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Urodynamics female low flow

Kwang Hyun Kim, Hyun Suk Yoon, Wan Song, Hee Jung Choo, Hana Yoon, Woo Sik Chung, Bong Suk Sim, Dong Hyeon Lee
PURPOSE: To classify patients with orthotopic neobladder based on urodynamic parameters using cluster analysis and to characterize the voiding function of each group. MATERIALS AND METHODS: From January 2012 to November 2015, 142 patients with bladder cancer underwent radical cystectomy and Studer neobladder reconstruction at our institute. Of the 142 patients, 103 with complete urodynamic data and information on urinary functional outcomes were included in this study...
2017: PloS One
Chung-Hsin Peng, Sheng-Fu Chen, Hann-Chorng Kuo
AIMS: Voiding dysfunction due to dysfunctional voiding (DV) and poor relaxation of the external sphincter (PRES) are commonly found among adult women with lower urinary tract symptoms (LUTS) during videourodynamic study (VUDS). This study analyzed the VUDS characteristics of DV and PRES in female voiding dysfunction. METHODS: This retrospective study involved 1914 women aged >18 years with refractory LUTS. The medical records and the VUDS parameters were reviewed...
March 27, 2017: Neurourology and Urodynamics
Kjartan Moe, Hjalmar A Schiøtz, Sigurd Kulseng-Hanssen
AIMS: (i) To establish whether low maximal urethral closure pressure (MUCP) is associated with a poorer prognosis after TVT-surgery, and if so to establish an MUCP cut-off value for poor outcome. (ii) To characterize the population with a low MUCP. METHODS: Retrospective analysis of data from 6,646 women with stress/mixed urinary incontinence included in the Norwegian Female Incontinence Registry. Postoperative subjective (degree of satisfaction), objective (leakage on stress test) and composite cure according to preoperative MUCP were analyzed in unadjusted and adjusted analysis...
June 2017: Neurourology and Urodynamics
Mayank Mohan Agarwal, Saurabh Jain, Ravimohan Mavuduru, Shrawan K Singh, Arup K Mandal
INTRODUCTION: Dysfunctional voiding results from a disturbance in the coordination between sphincter relaxation and detrusor contraction. Video urodynamic studies with electromyography (EMG) are used for diagnosis but have limitations of availability and interpretation. We identified a plateau type voiding detrusor pressure tracing pattern in these patients with a potential of helping diagnosis. MATERIALS AND METHODS: Urodynamic data and tracings of adult patients having been diagnosed with external urethral sphincter dysfunction (EUSD) were retrospectively analyzed...
April 2016: Indian Journal of Urology: IJU: Journal of the Urological Society of India
Yuan-Hong Jiang, Hueih-Ling Ong, Hann-Chorng Kuo
AIMS: Patients often experience adverse events (AEs) after intravesical onabotulinumtoxinA (BoNT-A) treatment for overactive bladder refractory to antimuscarinic agents. We investigated the prevalence and predictive factors of AEs in such patients. METHODS: A total of 290 patients underwent intravesical BoNT-A (100 U) suburothelial injection. The age, gender, overactive bladder subtypes, medical co-morbidities, and neurological diseases of the patients were recorded...
January 2017: Neurourology and Urodynamics
Bartosz Dybowski, Ewa Bres-Niewada, Piotr Radziszewski
INTRODUCTION: Results of urodynamic studies performed in female patients are often difficult to interpret. The objective of the study was to develop a nomogram that would help in diagnosing functional bladder outlet obstruction (BOO) in neurologically intact women with any kind of lower urinary tract symptoms. MATERIAL AND METHODS: From the urodynamic database adult women were chosen with maximal flow rate (Q max ) ≤ 12 ml/s in a pressure-flow study. Four criteria were used to identify a group of patients suspected of BOO: thickened bladder wall, presence of bladder diverticula, subjective improvement on α-blockers and improvement of voiding symptoms on any form of treatment...
August 29, 2014: Archives of Medical Science: AMS
Sayed M El-Eweedy, Ahmed F Abd El-Rahim, Mohamed A Abd-Alkhalek, Ashraf H Abdellatif, Ahmed S Anwer
OBJECTIVE: The aim is to evaluate the long-term safety and efficacy of transobturator tape (TOT) procedure in the treatment of women with stress urinary incontinence (SUI) by subjective and objective measures. PATIENTS AND METHODS: A total 48 women with SUI underwent the TOT procedure during the period from December 2005 to February 2008. The follow-up period ranged between 60 and 84 months (mean 71 months). Mean age was 44.21 ± 7.52 (range: 30-58). Preoperative and early postoperative data were retrieved from the patient's medical files...
July 2014: Urology Annals
Carlo Vecchioli-Scaldazza Vecchioli-Scaldazza, C Smaali, Carolina Morosetti, Berouz Azizi, Willy Giannubilo, Vincenzo Ferrara
INTRODUCTION: To assess the effectiveness of polyacrylamide hydrogel (Bulkamid®) in injection therapy for urinary incontinence in women of 80 or more years. MATERIALS AND METHODS: Twenty consecutive women mean age 84.5 (range 80-87) with stress or mixed urinary incontinence were enrolled in this prospective study. All subjects were evaluated at baseline and re-evaluated 7 days, 6,12,18 and 24 months after treatment. A detailed clinical evaluation, physical examination, daily pad count, urodynamic investigation and evaluation of urethral mobility by trans-labial ultrasound were performed...
January 2014: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Nikolaos Grivas, Ioannis Tsimaris, Aikaterini Makatsori, Konstantinos Hastazeris, Vasillios Kafarakis, Nikolaos E Stavropoulos
PURPOSE: To evaluate the effectiveness of Otis urethrotomy combined with six weekly urethral dilations until 40 French (Fr) in the treatment of women with urodynamic diagnosis of bladder outlet obstruction (BOO). MATERIALS AND METHODS: Women diagnosed with lower urinary tract symptoms underwent urodynamic evaluation. Severity of symptoms and quality of life were assessed with international prostate symptom score (IPSS) and quality of life (QoL) questionnaires. Bladder outlet obstruction was defined as the presence of two or more of the following: maximum flow rate (Qmax) < 12 mL/s, detrusor pressure at maximum flow (PdetQmax) > 50 cmH2O and urethral resistance factor (URF) greater than 0...
2013: Urology Journal
Shih-Wei Tsai, Fu-Tsai Kung, Fei-Chi Chuang, Yu-Che Ou, Chia-Jen Wu, Kuan-Hui Huang
OBJECTIVE: To determine risk factors for urinary tract infection (UTI) after urodynamic examination by evaluating patients' clinical characteristics and urodynamic parameters. MATERIALS AND METHODS: Two hundred and sixty-one female patients (mean age 58.7 ± 12.3 years) from May to December 2011 who had lower urinary tract symptoms or needed definite diagnosis before pelvic floor reconstruction or anti-incontinence surgery received urodynamic examination. All patients received urinalysis on the scheduled day of urodynamic examination and 3 days after urodynamic examination...
December 2013: Taiwanese Journal of Obstetrics & Gynecology
Steven P Petrou, Karen Ryan, Dorothea Metz-Kudashick, Michael G Heckman, David D Thiel
OBJECTIVE: To analyze the benefit of voiding chain cystourethrography (VCC) [placing a radiographic opaque chain into the urethra and bladder and asking the patient to void under fluoroscopy] in the urodynamic evaluation of female bladder outlet obstruction (BOO). MATERIALS AND METHODS: Females with post anti-incontinence operation voiding dysfunction who underwent urodynamic evaluation augmented with VCC and later had urethrolysis were identified. Six diagnostic criteria for obstruction were applied to each patient: (1) VCC ( obstructed: chain was angulated and could not be voiding out) (2) Video urodynamic study (VUDS) (detrusor contraction combined with radiographic obstruction) (3) maximum flow (Qmax) ≤ 15 cc/sec, detrusor pressure (pDet)@ Qmax ≥ 20 cm H20 (4) Qmax ≤ 11 cc/sec, pDet@ Qmax ≥ 25 cm H20 (5) Qmax ≤ 12 cc/sec, pDet@ Qmax ≥ 25 cm H20 (6) Blaivas-Groutz (B-G) nomogram...
July 2013: International Braz J Urol: Official Journal of the Brazilian Society of Urology
Yong Sun Choi, Joon Chul Kim, Kyu Sung Lee, Ju Tae Seo, Hyung-Jee Kim, Tag Keun Yoo, Jong Bouk Lee, Myung-Soo Choo, Jeong Gu Lee, Ji Youl Lee
PURPOSE: Female voiding dysfunction lacks clear definitions or objective data even to this day due to the relatively low prevalence and complex etiologies of voiding dysfunction in women compared to men. The prevalence varies widely from 2.7 to 23 % (Nitti et al. in J Urol 161(5):1535-1540, 1999; Rees et al. in Br J Urol 47(7):853-860, 1975; Groutz et al. in Neurourol Urodyn 19(3):213-220, 2000; Farrar et al. in Br J Urol 47(7):815-822, 1975; Massey and Abrams in Br J Urol 61(1):36-39, 1988; Chassagne et al...
August 2013: International Urology and Nephrology
Sheng-Mou Hsiao, Ho-Hsiung Lin, Hann-Chorng Kuo
AIMS: To analyze the predictors of therapeutic success after solifenacin treatment. METHODS: Between January 2008 and December 2011, all patients with overactive bladder syndrome (OAB) who consecutively visited the urologic outpatient clinics of a medical center were prospectively enrolled. All enrolled patients received 5 mg solifenacin once a day for 12 weeks. RESULTS: Overall, 648 patients, 332 men, and 316 women, completed the 12-week study...
March 2014: Neurourology and Urodynamics
S Jeon, E-H Yoo
The prevalence of voiding dysfunction was 47.4% by the question of "do you usually experience a feeling of incomplete bladder emptying" from Korean version of PFDI (pelvic floor distress inventory), 33.7% by the value of less than 10th centile of peak flow rate of uroflowmetry by Liverpool nomogram, 20.2% by the cutoff values of less than 12 ml per second of maximum flow rate and greater than 25 cmH20 of detrusor pressure at maximum flow rate in the pressure flow study and 11.6% by the elevated post-void residual urine volume more than 50 ml in 95 women who visited urogynaecology clinic with lower urinary tract symptoms...
November 2012: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
Benjamin E Dillon, Casey A Seideman, Dominic Lee, Benjamin Greenberg, Elliot M Frohman, Gary E Lemack
PURPOSE: We report the prevalence of stress urinary incontinence and pelvic organ prolapse in patients with multiple sclerosis referred to a tertiary care neurogenic bladder clinic. MATERIALS AND METHODS: We queried an institutional review board approved neurogenic bladder database for urodynamic and demographic data on patients with multiple sclerosis followed for lower urinary tract symptoms in a 12-year period. Demographic information included multiple sclerosis classification, age at initial visit, body mass index, parity and pelvic examination findings...
March 2013: Journal of Urology
Peng Zhang, Zhi-jin Wu, Yong Yang, Chao-hua Zhang, Xiao-dong Zhang
OBJECTIVE: To assess the value of video-urodynamic study (VUD) in the identification of lower urinary tract voiding dysfunction in female. METHODS: A total of 126 female patients with sign and symptoms of lower urinary tract voiding dysfunction underwent VUD from December 2008 to January 2011 in Beijing Chaoyang Hospital. The causes of voiding dysfunction were analyzed based on VUD findings. RESULTS: Neurogenic voiding dysfunction was found in 30 patients (23...
May 2012: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
V Džupa, M Otčenášek, J Vránová, V Ducháč, R Grill, V Báča
PURPOSE OF THE STUDY: To present the results of a three-year study on micturition, defecation, gynecological and sexual disorders in middle-aged women who sustained pelvic fractures. MATERIAL AND METHODS: A group of 33 female patients who were treated for unstable pelvic fractures (AO types B or C) in the 2004-2009 period were evaluated (treated group) and compared with 31 women who had given vaginal birth at least once and went to see a urologist because of urinary problems in the period from 2009 to 2010 (control group)...
2012: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Mostafa Elmissiry, Ali Abdelkarim, Haitham Badawy, Salah Elsalmy, Gaber Abdelfattah Ali
OBJECTIVE: After failure of medical and behavioral therapy in enuresis, the usual next step is to investigate using urodynamics. The aim of this study was to determine the actual benefit and optimal method of urodynamics in the treatment of refractory enuresis. METHODS: This prospective randomized study included 56 patients: 17 males and 39 females with an age range of 7-16 years. All had tried multiple courses of medical treatment for enuresis for at least 6 months without response...
June 2013: Journal of Pediatric Urology
Peng Zhang, Yong Yang, Zhi-jin Wu, Xiao-dong Zhang, Chao-hua Zhang
BACKGROUND: Pressure-flow study combined with cystourethroscopy were used as the major method to define female bladder neck obstruction in China. However, the definition of urodynamics for female bladder outlet obstruction (BOO) is not clear so far. Video-urodynamic study (VUDS) would provide more information to define the female BOO, but it is not used commonly due to the limitation of video-urodynamic equipment in China. We attempted to find a better way for diagnosis of female BOO by performing VUDS...
April 2012: Chinese Medical Journal
Ji-Yeon Han, Kyung Hyun Moon, Chang Myeon Park, Myung-Soo Choo
INTRODUCTION AND HYPOTHESIS: This study was performed to compare surgical outcomes of repeat midurethral sling (MUS) with those of tape shortening in patients who underwent failed initial MUS. METHODS: We assessed 66 patients who underwent failed initial MUS and a second surgical procedure because of recurrent or persistent stress urinary incontinence (SUI), including 36 who underwent repeat MUS and 30 who underwent tape shortening. All patients were followed up for at least 12 months after second surgery...
September 2012: International Urogynecology Journal
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