Clinical and urodynamic characteristics of males with underactive bladder and bladder outlet obstruction

• Autores: Medina Ninacóndor , Raúl Pastor, Melgarejo Zevallos, Weymar, Medina Ninacondor, Patricia Medina Ninacondor, Melgarejo Anamaría, Claudia, Huayanay Falconi, Leandro, Loza-Munarriz , César, Cadenillas Coronel, Emma
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Universidad Peruana Cayetano Heredia
• Repositorio: Revistas - Universidad Peruana Cayetano Heredia
• Lenguaje: español
• OAI Identifier: oai:revistas.upch.edu.pe:article/5273
• Enlace del recurso: https://revistas.upch.edu.pe/index.php/RMH/article/view/5273
• Nivel de acceso: acceso abierto
• Materia: Vejiga urinaria de baja actividad; urodinamia; síntomas del sistema urinario inferior; Underactive Urinary Bladder; urodynamics; Lower urinary tract symptoms

Objective: To describe clinical and urodynamic features in males with bladder underactive (DU) and bladder outlet obstruction (BOO). Methods: A retrospective, cross-sectional, and exploratory case series among males with lower urinary tract symptoms. Group 1 were patients without BOO or unequivocal in the International Continence Society (ICS) nomogram but with DU diagnosis in the Scäafer’a nomogram. Group 2, patients with BOO in the ICS nomogram. A logistic regression model was conducted to identify the predictive variables of DU. Results: 95 patients were included, 36 with DU in group 1 and 59 with BOO in group 2. There was no difference in age and frequency of symptoms between groups. Age ≥ 56 years correlated with absence of DU [OR: 0.03 (0.01 – 0.26); p = 0.001], while DM [OR: 4.84 (1.21 – 19.34); p = 0.025] and DHIC [OR: 24.093 (6.66 – 87.10); p = 0.025] correlated with DU. Urodynamic variables that correlated with DU were WF ≤ 7 [OR: 23.10 (5.52 -96.67); p = 0.001] and BCI ≤ 99 [OR: 6.93 (1.92 – 24.90); p = 0.003]. Conclusions: Urodynamic variables, WF ≤ 7 and BCI ≤ 99, best correlated with DU.