{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T16:26:17Z","timestamp":1790785577454,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T00:00:00Z","timestamp":1728864000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To determine the type of bladder outlet obstruction (BOO) in patients with Parkinson's disease (PD).<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and Method<\/jats:title><jats:p>A case\u2013control study was carried out in 46 patients divided into two groups. Group 1 formed by 23 PD patients with BOO (a URA parameter \u2265\u200929\u2009cm H<jats:sub>2<\/jats:sub>O). Group 2 formed by 23 patients with benign prostatic hyperplasia (BPH) and compressive obstruction (an opening pressure &gt;\u200935\u2009cm H<jats:sub>2<\/jats:sub>O) and URA parameter \u2265\u200929\u2009cm H<jats:sub>2<\/jats:sub>O). Both groups underwent a pressure\u2010flow study to calculate Dynamic Urethral Resistance Relationship (DURR) patterns. Based on previous research, we describe two types of DURR pattern. Pattern A typical of dynamic or functional obstruction and pattern B typical of static or organic obstruction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found that PD patients had a significantly higher frequency of pattern A (70%) than BPH patients (4%). Other significant differences between groups were age (greater in PD group), bladder compliance (greater in PD group), maximum flow rate [<jats:italic>Q<\/jats:italic><jats:sub>max<\/jats:sub> (greater in BPH group)], maximum detrusor pressure [<jats:italic>P<\/jats:italic><jats:sub>max<\/jats:sub> (greater in BPH group)], detrusor pressure at maximum flow rate [<jats:italic>PQ<\/jats:italic><jats:sub>max<\/jats:sub> (greater in BPH group)], opening detrusor pressure (greater in BPH group), and the bladder contractility parameters BCI and <jats:italic>W<\/jats:italic><jats:sub>max<\/jats:sub> (greater in BPH group). There were no significant differences in perineal voiding electromyography (EMG) activity between groups nor relationship between voiding EMG activity and the type of DURR pattern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our results are consistent with the usefulness of the DURR pattern to differentiate between functional and organic BOO in PD patients. Most PD patients have functional obstruction although a minority has organic obstruction consistent with BPH.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25599","type":"journal-article","created":{"date-parts":[[2024,10,14]],"date-time":"2024-10-14T07:24:48Z","timestamp":1728890688000},"page":"171-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Can We Differentiate Between Organic and Functional Bladder Outlet Obstruction in Males With Parkinson's Disease?"],"prefix":"10.1002","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9656-6548","authenticated-orcid":false,"given":"Miguel","family":"V\u00edrseda\u2010Chamorro","sequence":"first","affiliation":[{"name":"Urology Department Hospital Nacional de Parapl\u00e9jicos Toledo Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Salinas\u2010Casado","sequence":"additional","affiliation":[{"name":"Urology Department, Hospital Cl\u00ednico San Carlos Universidad complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9\u2010Mar\u00eda","family":"Adot\u2010Zurbano","sequence":"additional","affiliation":[{"name":"Urology Urology Department Hospital General Universitario Burgos Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Santiago","family":"M\u00e9ndez\u2010Rubio","sequence":"additional","affiliation":[{"name":"Urology Department Hospital Sanitas La Moraleja Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jes\u00fas","family":"Moreno\u2010Sierra","sequence":"additional","affiliation":[{"name":"Urology Department, Hospital Cl\u00ednico San Carlos Universidad complutense Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,10,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13311-020-00897-4"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)51929-1"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23397"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.purol.2019.06.001"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-4612-5476-8_44"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.21206"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1994.tb01674.x"},{"key":"e_1_2_11_9_1","first-page":"228","article-title":"Urethral Resistance and Urinary Bladder Contractility Before and After Transurethral Resection as Determined by the Computer Program Clim","volume":"7","author":"Mastrigt R.","year":"1988","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_11_10_1","first-page":"414","article-title":"Chess Classification of Outflow Obstruction Based on Pressure\u2010Flow Analysis","volume":"12","author":"Hoefner K.","year":"1993","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_11_11_1","first-page":"405","article-title":"Utilidad Del DURR (Factor De Resistencia Uretral Din\u00e1mica) En El Estudio Del Prostatismo","volume":"49","author":"Salinas J.","year":"1996","journal-title":"Arch Esp Urol"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.10066"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67048-6"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.62.5.507"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1930090204"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-010-5645-x"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2011.241075"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.71.5.600"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1042\/cs070s063"},{"key":"e_1_2_11_21_1","unstructured":"Schaefer. 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