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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Percutaneous posterior tibial nerve stimulation as an effective treatment of refractory lower urinary tract symptoms in patients with multiple sclerosis: preliminary data from a multicentre, prospective, open label trial
TL;DR: PTNS is an effective, safe and well-tolerated treatment for LUTS in patients with MS and significant improvement in QoL was seen in most domains of the King’s HealthQoL questionnaire.
Journal ArticleDOI
Normal Preoperative Urodynamic Testing Does Not Predict Voiding Dysfunction After Burch Colposuspension Versus Pubovaginal Sling
Gary E. Lemack,Stephen Krauss,Heather J. Litman,Mary P. FitzGerald,Toby C. Chai,Charles W. Nager,Larry Sirls,Halina M. Zyczynski,Jan Baker,Keith Lloyd,William D. Steers +10 more
TL;DR: Preoperative urodynamic studies did not predict postoperative voiding dysfunction or the risk of surgical revision in the pubovaginal sling group and additional analysis using subjective measures to definevoiding dysfunction is warranted.
Journal ArticleDOI
Autonomic nervous system activity during bladder filling assessed by heart rate variability analysis in women with idiopathic overactive bladder syndrome or stress urinary incontinence.
K. Hubeaux,K. Hubeaux,Xavier Deffieux,Xavier Deffieux,Samer Sheikh Ismael,Patrick Raibaut,Gérard Amarenco,Gérard Amarenco +7 more
TL;DR: This preliminary study demonstrates the predominance of parasympathetic activity with the bladder emptied and a preponderance of sympathetic activity at the end of bladder filling in women with overactive bladder syndrome, which suggest dysfunction in the autonomic balance, as implied in idiopathic over active bladder syndrome.
Journal ArticleDOI
Assessment of an electronic daily diary in patients with overactive bladder
P. Quinn,J. Goka,H. Richardson +2 more
TL;DR: To assess the effectiveness of a portable electronic diary as a data collection device for overactive bladder symptoms, and to evaluate its level of patient acceptability compared with a conventional paper‐based voiding diary.
Journal ArticleDOI
Prospective randomised controlled trial comparing trigone-sparing versus trigone-including intradetrusor injection of abobotulinumtoxinA for refractory idiopathic detrusor overactivity.
Rustom P. Manecksha,Ivor M. Cullen,Sarfraz Ahmad,Graeme McNeill,Robert Flynn,Thomas E.D. McDermott,Ronald Grainger,John A. Thornhill +7 more
TL;DR: Tigone-including injections are superior to trigone-sparing injections for the treatment of refractory IDO and did not cause VUR in this study.
References
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Journal ArticleDOI
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.
Journal ArticleDOI
Standardisation of urethral pressure measurement: report from the Standardisation Sub-Committee of the International Continence Society.
Gunnar Lose,Derek Griffiths,G. L. Hosker,Sigurd Kulseng-Hanssen,Daniele Perucchini,Werner Schäfer,Peter Thind,Eboo Versi +7 more
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.
Journal ArticleDOI
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