2Ankara Fizik Tedavi ve Rehabilitasyon Eğitim ve Araştırma Hastanesi 5. FTR Kliniği ANKARA Introduction: Urological symptoms and urodynamic findings were compared in patients with geriatric and non-geriatric Parkinson's Disease (PD).
Materials and Method: Urological symptoms and Hoehn-Yahr stage were investigated among the patients. Detrusor type, maximum cystometric capacity (MCC), maximum detrusor pressure(MDP) and postvoiding reziduel urine volume (PVR) were measured during urodynamic tests, storage and empyting functions and bladder filling sensation were evaluated.
Results: Frequencies of symptoms were as follows: nocturia; 23/25, urgency; 18/25, incontinence; 12/25. Twenty-four of the 25 patients had overactive detrusor muscle. Storage and emptying dysfunction frequencies in geriatric and non-geriatric groups were 9/15, 3/10 (p=0.141), and 5/15, 6/10 (p=0.188) respectively. Bladder filling sensation was normal in 8/15 and decreased in 7/15 of geriatric patients while it was normal in 8/10 and decreased in 2/10 of non-geriatric patients (p=0.174). Mean MCC, MDP and PVR were 261.9±149.1, 302.0±146.45ml(p=0.360), 40.7±22.6, 35.2±17.3 cmH2O (p=0.637) and 69.7±89.0, 113.7±103.9ml (p=0.317) in geriatric and non-geriatric groups respectively. There were statistically significant differences between the patients with early and advanced Hoehn-Yahr stages with respect to storage (p=0.02) and emptying (p=0.038) dysfunction frequencies.
Conclusion: Bladder filling sensation is present at least to some degree in all PD patients. Although storage and emptying dysfunction frequencies were not different in geriatric and nongeriatric groups, both dysfunction types were more frequent in patients with higher Hoehn-Yahr stage.
Keywords : Parkinson Disease; Urinary Bladder, Neurogenic; Urodynamics