Ambulatory urodynamic monitoring

Heslington, K.; Hilton, Paul

doi:10.1111/j.1471-0528.1996.tb09761.x

Cited by 22 publications

(11 citation statements)

References 35 publications

(72 reference statements)

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“…Following are possible explanations of the existence of the low Vol/Void USI subgroup: (1) the low Vol/ Void USI patients might have uninhibited detrusor contractions during everyday life that were not observed on urodynamic testing (e.g., detrusor contractions that might have been detected by ambulatory urodynamics). 5 (2) The subgroup might simply consist of patients with more severe stress incontinence who void more frequently as a coping mechanism. (The predominance of urge-related leaks and the higher incidence of complaints of urgency argue against his explanation.)…”

Section: Stress Incontinence Subgroupsmentioning

confidence: 99%

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence

Parsons

Amundsen

Cardozo

et al. 2007

Neurourology and Urodynamics

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Section: Stress Incontinence Subgroupsmentioning

confidence: 99%

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence

Parsons

Amundsen

Cardozo

et al. 2007

Neurourology and Urodynamics

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“…Quality of life studies have shown that it has a significant impact on the lifestyle of sufferers, with particular effects on their emotional wellbeing and interpersonal relationships 2,3 . Although the ability to diagnose detrusor instability may have recently improved by ambulatory urodynamic monitoring 4 , both its cause and natural history are incompletely understood. It is perhaps for this reason that many different treatments have been used with varying degrees of success, and that none has been conclusively proven to have a convincing long term benefit.…”

Section: Introductionmentioning

confidence: 99%

A medium term analysis of the subjective efficacy of treatment for women with detrusor instability and low bladder compliance

Kelleher

Cardozo

Khullar

et al. 1997

BJOG

224

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Objective The aims of this study were to determine the medium term subjective outcome of treatment for Setting A tertiary referral urogynaecology clinic.Participants and methods One thousand one hundred and five women referred for the investigation of their urinary symptoms were entered into a prospective, long term, quality of life study. Of these, 348 had a videourodynamic diagnosis of detrusor instability or low bladder compliance and form the basis of this paper. Women were contacted by post at least six months following their urodynamic assessment and asked to complete a questionnaire detailing their treatment, its efficacy and side effects, and any residual urinary symptoms.Results Two hundred and fifty-six women (73.6%) responded to follow up; only 5.5% were cured of their urinary symptoms. The majority (90.2%) had received anticholinergic medication, although only 18.2% continued with this treatment in excess of six months. Many women had residual urinary symptoms following their investigation and treatment. ConclusionThe medium term efficacy of the treatment of detrusor instability and low compliance is disappointing, and a large part of this failure may be attributable to poor treatment efficacy, side effects of medication, or inadequate follow up following the diagnosis and instigation of therapy.women with a urodynamic diagnosis of detrusor instability and low bladder compliance.

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“…Theoretical modelling and experimental studies suggest that over‐stretching can impair detrusor contraction strength and hence reduce Q max [4,5]. Further information was provided by studies comparing ambulatory natural‐fill urodynamics with conventional PFS, which showed that the 40–50% reduction in V void after natural‐fill was associated with increases in both Q max and p det.Qmax compared to sequential conventional PFS [9,10]. A subsequent comparative study where nonphysiological filling during conventional PFS was restricted to ‘normal desire to void’ found that the increase in Q max recorded after ambulatory filling was less pronounced and voiding pressure was similar, suggesting a dependency on filled volume rather than fill rate [11].…”

Section: Discussionmentioning

confidence: 99%

Are conventional pressure‐flow measurements dependent upon filled volume?

2005

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adequately completed 3-day frequencyvolume chart were recruited. Each underwent two consecutive PFS with filling to MCC and average V void in a random order, and measurements of p det.Qmax and Q max were compared. For men, the agreement for a diagnosis of obstruction between the tests was also assessed. RESULTSComplete data were obtained from 76 (90%) of the patients, with a mean (range) age of 64 (20-94) years. The mean ( SD ) difference between MCC and average V void was 134 (113) mL ( P < 0.01). There were no significant differences between estimates of Q max , at -0.1 (3) mL/s ( P = 0.75), and of p det.Qmax , at -1 (13) cmH 2 O ( P = 0.91), obtained within each patient. For men there was 91% agreement (32 of 35) in the classification of obstruction. CONCLUSIONSRestriction of filling to the average V void during PFS allows a closer approximation to normal voiding and results in no clinically relevant change to the value of standard pressure-flow measurements or alters individual classification of obstruction.

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Ambulatory urodynamic monitoring

Cited by 22 publications

References 35 publications

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence

Bladder diary patterns in detrusor overactivity and urodynamic stress incontinence

A medium term analysis of the subjective efficacy of treatment for women with detrusor instability and low bladder compliance

Are conventional pressure‐flow measurements dependent upon filled volume?

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