Premium
Urodynamic evaluation of the bilharzial urinary bladder
Author(s) -
AbdelHakim Amr,
Shoukry Lsmail,
Fam Aziz,
Safwat Mohamed,
Elhilali Mostafa M.
Publication year - 1984
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930030203
Subject(s) - medicine , cystometry , urination , urology , vesicoureteral reflux , urinary bladder , urinary system , urodynamic testing , reflux , urinary incontinence , disease
Urodynamic evaluations of 63 male bilharzial patients and 25 normal males were included in the present work. According to the uroflowmetric parameters, patients were classified into two groups: those with normal voiding (38 patients) and those with impaired voiding (25 patients). Fluid cystometry followed by a micturition study were conducted in all patients with impaired voiding, 14 patients with normal micturition, and for two of the control group. The urodynamic data were computed and analyzed. Nineteen patients with bilharzial calcification of the urinary bladder underwent the same urodynamic evaluation. No urodynamic differences were found between the control group, the patients with normal voiding, and the patients with bilharzial bladder calcification. Patients with impaired voiding showed a significantly lower peak flow and longer micturition time; the voiding pressures and the abdominal contribution (%) were also significantly higher. Three factors were associated with impairment of micturition in our patients: (1) bladder outlet obstruction, (2) hypoactive detrusor, and () high‐grade vesicoureteral reflux.