altı hasta iskemik, 15 hasta hemorajik inme geçirmişti. İnmeden ürodinamik çalışmalara kadar geçen ortalama süre, 396.9±713.8 gündü. Maksimum detrüsör basıncı, erkeklerde anlamlı düzeyde yüksek oranlar ile cinsiyet ile ilişkilendirildi (p=0.028). Rezidüel hacim, sol hemiplejik gruba kıyasla, sağ hemiplejik grupta anlamlı düzeyde daha yüksekti (p=0.007). İşeme hacmi, sol hemiplejik gruba kıyasla, sağ hemiplejik grupta anlamlı düzeyde daha düşüktü (p=0.007). Sağ hemiplejik erkek grubunda, ilk mesane doluluk hissinde gecikme vardı, rezidüel hacim daha yüksekti ve işeme hacmi daha düşüktü (sırasıyla p=0.045, p=0.01 ve p=0.043). Sağ hemiplejik kadın grubunda, işeme hacmi, sol hemiplejik kadın grubuna kıyasla, daha düşüktü (p=0.024).Sonuç: Çalışma bulgularımız, sağ ve sol serebral hemisferik infarktı arasında ürodinamik parametreleri açısından anlamlı farklılıklar olduğunu göstermektedir. Bu bulgular, tek taraflı hemisferik inmeli hastalarda ürodinamik bulguların lezyon lateralitesine göre karakterize olduğuna işaret etmektedir. Ancak, bu bulguları doğrulamak için geniş ölçekli başka çalışmalara ihtiyaç vardır

Anahtar Kelime:

Konular: Rehabilitasyon

Aşırı aktif mesane belirtileri olan inme hastalarında ürodinamik bulgular

Öz:

Objectives: This study aims to determine the effect of the localization of the brain lesion on bladder functions in patients with stroke.Patients and methods: We retrospectively reviewed the medical records and urodynamic charts of a total of 51 ischemic and hemorrhagic stroke patients (34 males, 17 females; mean age 65.8±16.2 years; range 13 to 88 years) with overactive bladder. Stroke localization was classified according to the Oxfordshire Community Stroke Project stroke subtypes. Urodynamic parameters included the first sensation of bladder filling, maximum vesical volume, maximum detrusor pressure, detrusor compliance, residual volume, mean flow rate, voided volume, voiding time, desire to void and strong desire to void. The patients were also classified according to sex and compared in terms of brain lesion laterality.Results: Thirty six patients had ischemic and 15 had hemorrhagic stroke. The mean time from stroke to the urodynamic studies was 396.9±713.8 days. Maximum detrusor pressure was associated with sex, resulting in a significantly higher rates in males (p=0.028). Residual volume was significantly higher in the right hemiplegic group than the left hemiplegic group (p=0.007). The voided volume was significantly lower in the right hemiplegic group than the left hemiplegic group (p=0.007). In the right hemiplegic male group, the first sensation of bladder filling was delayed, residual volume was higher and the voided volume was lower (p=0.045, p=0.01, and p=0.043, respectively). In the right hemiplegic female group, the voided volume was lower than the left hemiplegic female group (p=0.024).Conclusion: Our study results show that there are significant differences in urodynamic variables between the right and left hemispheric cerebral infarctions. These findings suggest that urodynamic findings can be characterized by the laterality of the unilateral hemispheric stroke. However, further large-scale studies are required to confirm these findings

Anahtar Kelime:

Konular: Rehabilitasyon

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Aydemir K, Adiguzel E, YILMAZ B (2016). Urodynamic findings in stroke patients with overactive bladder symptoms. , 51 - 56.
Chicago	Aydemir Koray,Adiguzel Emre,YILMAZ Bilge Urodynamic findings in stroke patients with overactive bladder symptoms. (2016): 51 - 56.
MLA	Aydemir Koray,Adiguzel Emre,YILMAZ Bilge Urodynamic findings in stroke patients with overactive bladder symptoms. , 2016, ss.51 - 56.
AMA	Aydemir K,Adiguzel E,YILMAZ B Urodynamic findings in stroke patients with overactive bladder symptoms. . 2016; 51 - 56.
Vancouver	Aydemir K,Adiguzel E,YILMAZ B Urodynamic findings in stroke patients with overactive bladder symptoms. . 2016; 51 - 56.
IEEE	Aydemir K,Adiguzel E,YILMAZ B "Urodynamic findings in stroke patients with overactive bladder symptoms." , ss.51 - 56, 2016.
ISNAD	Aydemir, Koray vd. "Urodynamic findings in stroke patients with overactive bladder symptoms". (2016), 51-56.

APA	Aydemir K, Adiguzel E, YILMAZ B (2016). Urodynamic findings in stroke patients with overactive bladder symptoms. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62(1), 51 - 56.
Chicago	Aydemir Koray,Adiguzel Emre,YILMAZ Bilge Urodynamic findings in stroke patients with overactive bladder symptoms. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62, no.1 (2016): 51 - 56.
MLA	Aydemir Koray,Adiguzel Emre,YILMAZ Bilge Urodynamic findings in stroke patients with overactive bladder symptoms. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, vol.62, no.1, 2016, ss.51 - 56.
AMA	Aydemir K,Adiguzel E,YILMAZ B Urodynamic findings in stroke patients with overactive bladder symptoms. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(1): 51 - 56.
Vancouver	Aydemir K,Adiguzel E,YILMAZ B Urodynamic findings in stroke patients with overactive bladder symptoms. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi. 2016; 62(1): 51 - 56.
IEEE	Aydemir K,Adiguzel E,YILMAZ B "Urodynamic findings in stroke patients with overactive bladder symptoms." Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 62, ss.51 - 56, 2016.
ISNAD	Aydemir, Koray vd. "Urodynamic findings in stroke patients with overactive bladder symptoms". Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi 62/1 (2016), 51-56.