Ces Urol 2016, 20(4):275-284 | DOI: 10.48095/cccu2016040

Dysfunctions of lower urinary tract in diabetic patients

Jan Mokriš¹, Roman Zachoval^1,2, Miroslav Záleský¹, Vladimír Borovička¹, Jiří Stejskal¹

¹ Urologické oddělení, Thomayerova nemocnice, Praha

² Urologická klinika, 1. a 3. lékařská fakulta, Univerzita Karlova v Praze

Mokriš J, Zachoval R, Záleský M, Borovička V, Stejskal J. Dysfunctions of lower urinary tract in diabetic patients. Major statement: This review article summarizes recent scientific knowledges about dysfunctions of lower urinary tract in diabetic patients. The article includes pathophysiological processes, clinical and urodynamic findings and treatment of patients with these diagnoses. Diabetes mellitus is a chronic metabolic disease whose incidence is increasing worldwide, and that is associated with high morbidity and mortality. A lot of complications appear due to this disease, especially diabetic nefropathy, neuropathy and retinopathy. Among the complications associated with this disease include dysfunction of lower urinary tract , which are presented in 80% of diabetic patients. Clinical manifestations are diverse - from hyperactive urinary bladder to acontractile detrusor. This review article summarizes recent scientific knowledges about dysfunctions of lower urinary tract in diabetic patients. The article includes pathophysiological processes, clinical and urodynamic findings and also treatment of patients with these diagnoses.

Keywords: Cystopatie, diabetes mellitus, inkontinence, neurogenní močový měchýř.

Received: July 17, 2016; Accepted: November 17, 2016; Published: December 21, 2016