Abstract

Introduction: Lower urinary tract dysfunction is a common, chronic and costly disorder in diabetic patients. The prevalence of bladder dysfunction was estimated range between 43% and 87% of type 1 and 25% of type 2 diabetic patients. Ultrasonography is an easy-to-use, fast, safe, non-invasive, painless, pleasant and valuable method of assessingBladder Post-Void Residual Volume (PVR). Aim: The aim of our study was to investigate the prevalence of bladder dysfunction by ultrasonography and evaluate the relationshipbetween the PVR with risk factors and clinical charateristics of diabetic cystopathy in female patients with type 2 diabetes, and to determine the predicted value of the risk factors for abnormal PVR. Methods: In a cross sectional descriptive study, a cohort of 84 female diabetic inpatients and outpatients at Hue University Hospital from 08/2017 to 08/2019 and 84 non diabetic subjects were enrolled, the diabetic patients were carried out clinical characteristics, taken blood tests, and estimated PVR by using 2D ultrasound. Results: The post-void residual bladder volume was presented in 67 patients (79,80%), the clinical symptoms of diabetic cystopathy were reported in 75% of patients. Blood glucose, HbA1c, clinical symptoms of diabetic cystopathy, postural hypotension and diabetic peripheral neuropathy were associated with PVR. The HbA1c level had a great capability to predict who had abnormal PVR, at cutoff value of HbA1c 9,1% (AUC: 0,811, Se 65,67%, Sp 94,12% and p < 0,001). Conclusion: Bladder dysfunction made up a highly prevalence in female diabetic patients with poor glycemic control.