Advances in Ambulatory Urodynamics

Kocher, Neil J.; Damaser, Margot S.; Gill, Bradley

doi:10.1007/s11934-020-00989-w

Cited by 10 publications

(3 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…An important objective in this development was to create a fully implantable prototype. Such a medical implant could significantly advance health monitoring in various medical conditions like cardiovascular diseases 30 and lower urinary tract disorders 39 , 40 . To bring our prototype closer to this goal, we initially tried a wireless data communication system that operates within the MICS bandwidth.…”

Section: Discussionmentioning

confidence: 99%

From wires to waves, a novel sensor system for in vivo pressure monitoring

Wright,

Züchner,

Annavini

et al. 2024

Sci Rep

View full text Add to dashboard Cite

Pressure monitoring in various organs of the body is essential for appropriate diagnostic and therapeutic purposes. In almost all situations, monitoring is performed in a hospital setting. Technological advances not only promise to improve clinical pressure monitoring systems, but also engage toward the development of fully implantable systems in ambulatory patients. Such systems would not only provide longitudinal time monitoring to healthcare personnel, but also to the patient who could adjust their way-of-life in response to the measurements. In the past years, we have developed a new type of piezoresistive pressure sensor system. Different bench tests have demonstrated that it delivers precise and reliable pressure measurements in real-time. The potential of this system was confirmed by a continuous recording in a patient that lasted for almost a day. In the present study, we further characterized the functionality of this sensor system by conducting in vivo implantation experiments in nine female farm pigs. To get a step closer to a fully implantable system, we also adapted two different wireless communication solutions to the sensor system. The communication protocols are based on MICS (Medical Implant Communication System) and BLE (Bluetooth Low Energy) communication. As a proof-of-concept, implantation experiments in nine female pigs demonstrated the functionality of both systems, with a notable technical superiority of the BLE.

show abstract

Section: Discussionmentioning

confidence: 99%

From wires to waves, a novel sensor system for in vivo pressure monitoring

Wright,

Züchner,

Annavini

et al. 2024

Sci Rep

View full text Add to dashboard Cite

show abstract

“…A more dynamic representation may be achieved by increased use of patient-reported parameters, such as voiding charts providing real-life measurements, symptom reports, validated questionnaires [21], and increased use of ambulatory urodynamics. With technical development user-friendly ambulatory systems may soon become a reality [22], making home recordings feasible, as well as enhanced computations of urodynamic parameters.…”

Section: Discussionmentioning

confidence: 99%

The Stockholm Spinal Cord Uro Study: 3. Urodynamic characteristics in a regional prevalence group of persons with spinal cord injury and indications for improved follow-up

Farrelly

Lindbo²,

Seiger

2021

Scandinavian Journal of Urology

View full text Add to dashboard Cite

Aims: Examine the outcome of urodynamic studies in a regional prevalence group of patients with traumatic spinal cord injury (SCI), explore relationships between urodynamic parameters and renal complications/other SCI-related dysfunctions, assess the role of urodynamics in SCI follow-up. Methods: In a cross-sectional study, 211 patients were included, who attended a yearly check-up and had urodynamics performed as part of the follow-up in addition to S-creatinine, S-cystatin-C, renal ultrasound, and a questionnaire regarding complications. Relationships between urodynamic parameters and renal complications/other SCI-related dysfunctions were explored by descriptive and comparative statistics. Results: Neurogenic detrusor overactivity (NDO) was found in 150, underactive/acontractile detrusor in 44, normal detrusor function in 17 patients. Maximum detrusor pressures during filling/voiding in NDO attained mean levels of >40 cm H 2 O in 68% of patients and >25 cm H 2 O in 83%. Reduced compliance of the bladder wall, cystometric bladder capacity <250 mL, and detrusor overactivity leakage during filling were associated with higher detrusor pressures. Detrusor overactivity during more than one-third of the filling phase was significantly related to signs of renal complications among patients with SCI duration 11-20 years. No significant relationships were found between other urodynamic parameters and renal/other SCI-related complications. Renal complications in underactive/acontractile and normal detrusor function co-varied with evidence of previous NDO and other co-morbidities which may negatively influence kidney function. Conclusions: Maximum detrusor pressures during the filling/voiding phases attained high levels in a majority of patients. Detrusor overactivity during more than one-third of the filling phase was significantly related to signs of renal complications.

show abstract

“…For cystometry, patients were advised to achieve supine position on a couch to permit passage of catheters into the bladder and the rectum to estimate pressure inside the bladder and abdomen, respectively. In addition, bladder sensation, activity of detrusor muscle, compliance of the bladder, urethral function and the capacity of the bladder were measured during the bladder filling phase [9] .…”

Section: Introductionmentioning

confidence: 99%

Anterior Colpourethroraphy (El Hemaly Operation) for Treatment of Female Stress Urinary Incontinence: A urodynamic Evaluation

Mustafa

Sayed

Gawish

2021

International Journal of Medical Arts

View full text Add to dashboard Cite

Article information Background: Urinary incontinence [UI] is any urinary leak. It is a common and stressful health condition, which have an impact on patient's quality of life. It is more prevalent among women than men [2:1]. Risk factors include pregnancy, parturition, and menopause. The aim of the work: The work study aimed to assess the value of urodynamics prior to stress incontinence surgery [SUI] with regard to outcome, as well as the costs, in women complaining from SUI. Patients and Methods: This study carried out at the department of Obstetrics and Gynecology, Al-Azhar University Hospital [Assiut Branch]. It included 20 females, 30-40 years old, who were suffering from SUI free from any medical diseases or previous surgeries of urinary tract. All were submitted to urodynamic study before surgical correction by anterior colpourethroraphy [El Hemaly operation] and outcome was documented. Results: The results of filling phase revealed that, the infused and bladder filling were significantly increased, while volume lost through leakage was significantly reduced after intervention than corresponding values before surgery [514.3±155.29, 473.2±174.89 and 55.8±50.96 vs 359.3±193, 238.25±142.59 and 120±68.17, respectively]. Sensation results revealed that, there was statistically significant increase of volume at first sensations, first desire, normal desire, strong desire, urgency and maximum cystometric capacity, when compared to volumes before surgery. Conclusion: Anterior colpourethroraphy [El-Hemaly operation] was an effective option, technically feasible with low complications and consistent patient satisfaction. Urodynamic study remains the most comprehensive method in the assessment of the bladder and urethral function.

show abstract

Advances in Ambulatory Urodynamics

Cited by 10 publications

References 46 publications

From wires to waves, a novel sensor system for in vivo pressure monitoring

From wires to waves, a novel sensor system for in vivo pressure monitoring

The Stockholm Spinal Cord Uro Study: 3. Urodynamic characteristics in a regional prevalence group of persons with spinal cord injury and indications for improved follow-up

Anterior Colpourethroraphy (El Hemaly Operation) for Treatment of Female Stress Urinary Incontinence: A urodynamic Evaluation

Contact Info

Product

Resources

About