Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies
Werner Schäfer,Paul Abrams,Limin Liao,Anders Mattiasson,Francesco Pesce,Anders Spångberg,Arthur M. Sterling,Norman R. Zinner,Philip Van Kerrebroeck +8 more
TLDR
This report focuses on the most common urodynamics examinations; uroflowmetry, pressure recording during filling cystometry, and combined pressure–flow studies.Abstract:
This is the first report of the International Continence Society (ICS) on the development of comprehensive guidelines for Good Urodynamic Practice for the measurement, quality control, and documentation of urodynamic investigations in both clinical and research environments. This report focuses on the most common urodynamics examinations; uroflowmetry, pressure recording during filling cystometry, and combined pressure-flow studies. The basic aspects of good urodynamic practice are discussed and a strategy for urodynamic measurement, equipment set-up and configuration, signal testing, plausibility controls, pattern recognition, and artifact correction are proposed. The problems of data analysis are mentioned only when they are relevant in the judgment of data quality. In general, recommendations are made for one specific technique. This does not imply that this technique is the only one possible. Rather, it means that this technique is well-established, and gives good results when used with the suggested standards of good urodynamic practice.read more
Citations
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Urodynamic findings and functional outcomes after laparoscopic sacrocolpopexy for symptomatic pelvic organ prolapse.
Ester Illiano,Franca Natale,Antonella Giannantoni,Marilena Gubbiotti,Matteo Balzarro,Elisabetta Costantini +5 more
TL;DR: The urod dynamic finding showed that LSC in women with advanced POP provides good functional outcomes and urodynamic findings after laparoscopic sacrocolpopexy (LSC) in patients with stages II–IV pelvic organ prolapse (POP).
Journal ArticleDOI
Patterns and Predictors of Urodynamics Use in the United States
W. Stuart Reynolds,Roger R. Dmochowski,Julie Lai,Christopher S. Saigal,David F. Penson,David F. Penson +5 more
TL;DR: Most urodynamicics in this series consisted of cystometrogram plus pressure flow study with stress incontinence the most common diagnosis, however, regardless of diagnosis, urologists and providers who performed more urodynamics were more likely to perform pressure flowStudy and/or videourodynamic in addition to cystometricrogram.
Journal ArticleDOI
What is the variability in urodynamic parameters with position change in children? Analysis of a prospectively enrolled cohort.
Armando J. Lorenzo,M. Chad Wallis,Anthony Cook,Angela Buffett-Fairen,Dalia Bozic,Darius J. Bägli,Antoine E. Khoury,Joao L. Pippi Salle +7 more
TL;DR: In the study population no significant differences were detected in several urodynamic parameters with position change, suggesting that clinically valid conclusions can be obtained by performing the study in either position.
Journal ArticleDOI
The Value of Urodynamics in an Academic Specialty Referral Practice.
Anne M. Suskind,Lindsey Cox,J. Quentin Clemens,Ann Oldendorf,John T. Stoffel,Bahaa S. Malaeb,Yongmei Qin,Anne P. Cameron +7 more
TL;DR: Overall, UDS was a clinically useful tool that altered the clinical impression and treatment plan in a large percentage of carefully selected patients.
Journal ArticleDOI
Perineal surface electromyography does not typically demonstrate expected relaxation during normal voiding
Anna C. Kirby,Charles W. Nager,Heather J. Litman,Mary P. FitzGerald,Stephen R. Kraus,Peggy Norton,Larry Sirls,Leslie Rickey,Tracey Wilson,Kimberly J. Dandreo,Jonathan P. Shepherd,Philippe E. Zimmern +11 more
TL;DR: To describe perineal surface patch electromyography activity during urodynamics (UDS) and compare activity between filling and voiding phases and to assess for a relationship between preoperative EMG activity and postoperative voiding symptoms.
References
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Standardization of terminology of lower urinary tract function: pressure-flow studies of voiding, urethral resistance, and urethral obstruction
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