title: [Neurogenic bladder in diabetes mellitus].
abstract: BACKGROUND
  Diabetic bladder dysfunction is among the most common complications of diabetes mellitus. It is principally caused by autonomic neuropathy defining diabetic cystopathy.
  
  
  OBJECTIVE
  characterize the bladder dysfunction in patients with diabetes mellitus.
  
  
  METHODS
  The clinical and urodynamic records of patients with diabetes mellitus were reviewed.
  
  
  RESULTS
  40 patients with diabetes mellitus were included in the study mean aged 55 years. 32 patients had voiding dysfunction. Urinary frequency and difficulty emptying were the predominant symptoms that led to patient referral. 15 patients (31.25%) had decreased flow rates. 12 patients (37.5%) had diminished bladder sensation and/or impaired detrusor contractility. 10 patients (25%) had detrusor hyperreflexia and 6 patients had impaired detrusor contractility with increased bladder sensation. Vescico-uretral dyssynergia was found in 2 patients (5%).
  
  
  CONCLUSIONS
  This study suggests that classical diabetic cystopathy is not the most common urodynamic findings in patients with diabetes mellitus and demonstrates the importance of urodynamic studies in diagnosing bladder dysfunction in diabetics before initiation of therapy.
authors.affiliation: Service de Médecine Physique et Réadaptation, Institut National d'Ortopédie M Kassab, La Manouba.
authors.forename: Sonia
authors.initials: S
authors.lastname: Koubaa
authors.forename: Fatma Zohra
authors.initials: FZ
authors.lastname: Ben Salah
authors.forename: Imen
authors.initials: I
authors.lastname: Miri
authors.forename: Sofien
authors.initials: S
authors.lastname: Ghorbel
authors.forename: Sonia
authors.initials: S
authors.lastname: Lebib
authors.forename: Catherine
authors.initials: C
authors.lastname: Dziri
authors.forename: Lilia
authors.initials: L
authors.lastname: Rokbani
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D048909:Diabetes Complications; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D001750:Urinary Bladder, Neurogenic / Q000209:etiology*