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Titolo:
Diabetes and voiding disorders.
Autore:
Chartier-Kastler, E; Averous, M; Barrou, B; Lopez, C; Moscovici, J; Roman, F; Delmas, V;
Indirizzi:
Hop La Pitie Salpetriere, Serv Urol, F-75013 Paris, France Hop La Pitie Salpetriere Paris France F-75013 rol, F-75013 Paris, France Hop Lapeyronie, Serv Urol, Montpellier, France Hop Lapeyronie Montpellier France ronie, Serv Urol, Montpellier, France Hop Purpan, Serv Urol, Toulouse, France Hop Purpan Toulouse FranceHop Purpan, Serv Urol, Toulouse, France Hop Charles Foix, Serv Reeduc, Ivry Sur Seine, France Hop Charles Foix Ivry Sur Seine France v Reeduc, Ivry Sur Seine, France Hop Bichat, Serv Urol, F-75877 Paris, France Hop Bichat Paris France F-75877 Bichat, Serv Urol, F-75877 Paris, France
Titolo Testata:
PROGRES EN UROLOGIE
fascicolo: 1, volume: 10, anno: 2000,
pagine: 14 - 23
SICI:
1166-7087(200002)10:1<14:DAVD>2.0.ZU;2-F
Fonte:
ISI
Lingua:
FRE
Soggetto:
URINARY-BLADDER DYSFUNCTION; SYMPATHETIC SKIN-RESPONSE; AUTONOMIC NEUROPATHY; PANCREAS TRANSPLANTATION; URODYNAMIC FINDINGS; MELLITUS; CYSTOPATHY; COMPLICATIONS; INCONTINENCE; MORTALITY;
Keywords:
diabetes mellitus; voiding disorders; benign prostatic hyperplasia; diabetic bladder disease; incontinence; neurogenic bladder;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
63
Recensione:
Indirizzi per estratti:
Indirizzo: Chartier-Kastler, E Hop La Pitie Salpetriere, Serv Urol, 83 Blvd Hop, F-75013 Paris, France Hop La Pitie Salpetriere 83 Blvd Hop Paris France F-75013
Citazione:
E. Chartier-Kastler et al., "Diabetes and voiding disorders.", PROG UROL, 10(1), 2000, pp. 14-23

Abstract

Diabetic neuropathy of can induce multi-organ dysfunction. The diabetes simultaneously has profound repercussions on gastrointestinal, sexual and erectile functions. One of the main sequelae of diabetic neuropathy is autonomic neuropathy affecting the vesicosphincteric control. The objective of this study was to review the epidemiological, clinical, laboratory and therapeutic data concerning voiding disorders observed in diabetes. Although the therapeutic management of an isolated voiding disorder in diabetics still remains symptomatic, it raises aetiological problems due to the comorbidity, particularly prostatic obstructive syndromes in men, pelvic dysfunction in women and ageing. Diabetic patients in renal failure also present specific vesicosphincteric disorders which are reviewed. Diabetic patients should bemore systematically screened for the development of diabetic bladder disease, especially for associated factors which participate in its clinical expression. This implies extreme caution in the management of benign prostatichyperplasia in the case of comorbidity, to avoid deteriorating a sometimesfragile detrusor-sphincter equilibrium. Diabetic detrusor hyperactivity must be better known in order to be more effectively detected. Pharmacological treatment of this condition raises problems related to detrusor hypocontractility also related to diabetic bladder disease. Clinical examination should be able to select those patients requiring further urodynamic studies in order to assess the individual detrusor-sphincter equilibrium. These investigations are required when surgical treatment of an associated urologicalor gynaecological disorder is considered.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/09/20 alle ore 22:49:10