{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T12:07:21Z","timestamp":1747224441580,"version":"3.40.5"},"reference-count":19,"publisher":"PAGEPress Publications","license":[{"start":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T00:00:00Z","timestamp":1678665600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Ital Urol Androl"],"abstract":"<jats:p>\n\n\nPurpose: To address the pattern of urodynamic findings in diabetic patients with lower urinary tract symptoms (LUTS), comparing short-standing and long-standing type 2 diabetes mellitus (T2DM).\nMethods: A prospective study was conducted on 50 patients pre- senting with LUTS and a concurrent diagnosis of T2DM, between February 2016 and May 2018. Patients were classified and evaluated according to the duration of diabetes into two groups: short-standing DM (&lt; 15 years, n = 31), and long-standing DM (\u2265 15 years, n = 19) groups. The impact of LUTS and quality of life were assessed in female patients using ICIQ-FLUTS and male patients using ICIQ-MLUTS.\n\n\n\nResults: A total of 50 patients were included in the study. The mean duration of T2DM was 10 \u00b1 0.7 years. The mean age was 56.3 \u00b1 1.2 years, and the mean HbA1c was 7.5 \u00b1 1.2%. Urodynamic evaluation detected significantly higher detrusor overactivity (DO) and increased bladder sensation with the short-standing DM group (35.5 vs. 15.8%, p = 0.01 and 32.3 vs. 5.3%, p = 0.01, respectively). Comparatively, weak, or absent detrusor contractility were more frequent in patients with long-standing DM (52% and 26% respectively p = 0.01). As expected, overflow incontinence and straining during voiding were significantly higher in the long-standing DM group (p = 0.04 and p = 0.03, respectively). Surprisingly, there was no significant correlation between patients presenting with urgency in their voiding diary (subjective) and urodynamic detection of DO (p = 0.07).\nConclusions: There are different patterns in urodynamic charac- terizations of T2DM. Patients with short-standing DM present more commonly with storage symptoms and detrusor overactivity on urodynamics. Contrastingly, patients with long-standing DM present more frequently with voiding symptoms and detrusor underactivity on urodynamics. Thus, screening for an underactive bladder is advisable in patients with long-standing T2DM.\n\n\n\n\n\n<\/jats:p>","DOI":"10.4081\/aiua.2023.11072","type":"journal-article","created":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T11:15:55Z","timestamp":1678706155000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluation of urodynamic pattern in short and long-standing diabetic patients"],"prefix":"10.4081","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5403-3874","authenticated-orcid":false,"given":"Haytham","family":"Elsakka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2769-2559","authenticated-orcid":false,"given":"Ahmed","family":"Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6995-8132","authenticated-orcid":false,"given":"Abdulghani","family":"Khogeer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8407-0564","authenticated-orcid":false,"given":"Adel","family":"Elatreisy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1829-9157","authenticated-orcid":false,"given":"Rawan","family":"Elabbady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osama","family":"Shalkamy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9978-3110","authenticated-orcid":false,"given":"Ayesha","family":"Khan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iman","family":"Sidri","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"AlShammari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1376-5697","authenticated-orcid":false,"given":"Ahmad","family":"Khalifa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7179-8190","authenticated-orcid":false,"given":"Serge","family":"Carrier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Aube-Peterkin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2549","published-online":{"date-parts":[[2023,3,13]]},"reference":[{"key":"72097","doi-asserted-by":"crossref","unstructured":"Bansal R, Agarwal MM, Modi M, et al. 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Neurourol Urodyn. 2007; 26:807-13.","DOI":"10.1002\/nau.20404"},{"key":"72112","doi-asserted-by":"crossref","unstructured":"Malik RD, Cohn JA, Volsky J, et al. A Modern Comparison of Urodynamic Findings in Diabetic Versus Nondiabetic Women. Female Pelvic Med Reconstr Surg. 2020; 26:44-50.","DOI":"10.1097\/SPV.0000000000000586"},{"key":"72113","doi-asserted-by":"crossref","unstructured":"Shin YS, On JW, Kim MK. Clinical significance of diabetes melli- tus on detrusor functionality on stress urinary incontinent women with- out bladder outlet obstruction. Int Urogynecol J. 2016; 27:1557-61.","DOI":"10.1007\/s00192-016-2997-5"},{"key":"72114","doi-asserted-by":"crossref","unstructured":"Esteghamati A, Rashidi A, Nikfallah A, Yousefizadeh A. The association between urodynamic findings and microvascular compli- cations in patients with long-term type 2 diabetes but without voiding symptoms. 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Urodyn. 2008; 27:362-7.","DOI":"10.1002\/nau.20533"}],"container-title":["Archivio Italiano di Urologia e Andrologia"],"original-title":[],"link":[{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/11072\/10757","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/download\/11072\/10757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,13]],"date-time":"2023-03-13T11:16:34Z","timestamp":1678706194000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.pagepressjournals.org\/index.php\/aiua\/article\/view\/11072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,13]]},"references-count":19,"URL":"https:\/\/doi.org\/10.4081\/aiua.2023.11072","relation":{},"ISSN":["2282-4197","1124-3562"],"issn-type":[{"type":"electronic","value":"2282-4197"},{"type":"print","value":"1124-3562"}],"subject":[],"published":{"date-parts":[[2023,3,13]]}}}