The Symptomatic Differences Between Men and Women with Detrusor Underactivity

Trimboli M1, Axell R G1, Kocadag H1, Mahreen H P1, Rizwan H1, Jeremy L O1, Tamsin J G1

Research Type

Clinical

Abstract Category

Female Lower Urinary Tract Symptoms (LUTS) / Voiding Dysfunction

Abstract 355
Open Discussion ePosters
Scientific Open Discussion Session 21
Thursday 30th August 2018
13:45 - 13:50 (ePoster Station 4)
Exhibition Hall
Detrusor Hypocontractility Voiding Dysfunction Underactive Bladder Male Female
1. University College London Hospitals NHS Foundation Trust
Presenter
H

Hamid Rizwan

Links

Poster

Abstract

Hypothesis / aims of study
Detrusor underactivity (DU) occurs in up to 48% of the population but its symptoms remain ill defined. We have assessed the symptoms of all men and women having urodynamic diagnosis of DU following assessment at our institution for refractory lower urinary tract symptoms in a 20 month period.
Study design, materials and methods
We reviewed retrospectively the urodynamic diagnosis and presenting symptoms of all 1256 (510 male) patients attending for videourodynamics (VUDS) and simple urodynamics (UDS) between 31/5/16 and 3/1/18. Detrusor underactivity was defined as per 2002 ICS definition as "a contraction of reduced strength and/or duration, resulting in prolonged bladder emptying and/or a failure to achieve complete bladder emptying within a normal time span". Details on DU patient demographics and symptoms were determined and are detailed in Table 1. Statistical analysis was by T Test and Chi Square analysis and significance determined as P < 0.05.
Results
171 (59 male) patients were excluded for trace or test quality issues or underlying neuropathic cause of DU. Of the remainder 370 (34%) had DU; 37% (167) of men and 32% (203) of women.
Interpretation of results
From our results it can be noticed that the female group was significantly younger with a median age of 53, against a median age of 65 for the male group. The most frequent presenting symptoms for the female cohort were, in a descending order, urgency, UUI, SUI, nocturia and incomplete emptying. On the other hand, for the male cohort the main presenting symptoms were nocturia, frequency, urgency, poor flow. The main differences between the two groups regarded UTI and UUI that were 19% and 12% more frequent in the female group compared to the male one respectively. The male group had a 10% higher presentation of inability to void when compared to the other sex.
Concluding message
Women with DU are significantly younger than men with DU and are significantly more likely to present with UUI and UTI. Men with DU are significantly more likely to present with inability to void.
Figure 1
Disclosures
Funding Nothing to disclose Clinical Trial No Subjects Human Ethics not Req'd Retrospective study Helsinki Yes Informed Consent No
28/03/2024 06:28:53