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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When to perform urodynamics before mid-urethral sling surgery for female stress urinary incontinence?
R. Marijn Houwert,Jan-Paul Roovers,Pieter L. Venema,Hein W. Bruinse,Marcel G. W. Dijkgraaf,Harry A. M. Vervest +5 more
TL;DR: If urogynaecologists omitted pre-operative urodynamics in women in the low probability group, in the population of uncomplicated women, pre-operatively urodynamicics would be reduced by 29%.
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Bladder dysfunction in presymptomatic gene carriers and patients with Huntington’s disease
TL;DR: This study demonstrated significant urinary symptoms in HD patients, which reduced their quality of life, and Physicians helping HD patients should also consider this largely neglected aspect of the disease.
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Post hoc interpretation of urodynamic evaluation is qualitatively different than interpretation at the time of urodynamic study.
TL;DR: Evaluated the intra‐ and interobserver reliability of post hoc versus “live” interpretation of urodynamic interpretation if post hoc interpretation is qualitatively similar to interpretation at the time of study by a urod dynamicist in attendance.
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Autonomic dysreflexia and repeatability of cardiovascular changes during same session repeat urodynamic investigation in women with spinal cord injury.
Matthias Walter,Stephanie C. Knüpfer,Lorenz Leitner,Ulrich Mehnert,Martin Schubert,Armin Curt,Thomas M. Kessler +6 more
TL;DR: In all women with NLUTD due to suprasacral SCI, it is strongly recommend continuous cardiovascular monitoring during UDI and repeat measurements considering the high incidence of AD, the relevant risks involved with sudden hypertension and the poor repeatability of cardiovascular monitoring.
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Adult Onset Nocturnal Enuresis: Identifying Causes, Cofactors and Impact on Quality of Life
TL;DR: Evaluate common co‐pathologies associated with, and potentially contributing to adult onset Nocturnal enuresis (NE) in a tertiary referral population and quantify its impact on QoL with validated questionnaires.
References
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Standardization of terminology of lower urinary tract function: pressure-flow studies of voiding, urethral resistance, and urethral obstruction
Derek Griffiths,Klaus Höfner,Ron van Mastrigt,Harm J. Rollema,Anders Spångberg,Donald M. Gleason +5 more
TL;DR: This report contains a recommendation for a provisional standard method for defining obstruction on the basis of pressure-flow data and more detailed analyses of Pressure-flow relationships, described below, are advisable to aid diagnosis and to quantify data for research studies.
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TL;DR: This report recommends standards for measure-ment methodology to facilitate communication betweeninvestigators and to improve the quality of clinical practice and research and suggests that the urethral pressure is similarto an ordinary £uid pressure, i.e., is a scalar quantity with a single value at each point along the length of the Urethra.
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Standardisation of ambulatory urodynamic monitoring: Report of the Standardisation Sub-Committee of the International Continence Society for Ambulatory Urodynamic Studies.
van Waalwijk van Doorn E,Anders K,Khullar,Kulseng-Hanssen S,Pesce F,Robertson A,Derek J. Rosario,Werner Schäfer +7 more