Effect of bladder filling volume on detrusor contractility in men with bladder outlet obstruction. 2023

Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
GRC 01, GREEN Groupe de RecherchE cliniquE en Neuro-urologie, AP-HP, Hôpital Tenon, Sorbonne University, Paris, France.

Bladder outlet obstruction alters detrusor contractility, reducing the bladder's ability to respond to large filling with a risk of urinary retention. The objective was to assess the effect of bladder filling volume on detrusor contractility in men with bladder outlet obstruction. A prospective multicenter study in two pelviperineology departments. Male patients eligible for urodynamics (IPSS score > 7) were included from January to July 2022. In case of absence of bladder outlet obstruction on pressure-flow studies, they were secondarily excluded. The primary endpoint was the maximum isometric detrusor pressure during a stop-test, corresponding to detrusor contractility, measured at 3 filling volumes (50%, 75%, and 100% of cystometric capacity). Fifty-two patients performed urodynamics, of whom 12 were excluded because of lack of obstruction or inability to perform the stop-test. Detrusor contractility was significantly higher for a 75% bladder filling than 50% and for a 75% filling than 100%, with a mean difference of 19.5; confidence interval (CI) 95% [14.3; 24.8] and 12.2; CI 95% [6.9; 17.5] cmH2 O respectively (p < 0,01). In case of bladder outlet obstruction in men, detrusor contractility depends on bladder filling volume, with reduced contractility when the bladder was underfilled or overfilled. This phenomenon could help to explain the mechanisms of urinary retention in men with bladder outlet obstruction.

UI MeSH Term Description Entries
D008297 Male Males
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D001743 Urinary Bladder A musculomembranous sac along the URINARY TRACT. URINE flows from the KIDNEYS into the bladder via the ureters (URETER), and is held there until URINATION. Bladder,Bladder Detrusor Muscle,Detrusor Urinae,Bladder Detrusor Muscles,Bladder, Urinary,Detrusor Muscle, Bladder,Detrusor Muscles, Bladder
D001748 Urinary Bladder Neck Obstruction Blocked urine flow through the bladder neck, the narrow internal urethral opening at the base of the URINARY BLADDER. Narrowing or strictures of the URETHRA can be congenital or acquired. It is often observed in males with enlarged PROSTATE glands. Bladder Neck Obstruction,Bladder Outlet Obstruction
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013520 Urologic Surgical Procedures Surgery performed on the urinary tract or its parts in the male or female. For surgery of the male genitalia, UROLOGIC SURGICAL PROCEDURES, MALE is available. Procedure, Urologic Surgical,Procedures, Urologic Surgical,Surgical Procedure, Urologic,Surgical Procedures, Urologic,Urologic Surgical Procedure,Urological Surgical Procedures,Procedure, Urological Surgical,Procedures, Urological Surgical,Surgical Procedure, Urological,Surgical Procedures, Urological,Urological Surgical Procedure
D014563 Urodynamics The mechanical laws of fluid dynamics as they apply to urine transport. Urodynamic
D016055 Urinary Retention Inability to empty the URINARY BLADDER with voiding (URINATION). Retention, Urinary

Related Publications

Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
November 2022, Biomedicines,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
January 2006, Scandinavian journal of urology and nephrology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
November 1991, The Journal of urology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
January 2004, Scandinavian journal of urology and nephrology. Supplementum,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
February 2017, JCI insight,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
April 1991, The Journal of urology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
August 2015, Zhonghua nan ke xue = National journal of andrology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
February 1993, The Journal of urology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
August 1978, Urology,
Nicolas Hermieu, and Camille Chesnel, and Maëlys Teng, and Evanguelos Xylinas, and Idir Ouzaid, and Jean-François Hermieu, and Gérard Amarenco, and Claire Hentzen
June 1986, The Journal of urology,
Copied contents to your clipboard!