Assessment of the urodynamic diagnosis in patients with urinary incontinence associated with normal pressure hydrocephalus

Abstract

OD was the most frequent diagnosis within UDS conducted on adult NPH patients in our institution, with BOO in an elevated percentage of them. Etiological treatment led to symptomatic improvement in most of patients.

Characterization of lower urinary tract symptoms in patients with idiopathic normal pressure hydrocephalus

“…Our finding of 100% DO in patients with new‐onset iNPH is consistent with findings by Sakakibara et al reporting 95.2% of patients having DO, but higher than a reported rate of 45.6% in a study by Campos‐Juanatey et al The common finding of DO across multiple studies may reflect an altered neurologic pathway in patients with iNPH. Our mean bladder capacity was low at 202 mL, which is also similar to findings by Sakakibara et al and Campos‐Juanatey et al…”

“…The most common OAB symptom was nocturia, and the most bothersome OAB symptom was urinary urge incontinence. This aligns with prior smaller studies, which reported detrusor overactivity in iNPH patients in 63–100% . Urinary urgency is thought to precede urge incontinence in the progression of iNPH .…”

“…This aligns with prior smaller studies, which reported detrusor overactivity in iNPH patients in 63-100%. 9,17,18 Urinary urgency is thought to precede urge incontinence in the progression of iNPH. 6 This is significant considering the combination of early age of onset and mild symptoms/early diagnosis are the best prognostic factors in terms of response to shunt surgery.…”

Improving Outcomes in Patients With Refractory Idiopathic and Neurogenic Detrusor Overactivity: Management Strategies

“…Older patients can have nonneurologic and neurologic urinary issues (eg, normativepressure hydrocephalus). 36 Women might have concomitant stress UI, prolapse, or OAB; men may also have prostate problems such as benign prostatic hyperplasia.…”

Hydrocéphalie à pression normale : mise au point et aspects pratiques

“…Les symptômes urinaires sont directement en lien avec une hyperactivité détrusorienne et peuvent aller de l'urgenturie ou pollakiurie jusqu'à l'incontinence urinaire [8]. Une incontinence fécale peut être associée.…”