title: [The impact of mellitus diabetes on the lower urinary tract: A review of Neuro-urology Committee of the French Association of Urology].
abstract: OBJECTIVE
  Specify urinary functional impairment associated with diabetic pathology. Propose guidance for screening, monitoring of clinical signs of lower urinary tract (LUTS) and describe the specifics of the urological treatment of patients.
  
  
  METHODS
  A review of literature using PubMed library was performed using the following keywords alone or in combination: "diabetes mellitus", "diabetic cystopathy", "overactive bladder", "bladder dysfunction", "urodynamics", "nocturia".
  
  
  RESULTS
  LUTS are more common in the diabetic population with an estimated prevalence between 37 and 70 %, and are probably underevaluated in routine practice. They are heterogeneous and are frequently associated with other diabetic complications. Both storage and voiding symptoms can coexist. Despite a major evaluation in the literature, no recommendation supervises the assessment and management of LUTS in this specific population. An annual screening including medical history, bladder and kidney ultrasound and post-void residual measurement is required in the follow-up of diabetic patients. Specific urologial referral and urodynamic investigations will be performed according to the findings of first-line investigations. The type of bladder dysfunction, the risk of urinary tract infections and dysautonomia should be considered in the specific urological management of these patients.
  
  
  CONCLUSIONS
  Diabetes mellitus significantly impacts on the lower urinary tract function. A screening of LUTS is required as well as other complications of diabetes. The management of LUTS must take into consideration the specific risks of the diabetic patient regarding the loss of bladder contractility, the possibility of dysautonomia and infectious complications.
authors.affiliation: Service d'urologie, hôpital Pellegrin, CHU de Bordeaux, 33000 Bordeaux, France. Electronic address: grcapon@gmail.com.
authors.forename: G
authors.initials: G
authors.lastname: Capon
authors.affiliation: Service d'urologie, hôpital Charles-Nicolle, 76000 Rouen, France.
authors.forename: R
authors.initials: R
authors.lastname: Caremel
authors.affiliation: Cabinet de neuro-urologie, urodynamique et pelvipérinéologie, clinique Saint-Augustin, 33000 Bordeaux, France.
authors.forename: M
authors.initials: M
authors.lastname: de Sèze
authors.affiliation: Service de médecine physique et réadaptation, hôpital Raymond-Poincaré, AP-HP, 92340 Garches, France.
authors.forename: A
authors.initials: A
authors.lastname: Even
authors.affiliation: Service de médecine interne, endocrinologie, diabète, nutrition, hôpital Joseph-Ducuing, 31300 Toulouse, France.
authors.forename: S
authors.initials: S
authors.lastname: Fontaine
authors.affiliation: Service de rééducation neurolocomotrice, CHU Henri-Mondor, AP-HP, 94010 Créteil, France.
authors.forename: C-M
authors.initials: CM
authors.lastname: Loche
authors.affiliation: Service d'urologie, centre hospitalier René-Dubos, 95300 Cergy-Pontoise, France.
authors.forename: S
authors.initials: S
authors.lastname: Bart
authors.affiliation: Service de médecine physique et réadaptation, CHU Rangueil, 31400 Toulouse, France.
authors.forename: E
authors.initials: E
authors.lastname: Castel-Lacanal
authors.affiliation: Service d'urologie, clinique de l'Alliance, 37540 Saint-Cyr-sur-Loire, France.
authors.forename: F
authors.initials: F
authors.lastname: Duchêne
authors.affiliation: Service d'urologie et de transplantation rénale, hôpital de la Conception, AP-HM, Aix-Marseille université, 13005 Marseille, France.
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
authors.affiliation: Service d'urologie, hôpitaux universitaires de Strasbourg, 67000 Strasbourg, France.
authors.forename: P
authors.initials: P
authors.lastname: Mouracade
authors.affiliation: Service d'urologie, hôpital de la Cavale-Blanche, CHU de Brest, 29609 Brest, France.
authors.forename: M-A
authors.initials: MA
authors.lastname: Perrouin-Verbe
authors.affiliation: Service d'urologie, hôpital de la Pitié-Salpêtrière, AP-HP, université Paris VI, 75013 Paris, France.
authors.forename: V
authors.initials: V
authors.lastname: Phé
authors.affiliation: Clinique Saint-Augustin, 33000 Bordeaux, France.
authors.forename: D
authors.initials: D
authors.lastname: Rey
authors.affiliation: Services d'urologie et d'explorations neurologiques, CHU Lyon Sud, 69495 Pierre-Bénite, France.
authors.forename: M-C
authors.initials: MC
authors.lastname: Scheiber-Nogueira
authors.affiliation: Service d'urologie, CHU Rangueil, 31400 Toulouse, France.
authors.forename: X
authors.initials: X
authors.lastname: Gamé
mesh_terms: D000465:Algorithms; D048909:Diabetes Complications / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D059411:Lower Urinary Tract Symptoms / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy
keywords: Bladder dysfunction; Contractilité vésicale; Cystopathie diabétique; Diabetes mellitus; Diabetic cystopathy; Diabète sucré; Hyperactivité vésicale; Nocturia; Nycturie; Overactive bladder; Urodynamics; Urodynamique