Through the zipper or pants down: Does it change uroflowmetry parameters in healthy males?

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2022-04-05 DOI:10.1111/luts.12442

Muhammet İrfan Dönmez, Mehmet Serkan Özkent, Mustafa Bilal Hamarat, Mehmet Kocalar

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引用次数: 0

Abstract

Objective

To evaluate if voiding through the zipper or voiding pants down would make any difference with regard to uroflowmetry parameters and postvoiding residual urine (PVR) volumes in healthy males with no lower urinary tract symptoms (LUTS).

Methods

Healthy males over 18 years of age with no LUTS were prospectively evaluated using a uroflowmetry test. Each individual was asked to void through the zipper (group 1) and pants down (group 2) at different times. The uroflowmetry test was repeated if the voided volume did not exceed 150 mL. Uroflowmetry results such as voided volume, maximum flow rate (Qmax), average flow rate (Qave), and duration of voiding were noted. PVR volume was assessed using ultrasonography. Electromyography was not used. Data are shown as mean ± standard deviation. For statistical analysis, a paired t test was used to analyze parametric parameters.

Results

A total of 44 males were enrolled. The median age of the individuals was 24 (range 18-44 years). There were no statistically significant differences between the two measurements in terms of voided volume (307 ± 121 mL vs 325 ± 145 mL, P = .365) and duration of voiding (25 ± 11 s vs 23.8 ± 11.6 s, P = .526). However, there were statistically significant differences in Qmax (26.6 ± 6.7 mL/s vs 30.0 ± 8.2 mL/s, P = .001), Qave (14.4 ± 3.6 mL/s vs 16.2 ± 5.1 mL/s, P = .009), and PVR volumes (23.9 ± 19.4 mL vs 3.9 ± 9.6 mL, P = .0001).

Conclusion

Voiding pants down shows higher flow rates and lower PVR than voiding through the zipper in individuals with no LUTS. Future studies with a larger number of individuals (including those with LUTS) and a broader age range cohort are required for solid conclusions.

查看原文本刊更多论文

通过拉链或裤子:它会改变健康男性的尿流测量参数吗?

目的评价无下尿路症状(LUTS)的健康男性，通过拉链排尿或尿裤排尿对尿流仪参数和排尿后残尿量的影响。方法对18岁以上无LUTS的健康男性采用尿流法进行前瞻性评价。每个人都被要求在不同的时间脱下拉链(第一组)和裤子(第二组)。如果尿量不超过150ml，则重复尿流测定。记录尿流测量结果，如排尿量、最大流量(Qmax)、平均流量(Qave)、排尿时间等。超声检查PVR体积。未使用肌电图。数据以平均值±标准差表示。统计分析采用配对t检验分析参数参数。结果共入组44例男性。患者年龄中位数为24岁(18-44岁)。两种方法在排尿量(307±121 mL vs 325±145 mL, P = .365)和排尿时间(25±11 s vs 23.8±11.6 s, P = .526)方面差异无统计学意义。Qmax(26.6±6.7 mL/s vs 30.0±8.2 mL/s, P = 0.001)、Qave(14.4±3.6 mL/s vs 16.2±5.1 mL/s, P = 0.009)、PVR容积(23.9±19.4 mL vs 3.9±9.6 mL, P = 0.0001)差异有统计学意义。结论在无LUTS的人群中，尿裤排尿比拉链排尿流速高，PVR低。未来的研究需要更多的个体(包括LUTS患者)和更广泛的年龄范围队列来得出可靠的结论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.