L'efficacité mictionnelle de la vessie est-elle utile pour évaluer la fonction vesicale chez les femmes de plus de 65 ans?

Translated title of the contribution: Is bladder voiding efficiency useful to evaluate voiding function in women older than 65 years?

F. A. Valentini, B. G. Marti, G. Robain, P. E. Zimern, P. P. Nelson

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: The aims of the study were to evaluate the reproducibility of bladder voiding efficiency (BVE) between free flow (FF) and intubated flow(IF) in old women, and to search for a relationship of this index with complaint and urodynamic diagnosis. Methods: Urodynamic tracings of non-neurologic women referred for investigation of various lower urinary tract symptoms (LUTS) were analyzed. Urodynamic study included one FF followed by one cystometry and IF. Post void residual volume (PVR) was measured using a Bladder-scan. Exclusion criteria were voided volume < 100 ml and prolapse of grade > 2. Results: One hundred and ninety women met the study criteria. The mean age was 74 ± 6 years [65–96 years]. The main complaint was urinary incontinence: stress (26), urge (53) and mixed (56). Forty-four women had various complaints without incontinence. Overall BVE IF (77.6 ± 25.8) was significantly lower than BVE FF (90.4 ± 15.3) (P < .0001). Age sub-groups stratification led similar results. BVE IF was significantly lower than BVE FF in women with incontinence whatever the cause. Urodynamic diagnosis was posed according to the ICS/IUGA recommendations and 2 sub-groups defined according with involvement of detrusor. BVE IF was significantly lower than BVE FF for detrusor dysfunction, except for detrusor overactivity. Conclusion: In this large cohort of old non-neurologic women studied urodynamically for a variety of LUTS, BVE is higher when evaluated from a FF whatever age and for complaint of urinary incontinence. In addition, a low BVE value from an IF may suggest a detrusor dysfunction. Level of evidence: 4.

Translated title of the contributionIs bladder voiding efficiency useful to evaluate voiding function in women older than 65 years?
Original languageFrench
Pages (from-to)567-571
Number of pages5
JournalProgres en Urologie
Volume29
Issue number11
DOIs
StatePublished - Sep 2019

Keywords

  • Ageing
  • Bladder voiding efficiency
  • Urodynamics
  • Woman

ASJC Scopus subject areas

  • Urology

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