Lower Urinary Tract Symptoms in Women with Diabetes Mellitus: A Current Review

  title={Lower Urinary Tract Symptoms in Women with Diabetes Mellitus: A Current Review},
  author={Rebecca James and Adonis K. Hijaz},
  journal={Current Urology Reports},
A literature review of the most current publications studying lower urinary tract symptoms (LUTS) and findings in diabetic women was conducted including articles from January 2013 to April 2014. Current reports consistently note that aging and obesity are significantly associated with worsened LUTS in diabetic women. Glucosuria has variable effects on urodynamic parameters and LUTS, but has a significant association with urinary tract infection (UTI) and incontinence at clinically relevant… 

Lower urinary tract symptoms, benign prostatic hyperplasia and metabolic syndrome

Results from multiple preclinical and clinical studies indicate that several modifiable, age-related metabolic aberrations (metabolic syndrome, obesity, dyslipidaemia, diabetes) are important determinants in both the development and the progression of BPH–LUTS.

Biochemical and bacteriological profile of urinary tract infections in diabetics and non-diabetics

Achieving an HbA1c < 6.5 per cent appears to protect those diabetics who do not have other underlying predisposing factors for UTI, and there was no significant statistical difference in clinical symptoms between diabetic and non-diabetic subjects.

Prevalence of Urinary Tract Infection and Antimicrobial Susceptibility among Diabetic Patients with Controlled and Uncontrolled Glycemia in Kuwait

It is highlighted the importance of controlling glycemia in diabetic patients to reduce the UTI regardless of age and gender, as a clear correlation was obtained between patient age ranges and number of UTI cases.

Clinico-Microbiological Profile of Urinary Tract Infections in Diabetic Patients in a Tertiary Centre in Kerala

This study evaluated 73 cases of Diabetic patients with UTI at Amrita Institute of Medical Sciences, Edapally, Kochi and found that gram negative bacilli were the predominant isolate in both groups, suggesting that CRP can be used as an excellent bio- marker for distinguishing upper and lower UTI.

Post Procedure Urinary Tract Infection after Urodynamic

To evaluate the incidence of UTI and future need for prophylactic antibiotic, a urodynamic pressure flow study was conducted in a unit assessing patients with lower urinary tract (LUT) dysfunction.

Urinary Tract Infections in Women: Pathogenesis, Diagnosis, and Management

A stronger focus on preventative strategies may help to reduce the impact of uncomplicated UTIs on women and establish the correct diagnosis, which can prove challenging and leads to misguided and sometimes excessive treatment.



Overactive bladder in diabetes mellitus patients: a questionnaire-based observational investigation

OAB symptoms are more prevalent in diabetic people than in non-diabetic people, and this prompts further research to determine whether the onset of OAB symptoms can be considered as an indicator of diabetic neuropathy.

Clinical profile of urinary tract infections in diabetics and non-diabetics.

The prevalence of pyelonephritis is significantly higher in diabetics than in non-diabetic subjects, with E. coli being the most common isolate.

Cystometric evaluation of bladder dysfunction in elderly diabetic patients.

Urodynamic studies can be helpful when choosing therapy for the elderly diabetic patient with urinary dysfunction, and it cannot be assumed that all elderly diabetic patients presenting with urinary symptoms have poorly contracting bladders (diabetic bladder).

Impact of diabetes mellitus on bladder uroepithelial cells.

Results show that DM impacts urothelial homeostasis and may contribute to the underlying mechanisms of DBD.

Prevalence of urinary incontinence and probable risk factors in a sample of kurdish women.

A high prevalence of UI was detected in the studied sample, and the most probable risk factors were multiparity, menopausal status, constipation, chronic cough, and DM.

Prevalence and associated risk factors of nocturia and subsequent mortality in 1,301 patients with type 2 diabetes

While OAB is an important predictor of nocturia in T2DM patients, systemic issues, including stroke, hypertension, obesity, and chronic kidney disease, have further impact onNocturia independent of OAB.

Diabetes and urinary incontinence – prevalence data from Norway

It is found that there is a strong association between diabetes and urinary incontinence, especially for urgeincontinence and severe degree of incentinence.

Urinary tract infections in older women: a clinical review.

Establishing a diagnosis of symptomatic UTI in older women requires careful clinical evaluation with possible laboratory assessment using urinalysis and urine culture and chronic suppressive antibiotics for 6 to 12 months and vaginal estrogen therapy effectively reduce symptomaticUTI episodes and should be considered in patients with recurrent UTIs.