PMID- 25482921 OWN - NLM STAT- MEDLINE DCOM- 20151228 LR - 20150224 IS - 1166-7087 (Print) IS - 1166-7087 (Linking) VI - 25 IP - 4 DP - 2015 Mar TI - [The role of urinary markers in the assessment and follow-up of lower urinary tract disorders: a literature review]. PG - 188-99 LID - S1166-7087(14)00659-9 [pii] LID - 10.1016/j.purol.2014.11.004 [doi] AB - OBJECTIVES: To conduct a literature review on the role of urinary biomarkers in the initial assessment and follow-up of lower urinary tract symptoms. METHODS: A literature review was conducted in August 2014 using the Medline/Pubmed database limiting the search to work in English or French. RESULTS: Most studies were of level of evidence 2 or 3 (prospective cohort, controlled or not) and mainly about overactive bladder and bladder pain syndrome. Nerve Growth Factor (NGF) was the most studied and apparently the most promising in the evaluation of overactive bladder (OAB) and neurogenic detrusor overactivity (NDO). Urinary levels of ATP, prostaglandin E2 (PGE2), Brain-Derived Neurotrophic Factor (BDNF) and some cytokines were also significantly higher in most studies in patients with NDO or OAB. Epidermal Growth Factor (EGF), Heparin-Binding EGF (HBEGF) and Antiproliferative Factor (APF) were the most studied urinary markers in bladder pain syndrome, with a significant increase (EGF APF) or decrease (HBEGF) in cases of interstitial cystitis (compared to healthy controls). The urinary N-terminal-telopeptide (NTx) could be predictive of a failed mid-urethral sling. However, few studies reported the diagnostic values of the markers, their association with urodynamic parameters were rarely evaluated and the existence of a publication bias is likely. No randomized controlled study has so far compared the urinary markers to urodynamic evaluation. CONCLUSION: In the future, urinary markers could complete or replace urodynamic examination. However, to date, there is no high level of evidence study comparing these markers to urodynamics and their use can therefore not be recommended in daily practice. CI - Copyright (c) 2014 Elsevier Masson SAS. All rights reserved. FAU - Peyronnet, B AU - Peyronnet B AD - Service d'urologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Departement d'urologie, transplantation renale et andrologie, CHU Rangueil, TSA50032, 31059 Toulouse, France. Electronic address: peyronnetbenoit@hotmail.fr. FAU - Bendavid, C AU - Bendavid C AD - Service de biochimie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Manunta, A AU - Manunta A AD - Service d'urologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Damphousse, M AU - Damphousse M AD - Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Service de medecine physique et reeducation, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Cheensse, C AU - Cheensse C AD - Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Service de medecine physique et reeducation, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Brochard, C AU - Brochard C AD - Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Service de gastro-enterologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Castel-Lacanal, E AU - Castel-Lacanal E AD - Service de medecine physique et reeducation, CHU de Toulouse, 1, avenue du Professeur-Jean-Poulhes, 31400 Toulouse, France. FAU - Siproudhis, L AU - Siproudhis L AD - Centre de reference maladies rares spina bifida, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France; Service de gastro-enterologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Bensalah, K AU - Bensalah K AD - Service d'urologie, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France. FAU - Game, X AU - Game X AD - Departement d'urologie, transplantation renale et andrologie, CHU Rangueil, TSA50032, 31059 Toulouse, France. LA - fre PT - English Abstract PT - Journal Article PT - Review TT - Place des biomarqueurs urinaires dans le diagnostic et le suivi des troubles du bas appareil urinaire: une revue de la litterature. DEP - 20141118 PL - France TA - Prog Urol JT - Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie JID - 9307844 RN - 0 (Biomarkers) SB - IM MH - Biomarkers/urine MH - Follow-Up Studies MH - Humans MH - Lower Urinary Tract Symptoms/*diagnosis/*urine OTO - NOTNLM OT - Biomarkers OT - Biomarqueurs OT - Detrusor overactivity OT - Hyperactivite detrusorienne OT - Hyperactivite vesicale OT - Nerve Growth Factor (NGF) OT - Overactive bladder OT - Urinaire OT - Urinary OT - Urodynamics OT - Urodynamique EDAT- 2014/12/09 06:00 MHDA- 2015/12/29 06:00 CRDT- 2014/12/09 06:00 PHST- 2014/10/15 00:00 [received] PHST- 2014/11/07 00:00 [revised] PHST- 2014/11/10 00:00 [accepted] PHST- 2014/12/09 06:00 [entrez] PHST- 2014/12/09 06:00 [pubmed] PHST- 2015/12/29 06:00 [medline] AID - S1166-7087(14)00659-9 [pii] AID - 10.1016/j.purol.2014.11.004 [doi] PST - ppublish SO - Prog Urol. 2015 Mar;25(4):188-99. doi: 10.1016/j.purol.2014.11.004. Epub 2014 Nov 18.