Lower urinary tract function in dementia of Lewy body type
| Patient | Lower urinary tract symptom | Flowmetry | EMG cystometry | Denervation | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Night-time frequency(N<1) | Daytime frequency(N<7) | Urinary incontinence | Voiding difficulty | Poor flow | PVR (ml)(N<30) | Storage phase | Voiding phase* | Bethanechol test | Sphincter EMG | ||||||
| FS(ml) | BC(ml) | DO | LC | Grade of obstruction | Detrusor power | Average duration (ms)(N<10 ms) | % of MUP>10 ms(N<20%) | ||||||||
| *Schafer’s nomogram. | |||||||||||||||
| Obstruction scale: 0, normal; 1–2, equivocal; 3–6, obstruction. | |||||||||||||||
| Detrusor power scale: ST, strong; N, normal; W, weak; VW, very weak; A, acontractile detrusor. | |||||||||||||||
| BC, bladder capacity (200<N<600); FS, first sensation (100<N<300); dur, duration (N<10.0), | |||||||||||||||
| DNV, denervation; DO, detrusor overactivity; EMG, electromyography; LC, low compliance; MUP, motor unit potentials; N, normal; NP, not performed; PVR, postvoid residual. | |||||||||||||||
| 1 | 2 | 8 | Urge/stress | + | NP | 210 | 90 | 210 | − | + | No flow | A | DNV | N | N |
| 2 | 3 | 8 | Urge | + | + | 40 | 80 | 85 | + | − | 2 | W | NP | NP | |
| 3 | Unable to tell | Functional | ? | NP | 12 | NP | NP | NP | NP | ||||||
| 4 | 5 | 10 | Urge | + | + | 100 | 130 | 130 | + | − | 0 | W | NP | NP | |
| 5 | 3 | 10 | Urge | − | NP | 14 | NP | NP | NP | NP | |||||
| 6 | 3 | – | Urge | + | NP | 320 | 160 | 260 | − | + | NP | DNV | NP | ||
| 7 | 5 | 8 | Urge | + | + | 70 | 210 | 440 | + | − | 1 | N | NP | N | 40 |
| 8 | 3 | – | – | − | NP | 35 | NP | NP | NP | NP | |||||
| 9 | Unable to tell | Functional | ? | NP | 0 | NP | NP | NP | NP | ||||||
| 10 | 2 | – | Urge | − | + | 3 | 80 | 205 | + | − | 3 | W | NP | 10.48 | 40 |
| 11 | 6 | 12 | Urge | + | + | 60 | 80 | 320 | + | − | 1 | W | NP | NP | |