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Lower urinary tract dysfunction in patients with gastroparesis
1Department of Urology, University of Tennessee, Memphis, USA.
The Journal of Urology
|May 1, 1997
Summary
Idiopathic gastroparesis is linked to more severe bladder dysfunction than diabetic gastroparesis. This suggests a common cause, potentially an autonomic neuropathic syndrome, affecting both conditions.
Area of Science:
- Urology
- Gastroenterology
- Neurology
Background:
- Gastroparesis, a condition causing delayed gastric emptying, can be idiopathic or secondary to diabetes mellitus.
- Autonomic dysfunction is a known complication of diabetes and can affect various organ systems.
- The relationship between idiopathic gastroparesis and bladder dysfunction requires further elucidation.
Purpose of the Study:
- To characterize bladder dysfunction in patients with idiopathic gastroparesis.
- To compare bladder dysfunction in idiopathic gastroparesis with that in gastroparesis secondary to diabetes mellitus.
Main Methods:
- Retrospective review of clinical and urodynamic records.
- Study included 17 patients with gastroparesis: 10 idiopathic and 7 diabetic.
Main Results:
- Predominant symptoms included urinary frequency and difficulty emptying.
- Patients exhibited diminished bladder sensation, increased capacity, decreased flow rates, elevated post-void residuals, and increased abdominal straining.
- Idiopathic gastroparesis patients demonstrated more severe bladder dysfunction compared to diabetic gastroparesis patients.
Conclusions:
- An association exists between idiopathic gastroparesis and significant bladder dysfunction.
- The bladder dysfunction in idiopathic gastroparesis parallels but is more severe than in diabetic gastroparesis.
- A shared autonomic neuropathic syndrome may underlie both gastroparesis and bladder dysfunction.