Evaluation of Lower Urinary Tract Functions in Diabetic Patients
Objective:In this study, we aimed to investigate the effect of diabetes-related metabolic changes and chronic complications on lower urinary tract (LUT) functions.Materials and Methods:The study included 286 adult patients with type 1 and type 2 diabetes mellitus (DM). All patients’ demographic data...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-03-01
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| Series: | Journal of Urological Surgery |
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http://jurolsurgery.org/archives/archive-detail/article-preview/evaluation-of-lower-urinary-tract-functions-in-dia/25673
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| _version_ | 1797906257138417664 |
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| author | Ümit Eskidemir Adnan Şimşir Ilgın Yıldırım Şimşir Fuat Kızılay Ceyhun Özyurt |
| author_facet | Ümit Eskidemir Adnan Şimşir Ilgın Yıldırım Şimşir Fuat Kızılay Ceyhun Özyurt |
| author_sort | Ümit Eskidemir |
| collection | DOAJ |
| description | Objective:In this study, we aimed to investigate the effect of diabetes-related metabolic changes and chronic complications on lower urinary tract (LUT) functions.Materials and Methods:The study included 286 adult patients with type 1 and type 2 diabetes mellitus (DM). All patients’ demographic data, diabetes-specific history, laboratory and physical examination findings were recorded. All the data were compared with uroflowmetric parameters and the scores of questionnaires used for evaluation of LUT symptoms and functions.Results:In the presence of diabetic peripheral neuropathy (DPN), average urinary flow rate (Qave), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score and the Overactive Bladder-questionnaire Short Form (OAB-q SF) score were significantly affected. In the presence of stage 3 or over diabetic nephropathy (DN), ICIQ-SF score was significantly higher. Also, in elderly group, Qave and OAB-q SF score were significantly affected. The Qave was lower both in patients who underwent any surgery due to diabetic complications and in patients with DM-related diseases. Qave and OAB-q SF score were significantly lower in males. Type 2 DM was associated with postvoid residual (PVR) increase and Qave decrease. Poor glycemic control was associated with lower OAB-q SF score. Finally, vitamin D deficiency was found to be associated with an increase in PVR volume.Conclusion:The present study showed that DPN, stage 3 or over DN, aging, DM-related diseases and surgeries, male gender, type 2 DM, poor glycemic control and vitamin D deficiency cause a tendency to develop any kind of LUT dysfunction. |
| first_indexed | 2024-04-10T10:18:02Z |
| format | Article |
| id | doaj.art-a4da318dff694668a748dcd164b672f7 |
| institution | Directory Open Access Journal |
| issn | 2148-9580 2148-9580 |
| language | English |
| last_indexed | 2024-04-10T10:18:02Z |
| publishDate | 2019-03-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Journal of Urological Surgery |
| spelling | doaj.art-a4da318dff694668a748dcd164b672f72023-02-15T16:21:46ZengGalenos YayineviJournal of Urological Surgery2148-95802148-95802019-03-0161465310.4274/jus.galenos.2018.231413049054Evaluation of Lower Urinary Tract Functions in Diabetic PatientsÜmit Eskidemir0Adnan Şimşir1Ilgın Yıldırım Şimşir2Fuat Kızılay3Ceyhun Özyurt4 Menemen State Hospital, Clinic of Urology, İzmir, Turkiye Ege University Faculty of Medicine, Department of Urology, İzmir, Turkiye Ege University Faculty of Medicine, Department of Endocrinology and Metabolism, İzmir, Turkiye Ege University Faculty of Medicine, Department of Urology, İzmir, Turkiye Ege University Faculty of Medicine, Department of Urology, İzmir, Turkiye Objective:In this study, we aimed to investigate the effect of diabetes-related metabolic changes and chronic complications on lower urinary tract (LUT) functions.Materials and Methods:The study included 286 adult patients with type 1 and type 2 diabetes mellitus (DM). All patients’ demographic data, diabetes-specific history, laboratory and physical examination findings were recorded. All the data were compared with uroflowmetric parameters and the scores of questionnaires used for evaluation of LUT symptoms and functions.Results:In the presence of diabetic peripheral neuropathy (DPN), average urinary flow rate (Qave), International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) score and the Overactive Bladder-questionnaire Short Form (OAB-q SF) score were significantly affected. In the presence of stage 3 or over diabetic nephropathy (DN), ICIQ-SF score was significantly higher. Also, in elderly group, Qave and OAB-q SF score were significantly affected. The Qave was lower both in patients who underwent any surgery due to diabetic complications and in patients with DM-related diseases. Qave and OAB-q SF score were significantly lower in males. Type 2 DM was associated with postvoid residual (PVR) increase and Qave decrease. Poor glycemic control was associated with lower OAB-q SF score. Finally, vitamin D deficiency was found to be associated with an increase in PVR volume.Conclusion:The present study showed that DPN, stage 3 or over DN, aging, DM-related diseases and surgeries, male gender, type 2 DM, poor glycemic control and vitamin D deficiency cause a tendency to develop any kind of LUT dysfunction. http://jurolsurgery.org/archives/archive-detail/article-preview/evaluation-of-lower-urinary-tract-functions-in-dia/25673 Diabetes mellitusDiabetic neuropathiesLower urinary tract symptomsQuality of life |
| spellingShingle | Ümit Eskidemir Adnan Şimşir Ilgın Yıldırım Şimşir Fuat Kızılay Ceyhun Özyurt Evaluation of Lower Urinary Tract Functions in Diabetic Patients Journal of Urological Surgery Diabetes mellitus Diabetic neuropathies Lower urinary tract symptoms Quality of life |
| title | Evaluation of Lower Urinary Tract Functions in Diabetic Patients |
| title_full | Evaluation of Lower Urinary Tract Functions in Diabetic Patients |
| title_fullStr | Evaluation of Lower Urinary Tract Functions in Diabetic Patients |
| title_full_unstemmed | Evaluation of Lower Urinary Tract Functions in Diabetic Patients |
| title_short | Evaluation of Lower Urinary Tract Functions in Diabetic Patients |
| title_sort | evaluation of lower urinary tract functions in diabetic patients |
| topic | Diabetes mellitus Diabetic neuropathies Lower urinary tract symptoms Quality of life |
| url |
http://jurolsurgery.org/archives/archive-detail/article-preview/evaluation-of-lower-urinary-tract-functions-in-dia/25673
|
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