Kategori IIIB kronik pelvik ağrı sendromlu hastalarda ürodinami bulguları

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

Urodynamic findings ın patients with category IIIB chronic pelvic pain syndrome

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

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  • 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.
Yeni Üroloji Dergisi-Cover
  • ISSN: 1305-2489
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2005
  • Yayıncı: Avrasya Üroonkoloji Derneği
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