Role of uroflowmetry in a clinical study of patients with chronic prostatitis

Kvyatkovskaya, Tatyana and Kvyatkovsky, Yevgeniy and Kosse, Valentin (2020) Role of uroflowmetry in a clinical study of patients with chronic prostatitis. Modern Science — Moderní věda, № 2. pp. 93-100. ISSN 2336-498X

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Abstract

We studied 154 patients with chronic prostatitis aged 20-70 years (mean age 48.9 years). The control group consisted of 66 patients aged 20-70 years (mean age 48.7 years) without urinary tract pathology. All patients underwent uroflowmetry using a Potok-K uroflowmeter and an ultrasound examination of the bladder and prostate with determination of post-void residual volume and prostate volume. During uroflowmetry, the average volumetric urine flow rate, maximum volumetric urine flow rate, urine flow acceleration, flow time, time to maximum flow and voiding waiting time were determined, and nomograms of the maximum and average volumetric flow rate were used and a qualitative assessment of uroflowgrams was performed. A normal type of uroflogram was detected in 42.9% of patients with chronic prostatitis, intermittent in 12.3%, superflow in 9.1%, preobstructive in 9.1%, obstructive in 13.6%, and interrupted in 13% patients. For patients of a younger age, intermittent and superflow types of uroflograms are characteristic, which may indicate detrusor sphincter dysinergy and hyperactivity of the bladder. In older patients, obstructive and obstructively interrupted uroflowgram types are more often observed. In patients with chronic prostatitis, the earliest indicator of urodynamic disturbance is a decrease in urine flow acceleration. Marked changes in uroflowgrams were noted in 26.6% of patients with obstructive and obstructively interrupted type of voiding. These patients are shown the appointment of alpha-1-blockers that improve the function of the detrusor and the neck of the bladder. The proposed pharmacurodynamic test with a single dose of silodosin allows you to develop indications for the appointment of alpha-1-blockers.

Item Type:	Article
Uncontrolled Keywords:	uroflowmetry, chronic prostatitis, urodynamics of the lower urinary tract.
Subjects:	Urology
Divisions:	Departments > Department of human anatomy, clinical anatomy and operative surgery
Depositing User:	Елена Шрамко
Date Deposited:	26 Nov 2020 13:30
Last Modified:	26 Nov 2020 13:39
URI:	http://repo.dma.dp.ua/id/eprint/6007

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