INTRODUCTIONTo evaluate the effects of insulin dependent diabetes mellitus type 2 (IDDM2) on the urinary bladder function in patients with lower urinary tract symptoms (LUTS) and to classify patients according to videourodynamic outcomes. MATERIALS AND METHODSWe retrospectively analyzed 4435 videourodynamic examinations in 3850 patients from 07/2001 until 12/2012. We restricted patients to type 2 diabetics which were insulin dependent for at least one year. We excluded diabetics with neurological diseases in the medical history as well as previous surgeries. The following parameters were evaluated: micturition frequency at day- and nighttime, maximum voided volume, body-mass-index and videourodynamical diagnosis.Videourodynamics were performed according to the guidelines of the international continence society (ICS). RESULTS:With respect to the exclusion criteria we evaluated a total of 129 patients with IDDM2 remained (39 women, 90 men). Patient characteristics and subjective parameters showed an elevated psychological strain based on pathological voiding habits resulting in a decreased quality of life.Eight different videourodynamical diagnoses were confirmed despite the similar symptom complex. 50% of these patients showed a combined dysfunction of at least two different videourodynamical diagnoses.CONCLUSIONS:Patients with LUTS and IDDM2 present bothering symptoms. These symptoms result in a low quality of life, which underlines the necessity of a proper treatment regime. However, videourodynamics proved that there are differences in the diagnoses despite the similar symptom complex. Furthermore, treatment regimens have to get adapted in the case of combined dysfunctions. According to the specific type of bladder storage and voiding dysfunction individually tailored treatment is mandatory, even implicating treatment options indicated in one type, however, contraindicated in another type.
STORAGE AND VOIDING DYSFUNCTIONS OF THE LOWER URINARY TRACT IN DIABETIC PATIENTS: MORE THAN A FEELING., Awad Kaabneh, Saladin Helmut Alloussi, Christoph Lang, Schahnaz Alloussi, INTERNATIONAL JOURNAL OF ADVANCED MEDICINE : Volume-4 | Issue-4 | July-2020