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Kategori IIIB kronik pelvik ağrı sendromlu hastalarda ürodinami bulguları

Year 2013, Volume: 8 Issue: 1, 24 - 30, 01.01.2013

Abstract

Amaç: Non-inflamatuar kronik pelvik ağrı sendromlu KPAS hastaların ürodinamik karakteristiklerini araştırmak ve bunları literatürde yayınlanmış olan çalışmalar ile karşılaştırmak. Gereç ve Yöntemler: Yaşları 18-45 arasında değişen, kategori IIIB KPAS tanısı alan toplam 40 hasta çalışmamıza dahil edildi. Tüm hastalara NIH-CPSI formu doldurtuldu, prostat hacmi ve post-miksiyonel rezidü hesaplanması amacıyla üriner ultrason yapıldı. Tüm hastalara, üroflow eğrisi, maksimum akım hızı Qmax , maksimum akım hızında ölçülen detrusor basıncı Pdet.Qmax , maksimum üretral basınç MUP ve maksimum üretral kapanma basıncı MUCP değerlerinin kaydedilmesi amacıyla ürodinami uygulandı. İstatistiksel analiz için student’s t-test ve ki-kare testi kullanıldı p0.05 . Fakat grup 1’de, ağrı skorları grup 2 ile karşılaştırıldığında anlamlı olarak daha düşük bulunmuştur p

References

  • Kirby RS, Lowe Bultitude MI, et al. Intra-prostatic urinary reflux: an etiological factor in abacterial prostatitis. Brit J Urol 1982;54: 729-731.
  • Orland SM, Hanno PM, Wein AJ. Prostatitis, prostatitis and prostatodynia. Urology 1985;25: 439-459.
  • Blacklock NJ: Anatomical factors in prostatitis. Br J Urol 1974;46: 47-54.
  • Blacklock NJ: Urodynamic and psychometric observations and their implication in the management of prostatodynia. In Weidner W, Brunner H, Krause W, Rothague CF: The- rapy of Prostatitis. Munich, Zuckswerdt, 1986; 201.
  • Bates CP, Arnold EP, Griffiths DJ. The nature of the abnor- mality in bladder neck obstruction. Br J Urol 1975;47: 651- 656.
  • Barbalias GA, Meares EM, Sant GR. Prostatodynia: Clinical and urodynamic characteristics. J Urol 1983;130: 514-517.
  • Barbalias GA: Prostatodynia or painful male urethral syndrome? Urology 1990;36: 146-153.
  • Siroky MB, Goldstein I, Krane RJ. Functional voiding disor- ders in men. J Urol 1981;126: 200-204.
  • Kaplan SA, Te AE, Jacobs BZ. Urodynamic evidence of ve- sical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endosco- pic incision of the bladder neck. J Urol 1994;152: 2063-2065.
  • Kaplan SA, Ikeguchie F, Santarosa RP, et al. Etiology of voi- ding dysfunction in men less than 50 years of age. Urology 1996;47: 836-839.
  • Kaplan SA, Santarosa RP, D’Alisera PM, et al. Pseudodys- synergie (contraction of the external sphincter during vo- iding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol 1997;157: 2234-2237.
  • Mayo ME, Ross SO, Krieger JN. Few patients with “chronic prostatitis” have significant bladder outlet obstruction. Uro- logy 1998;52: 417-421.
  • Reynard JM, Peters TJ, Lim C, et al. The value of multiple free-flow studies in men with lower urinary tract symptoms. Br J Urol 1996; 77: 813-818.
  • Hruz P, Danuser H, Studer UE, et al. Non-inflammatory chronic pelvic pain syndrome can be caused by bladder neck hypertrophy. Eur Urol 2003;44: 106-110.
  • Nickel JC. Prostatitis. Evolving Management Strategies. The Urologic Clinics of North America, Infections in Urology: Nov 1999; 737-751.
  • Boyle P, Keech M, Nonis A,et al: The Urepik study:A cross- sectional survey of benign prostatic hyperplasia, urinary in- continence and male erectile dysfunction, prostatitis and interstitial cystitis in the UK,France,the Netherlands and Korea. J Epidemiol Biostat 1998;3: 179-187.
  • Meares EM Jr, Stamey TA. Bacteriologic localization pat- terns in bacterial prostatitis and urethritis. Invest Urol 1968;5: 492-518.
  • Drach GW, Fair WR, Meares EM, et al. Classification of be- nign diseases associated with prostatic pain: Prostatitis or prostatodynia? J Urol 1978;120: 266.
  • Krieger JN, Nyberg LJ, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA 1999;282: 236-237.
  • De la Rosette JJ, Hubregtse MR, Meuleman EJ, et al: Diag- nosis and treatment of 409 patients with prostatitis syndro- mes. Urology 1993,41: 301-307.
  • Mehik A, Hellstrom P, Lukkarinen O, et al. Increased int- raprostatic pressure in patients with chronic prostatitis. Urol Res 1999; 27: 277- 279.
  • Theodorou Ch, Konidaris D, Moutzouris G, Becopoulos Th. The urodynamic profile of prostatodynia. BJU Int 1999; 84: 461-463.
  • Kohn IJ, Te AE, Kaplan SA. The role of urodynamics in eva- luating patients with chronic prostatitis. In: Nickel JC, edi- tor. Textbook of Prostatitis. Oxford: ISIS Medical Media 1999;227-232.
  • Klingler HC, Madersbacher S, Djavan B, et al. Morbidity of the evaluation of the lower urinary tract with transu- rethral multichannel pressure-flow studies. J Urol. 1998 Jan;159(1):191-4.
  • Reynard JM, Peters TJ, Lim C, et al. The value of multiple free-flow studies in men with lower urinary tract symptoms. Br J Urol 1996;77: 813-818.
  • Nickel JC. Clinical evaluation of the patient presenting with prostatitis. International Consensus Conference on advan- ces in the diagnosis and treatment of prostatitis. European Urology 2003;2: 11-12.
  • Nickel JC, Downey JA, Nickel KR. Prostatitis-like symptoms: one year later. BJU Int 2002;90: 678-681.

Urodynamic findings ın patients with category IIIB chronic pelvic pain syndrome

Year 2013, Volume: 8 Issue: 1, 24 - 30, 01.01.2013

Abstract

Objective: To investigate the urodynamic characteristics of patients with noninflammatory chronic pelvic pain syndrome CPPS and compare them to published studies in the literature. Materials and Methods: In total, between 18-45 age, 40 patients diagnosed with category IIIB CPPS has been included to our study. National Institute of Health-Chronic Prostatitis Symptom Index NIH-CPSI score was filled up and a urinary ultrasound was performed for prostate volume and postmictional bladder volume measurement. All patients had a urodynamic examination, to assess the uroflow curve, maximum urinary flow rate Q max , maximum detrusor pressure during the storage phase Pdet.Qmax , maximum urethral pressure MUP and the maximum urethral closure pressure MUCP . Student’s t-test and chisquare test was used for statistical analysis. Statistical significance was considered at p0.05 . But in group 1, pain score was significantly lower compared to group 2 p

References

  • Kirby RS, Lowe Bultitude MI, et al. Intra-prostatic urinary reflux: an etiological factor in abacterial prostatitis. Brit J Urol 1982;54: 729-731.
  • Orland SM, Hanno PM, Wein AJ. Prostatitis, prostatitis and prostatodynia. Urology 1985;25: 439-459.
  • Blacklock NJ: Anatomical factors in prostatitis. Br J Urol 1974;46: 47-54.
  • Blacklock NJ: Urodynamic and psychometric observations and their implication in the management of prostatodynia. In Weidner W, Brunner H, Krause W, Rothague CF: The- rapy of Prostatitis. Munich, Zuckswerdt, 1986; 201.
  • Bates CP, Arnold EP, Griffiths DJ. The nature of the abnor- mality in bladder neck obstruction. Br J Urol 1975;47: 651- 656.
  • Barbalias GA, Meares EM, Sant GR. Prostatodynia: Clinical and urodynamic characteristics. J Urol 1983;130: 514-517.
  • Barbalias GA: Prostatodynia or painful male urethral syndrome? Urology 1990;36: 146-153.
  • Siroky MB, Goldstein I, Krane RJ. Functional voiding disor- ders in men. J Urol 1981;126: 200-204.
  • Kaplan SA, Te AE, Jacobs BZ. Urodynamic evidence of ve- sical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endosco- pic incision of the bladder neck. J Urol 1994;152: 2063-2065.
  • Kaplan SA, Ikeguchie F, Santarosa RP, et al. Etiology of voi- ding dysfunction in men less than 50 years of age. Urology 1996;47: 836-839.
  • Kaplan SA, Santarosa RP, D’Alisera PM, et al. Pseudodys- synergie (contraction of the external sphincter during vo- iding) misdiagnosed as chronic nonbacterial prostatitis and the role of biofeedback as a therapeutic option. J Urol 1997;157: 2234-2237.
  • Mayo ME, Ross SO, Krieger JN. Few patients with “chronic prostatitis” have significant bladder outlet obstruction. Uro- logy 1998;52: 417-421.
  • Reynard JM, Peters TJ, Lim C, et al. The value of multiple free-flow studies in men with lower urinary tract symptoms. Br J Urol 1996; 77: 813-818.
  • Hruz P, Danuser H, Studer UE, et al. Non-inflammatory chronic pelvic pain syndrome can be caused by bladder neck hypertrophy. Eur Urol 2003;44: 106-110.
  • Nickel JC. Prostatitis. Evolving Management Strategies. The Urologic Clinics of North America, Infections in Urology: Nov 1999; 737-751.
  • Boyle P, Keech M, Nonis A,et al: The Urepik study:A cross- sectional survey of benign prostatic hyperplasia, urinary in- continence and male erectile dysfunction, prostatitis and interstitial cystitis in the UK,France,the Netherlands and Korea. J Epidemiol Biostat 1998;3: 179-187.
  • Meares EM Jr, Stamey TA. Bacteriologic localization pat- terns in bacterial prostatitis and urethritis. Invest Urol 1968;5: 492-518.
  • Drach GW, Fair WR, Meares EM, et al. Classification of be- nign diseases associated with prostatic pain: Prostatitis or prostatodynia? J Urol 1978;120: 266.
  • Krieger JN, Nyberg LJ, Nickel JC. NIH consensus definition and classification of prostatitis. JAMA 1999;282: 236-237.
  • De la Rosette JJ, Hubregtse MR, Meuleman EJ, et al: Diag- nosis and treatment of 409 patients with prostatitis syndro- mes. Urology 1993,41: 301-307.
  • Mehik A, Hellstrom P, Lukkarinen O, et al. Increased int- raprostatic pressure in patients with chronic prostatitis. Urol Res 1999; 27: 277- 279.
  • Theodorou Ch, Konidaris D, Moutzouris G, Becopoulos Th. The urodynamic profile of prostatodynia. BJU Int 1999; 84: 461-463.
  • Kohn IJ, Te AE, Kaplan SA. The role of urodynamics in eva- luating patients with chronic prostatitis. In: Nickel JC, edi- tor. Textbook of Prostatitis. Oxford: ISIS Medical Media 1999;227-232.
  • Klingler HC, Madersbacher S, Djavan B, et al. Morbidity of the evaluation of the lower urinary tract with transu- rethral multichannel pressure-flow studies. J Urol. 1998 Jan;159(1):191-4.
  • Reynard JM, Peters TJ, Lim C, et al. The value of multiple free-flow studies in men with lower urinary tract symptoms. Br J Urol 1996;77: 813-818.
  • Nickel JC. Clinical evaluation of the patient presenting with prostatitis. International Consensus Conference on advan- ces in the diagnosis and treatment of prostatitis. European Urology 2003;2: 11-12.
  • Nickel JC, Downey JA, Nickel KR. Prostatitis-like symptoms: one year later. BJU Int 2002;90: 678-681.
There are 27 citations in total.

Details

Primary Language Turkish
Journal Section Original Article
Authors

Selçuk Şahin This is me

Volkan Tuğcu This is me

Erkan Sönmezay This is me

Ali İhsan Taşçı This is me

Publication Date January 1, 2013
Published in Issue Year 2013 Volume: 8 Issue: 1

Cite

Vancouver Şahin S, Tuğcu V, Sönmezay E, Taşçı Aİ. Kategori IIIB kronik pelvik ağrı sendromlu hastalarda ürodinami bulguları. New J Urol. 2013;8(1):24-30.