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Relationships between micturition urgency and involuntary voiding dynamics in men with urinary incontinence from idiopathic detrusor overactivity.
J Urol. 2007 Aug; 178(2):563-7; discussion 567.JU

Abstract

PURPOSE

In men with urinary incontinence from idiopathic detrusor overactivity we determined whether bladder voiding dynamics differs between those with and without urgent micturition.

MATERIALS AND METHODS

We retrospectively assessed urodynamic findings in 3 groups of 22 men each. Groups 1 and 2 had idiopathic detrusor overactivity with detrusor overactivity incontinence and with micturition urgency in group 1. Group 2 showed no urgency but felt a strong voiding desire just after the onset of involuntary micturition. Control group 3 included nonneurological unobstructed men undergoing urodynamic examination for mixed reasons who proved to be urodynamically normal. Patients with detrusor overactivity and controls were assessed by nonparametric statistics for significant differences in bladder voiding dynamics.

RESULTS

Detrusor contraction strength proved to be increased in groups 1 and 2 with the highest levels in group 1. Detrusor contraction velocity had the highest levels in group 1 and it differed insignificantly in groups 2 and 3. Voiding contractions were equally well sustained in groups 1 and 3, and proved to be less well sustained in group 2.

CONCLUSIONS

Detrusor overactivity involves enhanced detrusor contraction strength levels, particularly in patients who feel urgency. In urgency-free patients with detrusor overactivity detrusor contraction velocity differs insignificantly from that in controls and voiding detrusor contractions proved to be less well sustained than in controls and patients who experienced urgency. This suggests that detrusor contraction velocity may have a role in causing urgency and urgency may have a role in enhancing and sustaining involuntary voiding detrusor contractions in patients with detrusor overactivity.

Authors+Show Affiliations

Divisione di Urologia, Fondazione Istituto di Ricovero e Cura a Carattere Scientifico Policlinico S. Matteo and Dipartimento di Informatica e Sistemistica, Università di Pavia, Pavia, Italy. c.cucchi1@virgilio.itNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17570436

Citation

Cucchi, Antonio, et al. "Relationships Between Micturition Urgency and Involuntary Voiding Dynamics in Men With Urinary Incontinence From Idiopathic Detrusor Overactivity." The Journal of Urology, vol. 178, no. 2, 2007, pp. 563-7; discussion 567.
Cucchi A, Quaglini S, Rovereto B. Relationships between micturition urgency and involuntary voiding dynamics in men with urinary incontinence from idiopathic detrusor overactivity. J Urol. 2007;178(2):563-7; discussion 567.
Cucchi, A., Quaglini, S., & Rovereto, B. (2007). Relationships between micturition urgency and involuntary voiding dynamics in men with urinary incontinence from idiopathic detrusor overactivity. The Journal of Urology, 178(2), 563-7; discussion 567.
Cucchi A, Quaglini S, Rovereto B. Relationships Between Micturition Urgency and Involuntary Voiding Dynamics in Men With Urinary Incontinence From Idiopathic Detrusor Overactivity. J Urol. 2007;178(2):563-7; discussion 567. PubMed PMID: 17570436.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relationships between micturition urgency and involuntary voiding dynamics in men with urinary incontinence from idiopathic detrusor overactivity. AU - Cucchi,Antonio, AU - Quaglini,Silvana, AU - Rovereto,Bruno, Y1 - 2007/06/14/ PY - 2006/12/16/received PY - 2007/6/16/pubmed PY - 2007/8/23/medline PY - 2007/6/16/entrez SP - 563-7; discussion 567 JF - The Journal of urology JO - J Urol VL - 178 IS - 2 N2 - PURPOSE: In men with urinary incontinence from idiopathic detrusor overactivity we determined whether bladder voiding dynamics differs between those with and without urgent micturition. MATERIALS AND METHODS: We retrospectively assessed urodynamic findings in 3 groups of 22 men each. Groups 1 and 2 had idiopathic detrusor overactivity with detrusor overactivity incontinence and with micturition urgency in group 1. Group 2 showed no urgency but felt a strong voiding desire just after the onset of involuntary micturition. Control group 3 included nonneurological unobstructed men undergoing urodynamic examination for mixed reasons who proved to be urodynamically normal. Patients with detrusor overactivity and controls were assessed by nonparametric statistics for significant differences in bladder voiding dynamics. RESULTS: Detrusor contraction strength proved to be increased in groups 1 and 2 with the highest levels in group 1. Detrusor contraction velocity had the highest levels in group 1 and it differed insignificantly in groups 2 and 3. Voiding contractions were equally well sustained in groups 1 and 3, and proved to be less well sustained in group 2. CONCLUSIONS: Detrusor overactivity involves enhanced detrusor contraction strength levels, particularly in patients who feel urgency. In urgency-free patients with detrusor overactivity detrusor contraction velocity differs insignificantly from that in controls and voiding detrusor contractions proved to be less well sustained than in controls and patients who experienced urgency. This suggests that detrusor contraction velocity may have a role in causing urgency and urgency may have a role in enhancing and sustaining involuntary voiding detrusor contractions in patients with detrusor overactivity. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/17570436/Relationships_between_micturition_urgency_and_involuntary_voiding_dynamics_in_men_with_urinary_incontinence_from_idiopathic_detrusor_overactivity_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2007.03.122?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -