Clinical Analysis of Parkinson's Disease with Urinary Bladder Dysfunction: A Report of 64 Cases
January 2011
in “
Chinese Journal of General Practice
”
TLDR Proper treatments based on tests can improve life quality and protect kidneys in Parkinson's patients with bladder issues.
The study investigated treatments for urinary bladder dysfunction in 64 Parkinson's disease patients. Urodynamic testing identified 44 cases with detrusor hyperreflexia, where treatments like urinary function exercises and anti-cholinergic drugs were effective in 28 cases. Six patients with bladder outlet obstruction underwent transurethral prostate resection, with two experiencing postoperative urinary incontinence. Ten cases were ineffective and used external urine collection devices. Among 20 cases with detrusor dysfunction, 14 required catheterization, and treatments with oral α1-blockers improved voluntary micturition in 10 cases. Some patients underwent transurethral resection of the prostate, cystostomy, or clean intermittent self-catheterization. The study concluded that appropriate treatments based on urodynamic testing could protect kidney function and enhance quality of life for these patients.