篇名 | The Impact of Diabetes on the Lower Urinary TractDysfunction |
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卷期 | 20:4 |
並列篇名 | 糖尿病對下泌尿道失能的影響 |
作者 | 李偉嘉 |
頁次 | 155-161 |
關鍵字 | 糖尿病 、 膀胱 、 排尿障礙 、 神經病變 、 Diabetes 、 Bladder 、 Urination disorders 、 Neuropathies |
出刊日期 | 200912 |
Diabetes mellitus has reached epidemic proportion in Asia. The researches of lower urinary tract dysfunction in diabetes have received close attention in the last years. For decades, the main focus of diabetes associated lower urinary dysfunctions has been referred to diabetic cystopathy. In a traditional viewpoint, the voiding dysfunction of diabetes is attributed to the impairments of vesical afferents and afferents pathway. In fact, diabetes can affect the lower urinary tract function via the mechanisms of osmolarity diuresis, metabolic perturbation, microvascular damage and urothelial dysfunction in diabetes. The interaction of benign prostatic hyperplasia, metabolic syndrome and obesity on diabetic lower urinary tract dysfunction is another interesting issue for scientists. In this review, current knowledge about the pathophysiology and clinical presentations of lower urinary tract dysfunction in diabetes is discussed. Therefore, we could get forward to future research.