The Diagnostic Value of Urethral Pressure Profiles, Cystometry, Pressure-Flow Studies and Micturition Cystourethrography in Female Incontinence

1978 ◽  
Vol 33 (1-3) ◽  
pp. 68-73 ◽  
Author(s):  
S. Mortensen ◽  
J.C. Djurhuus ◽  
C. Frimodt-Møller ◽  
E. Petersen
Keyword(s):  
Diagnostic Value ◽  
Urethral Pressure ◽  
Pressure Flow ◽  
Female Incontinence ◽  
Pressure Profiles ◽  
Pressure Flow Studies ◽  
Micturition Cystourethrography

Urodynamics

2017 ◽  
Author(s):  
Julie Ellis Jones ◽  
Hashim Hashim
Keyword(s):  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Urethral Pressure ◽  
The United Kingdom ◽  
Pressure Profiles ◽  
Lower Urinary Tract Function ◽  
Pressure Flow Studies ◽  
Tract Function ◽  
Ambulatory Urodynamics ◽  
Lower Urinary

Urodynamic studies encompass several tests to investigate the hydrodynamics of the lower urinary tract during bladder storage/filling and voiding. These tests include bladder diaries, free uroflowmetry, and post-void residuals, filling cystometry, voiding pressure/flow studies, urethral pressure profiles, leak point pressures, videourodynamics, ambulatory urodynamics, and electromyography. The tests are performed after formulating a urodynamics question to objectively observe lower urinary tract function and dysfunction with the idea of choosing an appropriate treatment for the pathology. Invasive urodynamic tests require appropriate training, as per the joint statement on minimum standards for urodynamic practice in the United Kingdom, and should be performed according to the International Continence Society good urodynamics practice guidelines. It is also important to be able to interpret the traces appropriately and troubleshoot any problems occurring during the test.

scholarly journals Low dose intradetrusor injections of onabotulinumtoxinA in women with overactive bladder symptoms or the painful bladder syndrome: unfavorable balance between clinical efficacy and the need for catheterization

2012 ◽  
Vol 26 (1) ◽  
pp. 10
Author(s):  
Jan Groen ◽  
Wouter J.C. Marchand ◽  
Bertil F.M. Blok ◽  
Gert R. Dohle
Keyword(s):  
Overactive Bladder ◽  
Success Rate ◽  
Low Dose ◽  
Painful Bladder Syndrome ◽  
Pressure Flow ◽  
Overactive Bladder Symptoms ◽  
King’S Health Questionnaire ◽  
Painful Bladder ◽  
Pressure Flow Studies ◽  
Bladder Symptoms

We evaluated our results with low dose intradetrusor injections of onabotulinu - mtoxinA in women with overactive bladder symptoms and the painful bladder syndrome in terms of clinically successful outcomes and the need for clean intermittent self-catheterization (CISC) and in relation to urodynamic aspects. The files of patients treated with 100 U of onabotulinumtoxinA injected at 20 sites with sparing of the trigone were retrospectively analyzed. Nearly all patients completed voiding- incontinence diaries and the King’s Health Questionnaire (KHQ) pre- and post-operatively. Cystometric and pressure-flow studies were done in the majority of patients. Success was defined as the patient’s and clinician’s joint choice for re-treatment with the same dose of onabotulinumtoxinA after a period of at least six months of clinical satisfaction. Twenty-six women were treated. On average, the improvement in most voiding diary parameters and in most KHQ categories lasted less than six and three months, respectively. Eight patients (31%) were scheduled for re-treatment with 100 U again after at least six months. No prognostic cystometric parameters were found. Six patients (23%) needed CISC. None of the bladder contraction strength parameters derived from the pressure-flow studies appeared predictive of the need of CISC. We obtained a success rate of 31% after six months with 100 U of onabotulinumtoxinA, while 23% of the patients applied CISC. We consider this success rate low and find the balance between the success rate and the rate of patients needing CISC inadequate.

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