Urodinamic findings in elderly females with incontinence

Abstract

U našoj studiji obradili smo urodinamski 42 bolesnice starije dobi, preko 65 godina starosti, sa evidentnim znakovima inkontinencije. Tokom obrade bolesnice smo zavisno od cistometrijskog nalaza na mjehuru podijelili u 4 grupe. Izvršili smo mjerenje profilnog uretralnog tlaka perfuzionom metodom prema Brown-Winchkamu, a po međunarodnoj standardizaciji ICS-a. Kod inkontinencije žena u starijoj dobnoj skupini najčešće se nalazi nestabilni detrusor, dok smo u 10 bolesnica našli praktič­no potpuno uredne urodinamske nalaze. Prilikom istraživanja i ocjene maksimalnog uretralnog tlaka, kao i funkcionalne dužine uretre, a u odnosu na cistometrijske nalaze, nismo uočili većih odstupanja. U odnosu na druge autore, koji su se bavili istom problematikom, u našem materijalu ustanovili smo nešto veću učestalost inkontinencije u gore navedenoj dobnoj skupini.We evaluated 42 elderly women over 65 years, with symptoms of urinary incontinence. The urodynamic features of 42 incontinent women, investigated by cystometry and the urethral pressure profile, according to Brown-Winchkam technics are reported. The methods of measuring urodynamic variables, their definitions, and the units in which they were expressed conform to the standards proposed by International Continence Society (ICS). The most common urodynamic finding in these patients was the presence of unstable detrusor contractions and in ten females the urodynamic findings were practically normal. There were no correlations between the maximum urethral pressure and functional urethral profile length between the groups according to cystometric diagnosis. In our study was observed a higher percentage of urinary incontinence in elderly females than mentioned by some other authors