지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 268 - 274 (7page)
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초록· 키워드
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Purpose: To describe a technique for urodynamic diagnosis of detrusor sphincter dyssynergia (DSD) using urethral pressure measurements and examine potential associations between urethral pressure and bladder physiology among patients with DSD. Methods: Multiple sclerosis (MS) and spinal cord injured (SCI) patients with known DSD diagnosed on videourodynamics (via electromyography or voiding cystourethrography) were retrospectively identified. Data from SCI and MS patients with detrusor overactivity (DO) without DSD were abstracted as control group. Urodynamics tracings were reviewed and urethral pressure DSD was defined based on comparison of DSD and control groups. Results: Seventy-two patients with DSD were identified. Sixty-two (86%) had >20 cm H2O urethral pressure amplitude during detrusor contraction. By comparison, 5 of 23 (22%) of control group had amplitude of >20 cm H2O during episode of DO. Mean duration of urethral pressure DSD episode was 66 seconds (range, 10–500 seconds) and mean urethral pressure amplitude was 73 cm H2O (range, 1–256 cm H2O). Longer (>30 seconds) DSD episodes were significantly associated with male sex (81% vs. 50%, P=0.013) and higher bladder capacity (389 mL vs. 219 mL, P=0.0004). Urethral pressure amplitude measurements during DSD were not associated with significant urodynamic variables or neurologic pathology. Conclusions: Urethral pressure amplitude of >20 cm H2O during detrusor contraction occurred in 86% of patients with known DSD. Longer DSD episodes were associated with larger bladder capacity. Further studies exploring the relationship between urethral pressure measurements and bladder physiology could phenotype DSD as a measurable variable rather than a categorical observation.
목차
등록된 정보가 없습니다.
참고문헌 (13)
참고문헌 신청
Blaivas JG / 1981 / Detrusor-external sphincter dyssynergia: a detailed electromyographic study / J Urol 125:545~548
Weld KJ / 2000 / Clinical significance of detrusor sphincter dyssynergia type in patients with post-traumatic spinal cord injury / Urology 56:565~568
De EJ / 2005 / Diagnostic discordance of electromyography (EMG) versus voiding cystourethrogram (VCUG) for detrusor-external sphincter dyssynergy (DESD). / Neurourol Urodyn 24:616~621
Bacsu CD / 2012 / Diagnosing detrusor sphincter dyssynergia in the neurological patient / BJU Int 109(Suppl 3):31~34
Spettel S / 2011 / Combined diagnostic modalities improve detection of detrusor external sphincter dyssynergia / ISRN Obstet Gynecol 2011:323421
Weld KJ / 2000 / Clinical significance of detrusor sphincter dyssynergia type in patients with post-traumatic spinal cord injury / Urology 56:565~568
De EJ / 2005 / Diagnostic discordance of electromyography (EMG) versus voiding cystourethrogram (VCUG) for detrusor-external sphincter dyssynergy (DESD). / Neurourol Urodyn 24:616~621
Bacsu CD / 2012 / Diagnosing detrusor sphincter dyssynergia in the neurological patient / BJU Int 109(Suppl 3):31~34
Spettel S / 2011 / Combined diagnostic modalities improve detection of detrusor external sphincter dyssynergia / ISRN Obstet Gynecol 2011:323421
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