Distinguishing neurogenic from non-neurogenic detrusor overactivity: a urodynamic assessment of lower urinary tract symptoms in patients with and without parkinson's disease

To examine the urodynamic (UDS) attributes of detrusor overactivity (DO) in patients with Parkinson’s disease in comparison to DO in men without neurologic disease, in whom DO is presumably outlet obstruction induced. The UDS database was reviewed for three groups of patients: group 1, men with lowe...

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Published in:Urology (Ridgewood, N.J.) N.J.), 2003-10, Vol.62 (4), p.651-655
Main Authors: Defreitas, Gina A, Lemack, Gary E, Zimmern, Philippe E, Dewey, Richard B, Roehrborn, Claus G, O'Suilleabhain, Padraig E
Format: Article
Language:English
Subjects:
Aged
Biological and medical sciences
Diagnosis, Differential
Female
Humans
Male
Medical sciences
Middle Aged
Muscle Hypertonia - diagnosis
Muscle Hypertonia - etiology
Nephrology. Urinary tract diseases
Parkinson Disease - complications
Parkinson Disease - physiopathology
Retrospective Studies
Urinary Bladder Neck Obstruction - complications
Urinary Bladder Neck Obstruction - physiopathology
Urinary Bladder, Neurogenic - diagnosis
Urinary Bladder, Neurogenic - etiology
Urinary Incontinence - etiology
Urinary Incontinence - physiopathology
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urodynamics
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Summary:To examine the urodynamic (UDS) attributes of detrusor overactivity (DO) in patients with Parkinson’s disease in comparison to DO in men without neurologic disease, in whom DO is presumably outlet obstruction induced. The UDS database was reviewed for three groups of patients: group 1, men with lower urinary tract symptoms (LUTS) and no known neurologic condition with DO (n = 22); group 2, men with Parkinson’s disease and LUTS (n = 39); and group 3, women with Parkinson's disease and LUTS (n = 18). Statistical analysis was used to compare the UDS parameters and diagnoses among the groups and to test for associations between Parkinson's disease duration, Hoehn and Yahr score, and UDS findings. Patients with Parkinson's disease had a significantly lower median volume at first detrusor contraction than those with non-neurogenic DO. The percentage of group 1 patients with urge incontinence was significantly lower than that found in the other two groups (9.1% versus 53.8% and 55.6%, P
ISSN:0090-4295
1527-9995
DOI:10.1016/S0090-4295(03)00507-7