[Preliminary clinico-urodynamic study of diabetic uropathy of the bladder]

Twenty-eight diabetic patients of type one have been evaluated in a preliminary study starting from the conclusions of a previous work of the Authors, where the existence of four types of autonomic bladder neuropathies was demonstrated, in opposition to the classic theory of diabetic cistopathy. The examined cases confirm on the basis of clinical trials (HBA1C, cardiovascular autonomic neuropathy tests) and urodynamic tests (urofluxometric test, cistomanometric test, urethral pressure profile) the pleiomorphism of this syndrome and its relations with diabetic disease. On the total amount of the examined cases, 16 patients (57%) showed high values of HBA1C and 17 (60.7%) positive tests for autonomic neuropathy. Distribution of different types of cistopathy confirmed furthermore, beside the higher incidence of the sensitive form (14 pts.), an important percentage of sensitive motory types (4 pts.) and hyperreflexic ones (3 pts.). On the basis of the reported data, a correct and precocious differential diagnostics is recommended in order to face in a better way the serious consequences which may tardily affect the urinary apparatus.