2017, Number 5
Rev Mex Urol 2017; 77 (5)
Viveros-Elías JM, García-González A, Gaxiola-Robles R, Gutiérrez-González A
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ABSTRACTBackground: Diabetic bladder dysfunction is one of the most common late complications of diabetes, with a prevalence of 20-80%. It affects quality of life, causing retention, infections, urinary incontinence, and even kidney failure. Diabetic bladder dysfunction is characterized by reduced bladder sensitivity, detrusor overactivity and hypocontractility, and incomplete bladder voiding.
Objetive:Materials and Methods: A descriptive, cross-sectional study was conducted on patients diagnosed with diabetes mellitus of 5-year progression that were analyzed through the AUA Score questionnaire, uroflowmetry (residual urine measurement), and urodynamic study. Descriptive statistics and bivariate analysis (Mann-Whitney U test, Student’s t test, and χ2 test) were employed, with a p ‹ 0.05.
Results: Forty-one patients were registered, 63% of whom had the following urodynamic findings of diabetic bladder dysfunction: reduced sensitivity (27%), detrusor overactivity (42%), detrusor hypocontractility (38%), and incomplete voiding (73%). The AUA Score, Qmax in free uroflowmetry, and Bladder Voiding Efficiency showed no correlation with the specific urodynamic findings.
Conclusions: Diabetic bladder dysfunction is more frequent than is commonly thought. Invasive urodynamic studies continue to be the basis of diagnosing bladder dysfunction as a complication of diabetes mellitus.