2014
DOI: 10.5489/cuaj.1636
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Obstruction-induced alterations within the urinary bladder and their role in the pathophysiology of lower urinary tract symptomatology.

Abstract: Cite as: Can Urol Assoc J 2014;8(7-8) AbstractBenign prostatic hyperplasia (BPH) is considered a frequent cause of bladder outlet obstruction (BOO) and lower urinary tract symptoms. This review addresses the bladder response to BOO and focuses on the alterations and biochemical adaptability of the bladder wall in the presence of hypoxia. A literature review of published articles has been performed, including both in vivo and in vitro studies on human and animal tissue.

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Cited by 24 publications
(23 citation statements)
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“…Pathological tissue remodeling in bladders can be caused by BOO. These alterations include malfunction of urothelium, smooth muscle hypertrophy, and extracellular matrix (ECM) deposition that would result in LUTS, decreased bladder compliance, residual urine, and even dysfunction of the organ 4,5 . ECM accumulation is of great importance in the progression of BOO that can change the biomechanical properties of the bladder, leading to the transition from compensation to decompensation 6 …”
Section: Introductionmentioning
confidence: 99%
“…Pathological tissue remodeling in bladders can be caused by BOO. These alterations include malfunction of urothelium, smooth muscle hypertrophy, and extracellular matrix (ECM) deposition that would result in LUTS, decreased bladder compliance, residual urine, and even dysfunction of the organ 4,5 . ECM accumulation is of great importance in the progression of BOO that can change the biomechanical properties of the bladder, leading to the transition from compensation to decompensation 6 …”
Section: Introductionmentioning
confidence: 99%
“…Patients with BPH have some degree of bladder outlet obstruction (BOO) and present to clinics with lower urinary tract symptoms (LUTS), such as urinary frequency, urgency, and nocturia . BOO could induce significant structural, functional, and biochemical changes in the bladder …”
Section: Introductionmentioning
confidence: 99%
“…For example, in bladder outlet obstruction leading to obstructive uropathy, it is common to have a weak urine flow, straining, and decreased outflow of urine. 8 In contrast, patients with partial obstruction may have normal urine output or even polyuria. 9 Patients may also describe gross hematuria as their only symptom when presenting with obstruction.…”
Section: History Examination and Laboratory Findingsmentioning
confidence: 95%