Are there different patterns of detrusor overactivity which are clinically relevant? ICI‐RS 2018

Abstract

Introduction: Different patterns of detrusor overactivity (DO) have been described and included in several standardization terminology documents. However, it is unclear if these different patterns have any clinical significance. Methods: This is a report of the proceedings of Proposal 3: "Are there different patterns of detrusor overactivity which are clinically relevant?" from the annual International Consultation on Incontinence-Research Society (ICIRS) meeting, which took place from 14 to 16 June 2018, in Bristol, UK. Results: We have collected and discussed, as a committee, the evidence about different urodynamic (UD) patterns of detrusor overactivity and their potential clinical significance. We reviewed the important previous basic research and clinical studies and compiled summaries. The discussion focused on clinical relevance of different UD patterns of DO and what further research is required. Conclusions: There are several UD definitions of patterns of detrusor overactivity, however the clinical relevance of these definitions remains unclear. Future research should concentrate on defining the pattern of DO in relation to clinical diagnosis, gender, age, and treatment outcomes. K E Y W O R D S detrusor overactivity, lower urinary tract dysfunction, urodynamics (UDs)

Peripheral Sacral Magnetic Stimulation in Patients with Idiopathic Overactive Bladder: a Single Blind Prospective Randomized Comparative Clinical Study

“…ГАМП является клиническим состоянием, подразумевающим наличие вышеуказанных симптомов у пациента, при этом, согласно предложенной терминологии ICS (International Continence Society, Международное общество по исследованию проблем недержания мочи), патофизиологической основой, выявляемой в ходе комплексного уродинамического исследования (КУДИ), может выступать детрузорная гиперрефлексия (при нали-чии неврологического заболевания как этиологического фактора) или детрузорная гиперактивность, ДГ (в случае отсутствия неврологической или какой-либо другой причины, объясняющей развитие патологии) [2,3]. Однако только у 50 % пациентов с симптомами ГАМП в ходе КУДИ может быть выявлена гиперактивность детрузора [4].…”