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    Korean J Urol. 2006 Feb;47(2):165-170. Korean.
    Published online Feb 28, 2006.
    https://doi.org/10.4111/kju.2006.47.2.165
    Copyright © 2006 The Korean Urological Association
    Original Article

    Urodynamic Analysis of Taxi Drivers with Lower Urinary Tract Symptoms

    Sung Hoon Kim and Duk-Yoon Kim
      • Department of Urology, College of Medicine, Catholic University of Daegu, Daegu, Korea.
    • Corresponding author (Email: dykim@cu.ac.kr )
    Received May 18, 2005; Accepted December 19, 2005.

    Abstract

    Purpose

    Lower urinary tract symptoms (LUTS) in taxi drivers may be associated with many years of driving or bad voiding habits such as excessive inhibition of voiding and repetitive bladder over-distension. This condition may be treated under the false impression that the patient is suffering with benign prostatic hyperplasia or prostatitis. In this study, the urodynamic data of taxi drivers with LUTS were analyzed according to the storage and voiding symptom results.

    Materials and Methods

    45 patients who underwent urodynamic study were included in this study among all the taxi drivers who complained of LUTS and who were without benign prostatic hyperplasia, urethritis and a prostatitis history. All the patients took the International Prostate Symptom Score (IPSS) self-assessment test. We divided the patients into 2 groups according to the chief complaint of storage symptoms (group I, 21 cases) and voiding symptoms (group II, 24 cases). The age distribution, driving years and prostate size were similar between the 2 groups.

    Results

    The IPSS were 14.47±4.82 in group I and 13.91±3.49 in group II. Group II had larger maximal cystometric capacity than did group I (p<0.05). 4 cases of idiopathic detrusor overactivity (IDO) were observed in group I (p<0.05). Group II had a lower mean maximal flow rate than group I (p<0.05). The post-voiding residual urine volume and detrussor pressure at maximal flow were similar between the groups. There were 17 cases of pseudo-detrusor-sphicter dyssynergia observed in group II and 7 cases observed in group I (p<0.05). Detrusor underactivity (DU) was observed in 3 patients of group II.

    Conclusions

    There were abnormal findings such as IDO, bladder outlet obstruction (BOO) and DU on the urodynamic studies of the taxi drivers. IPSS is insufficient for the diagnosis of BOO and DU. Urodynamic study may be useful in establishing the correct diagnosis and treatment of taxi drivers.

    Keywords
    Urinary tract; Symptoms; Urodynamics

    Tables

    Table 1
    Classification of voiding dysfunction according to the presentation of symptoms

    Table 2
    Comparison of the urodynamic parameters of free flowmetry, filling cystometry and pressure/flow study

    References

      1. Chute CG, Panser LA, Girman CJ, Oesterling JE, Guess HA, Jacobsen SJ, et al. The prevalence of prostatism: a population-based survey of urinary symptoms. J Urol 1993;150:85–89.
      1. Abrams PH, Feneley RC. The significance of the symptoms associated with bladder outflow obstruction. Urol Int 1978;33:171–174.
      1. Kuo HC. Pathophysiology of lower urinary tract symptoms in aged men without bladder outlet obstruction. Urol Int 2000;64:86–92.
      1. Kaplan SA, Te AE, Jacobs BZ. Urodynamic evidence of vesical neck obstruction in men with misdiagnosed chronic nonbacterial prostatitis and the therapeutic role of endoscopic incision of bladder neck. J Urol 1994;152:2063–2065.
      1. Mishra VK, Kumar A, Kapoor R, Srivastava A, Bhandari M. Functional bladder neck obstruction in males; a progressive disorder? Eur Urol 1992;22:123–129.
      1. Blaivas JG. Urodynamic diagnosis of primary bladder neck obstruction. World J Urol 1984;2:191–195.
      1. Oh KJ, Oh BR, Ryu SB. A study for the development of prostate associated urinary tract symptoms in occupational taxi drivers. Korean J Urol 2004;45:125–129.
      1. Kim YS, Choi YD, Kang KH, Ryu RH, Choi HK, Park HS, et al. Study of prostatic disease and symptom between special occupation groups (Taxi Driver, Barber). Korean J Urol 1998;39:1093–1097.
      1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract dysfunction: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167–178.
      1. Bae US, Kim KB. Normogram in asymptomatic elderly males. Korean J Urol 1994;35:283–288.
      1. Van Msatrigt R, Rollema HJ. The prognostic value of bladder contractility in transurethral resection of the prostate. J Urol 1992;148:1856–1860.
      1. Krogh J, Beuke HP, Christensen AB, Sparso BH. Long term results of bladder neck incision in men. Urol Int 1991;46:55–57.
      1. Andersen JT, Nordling J, Meyhoff HH, Jacobsen O, Hald T. Functional bladder neck obstruction. Late results after endoscopic bladder neck incision. Scand J Urol Nephrol 1980;14:17–22.
      1. Delaere KP, Debruyne FM, Moonen WA. Extended bladder neck incision for outflow obstruction in male patients. Br J Urol 1983;55:225–228.
      1. Hellstrom WJ, Schmidt RA, Lue TF, Tanagho EA. Neuromuscular dysfunction in nonbacterial prostatitis. Urology 1987;30:183–186.
      1. Salimpour P, Doursounian M, Cantey-Kieser J, Adelstein M, Gholami SS, Wen CC, et al. Sexual and urinary tract dysfunction in bicyclists. J Urol 1998;159 Suppl:30A.
        abstract 116.
      1. Crowe R, Noble J, Robson T, Soediono EJ, Milroy EJ, Burnstock G. An increase of neuropeptide Y but not nitric oxide synthase-immunoreactive nerves in the bladder neck from male patients with bladder neck dyssynergia. J Urol 1995;154:1231–1236.
      1. Matzkin H, Greenstein A, Prager-Geller T, Sofer M, Braf Z. Do reported micturition symptoms on the American Urological Association Questionnaire correlate with 24-hour home uroflowmetry recordings? J Urol 1996;155:197–199.
      1. Chai TC, Belville WD, McGuire EJ, Nyquist L. Specificity of the American Urological Association voiding symptom index: comparison of unselected and selected samples of both sexes. J Urol 1993;150:1710–1713.
      1. Lepor H, Machi G. Comparison of the AUA symptom index in unselected males and females between 55 and 79 years of age. Urology 1993;42:36–40.
      1. Jolleys JV, Jolleys JC, Willson J, Donovan J, Nanchamel K, Abrams P. Does sexual quality to urinary symptoms? Neurourol Urodyn 1993;12:391–392.
      1. Ko DS, Fenster HN, Chambers K, Sullivan LD, Jens M, Goldenberg SL. The correlation of multichannel urodynamic pressure-flow studies and American Urological Association symptom index in the evaluation of benign prostatic hyperplasia. J Urol 1995;154:396–398.
      1. Kaplan SA, Bowers DL, Te AE, Olsson CA. Differential diagnosis of prostatism: a 12-year retrospective analysis of symptoms, urodynamics and satisfaction with therapy. J Urol 1996;155:1305–1308.
      1. Kim HJ, Kim SS, Park HS, Lee JG. Urodynamic analysis of men with lower urinary tract symptoms without benign prostatic hyperplasia. Korean J Urol 2002;43:231–236.
      1. Webster GD, Lockhart JL, Older RA. The evaluation of bladder neck dysfunction. J Urol 1980;123:196–198.
      1. Norlen LJ, Blaivas JG. Unsuspected proximal urethral obstruction in young and middle aged men. J Urol 1986;135:972–976.
      1. McGuire EJ. Bladder compliance. J Urol 1994;151:965–966.
      1. Sung DJ, Kim JJ, Lee JG. Urodynamic analysis of the functional voiding disorders in young adult. Korean J Urol 1996;37:441–448.
      1. Levin RM, High J, Wein AJ. Metabolic and contractile effects of anoxia on the rabbit urinary bladder. J Urol 1982;128:194–196.
    MeSH Terms
    Age Distribution
    Ataxia
    Diagnosis
    Humans
    Lower Urinary Tract Symptoms*
    Prostate
    Prostatic Hyperplasia
    Prostatitis
    Self-Assessment
    Urethritis
    Urinary Bladder
    Urinary Bladder Neck Obstruction
    Urinary Tract
    Urodynamics*
    Metrics
    Share
    Tables
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