Reproducibility of uroflowmetry results in patients with benign prostatic hyperplasia

Danilov, V. V.; Osinkin, K.S.; Sevryukov, F A

doi:10.20953/2307-6631-2019-3-5-9

Cited by 4 publications

(1 citation statement)

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“…Один из предложенных способов разрешения проблемы трудоемкости и инвазивности уродинамического исследования -его замена и проведение амбулаторного урофлоуметрического исследования в естественных для пациента условиях и при физиологическом наполнении мочевого пузыря [13,14]. Эта идея заложила основы амбулаторного (домашнего) урофлоуметрического мониторинга [15][16][17]. Главными достоинствами метода можно назвать простоту выполнения, неинвазивность и получение клинически значимых результатов.…”

Section: Discussionunclassified

Ambulatory uroflowmetric monitoring: recommendations for implementation in clinical practice

Shaderkin

Shaderkina²

2022

Urology reports (St. - Petersburg)

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BACKGROUND: Urodynamic examination is recommended for patients with urinary disorders. In some categories of patients, it can be replaced by performing uroflowmetry in the patients usual home environment. AIM: development of recommendations for health care managers and urologists on the introduction of ambulatory uroflowmetric monitoring and its use in everyday clinical practice. MATERIALS AND METHODS: On the basis of the e-health laboratory of the Institute of Digital Medicine of the First Moscow State Medical University named after I.M. Sechenov, the Ministry of Health of Russia (Sechenov University) developed a unique method of home monitoring of uroflowmetry in male patients with symptoms of impaired urination using the wireless portable uroflowmeter Flowselfi developed in the Russian Federation. Based on experience, recommendations have been developed for the implementation of this method in clinical practice. RESULTS: Equipment for home uroflowmetry should be reliable, simple, intuitive, affordable, portable, and able to wirelessly communicate with a patients smartphone or tablet for data accumulation and subsequent transmission to a doctor for processing the results. The patient should have preserved cognitive functions and be motivated to perform uroflowmetry, understand its importance in further treatment. The article provides typical instructions for patients and urologists using ambulatory uroflowmetry at home. CONCLUSIONS: Ambulatory uroflowmetric monitoring (home uroflowmetry, outpatient home uroflowmetry) is a promising method of remote monitoring of patients requiring urination monitoring, including neurogenic and non-neurogenic urination disorders.

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Section: Discussionunclassified

Ambulatory uroflowmetric monitoring: recommendations for implementation in clinical practice

Shaderkin

Shaderkina²

2022

Urology reports (St. - Petersburg)

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Influence of chronic ischemic disorders in the prostate on the development of benign prostatic hyperplasia

Ройтберг

Мкртчян

Кульченко

2020

Issled. prakt. med. (Print)

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Purpose of the study. To assess the degree of influence of ischemic disorders in the prostate on the level of androgens.Materials and methods. This was an experimental study that included 20 white non-linear sexually Mature rats. All animals were divided into 2 equal groups: main and control (intact). In the main group of animals (n=10), we created a model of chronic ischemic disorders in the prostate by partial ligation of the inferior Vena cava. After 1.5 months, we conducted a hormonal study in all rats (n=20) — determining the concentration of androgens (testosterone, dihydrotestosterone) and estrogens (estradiol) in the blood of animals and prostate tissue.Results. In the blood of animals of both groups, the level of total testosterone and estradiol did not significantly differ (p>0.05). The level of dihydrotestosterone in the blood serum of rats of the main group on the background of ischemia was reduced by 18.1%, compared to the intact group (p>0.05). However, we detected elevated levels of testosterone (p<0.05) and dihydrotestosterone (p>0.05) in prostate tissue against the background of chronic ischemia.Conclusions. Chronic ischemic disorders in the prostate can be an independent pathogenetic factor in the development of BPH. Vascular damage leads to impaired blood flow and hypoxia, with increased tissue concentration of testosterone, which potentiates the development of BPH.

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Objectification of the evaluation of a pharmacological test with alpha-adrenergic blocking agents during uroflowmetry

Danilov

Vadimovich³

2021

Spravočnik Vrača Obŝej Praktiki (Journal of Family Medicine)

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The tactics of treating dysuric disorders are largely determined by the pathophysiological and morpho-clinical basis: infravesical obstruction, impaired bladder contractility, complex neurogenic urination disorders, etc. Among the diseases that most often cause infravesical obstruction in men, the most common pathologies are benign prostatic hyperplasia, prostate cancer, prostate sclerosis, obstructive processes of the bladder neck (contractures, fibrosis), urethral strictures of various etiologies. The use of a comprehensive urodynamic study makes it possible to differentiate the causes of urinary disorders. One of the most common and non-invasive methods used in the urologist’s clinical practice is uroflowmetry. The use of the fuzzy logic algorithm described in the article for making a decision on the presence of obstructive urination allows one to assess the urodynamic situation using the home uroflow monitoring technique. Analytical urodynamics in conjunction with the fuzzy logic block increases the accuracy of describing the examination results, and the introduction of the proposed model into the software simplifies the work with diagnostic urological equipment and increases the efficiency of the examination.

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Reproducibility of uroflowmetry results in patients with benign prostatic hyperplasia

Cited by 4 publications

References 0 publications

Ambulatory uroflowmetric monitoring: recommendations for implementation in clinical practice

Ambulatory uroflowmetric monitoring: recommendations for implementation in clinical practice

Influence of chronic ischemic disorders in the prostate on the development of benign prostatic hyperplasia

Objectification of the evaluation of a pharmacological test with alpha-adrenergic blocking agents during uroflowmetry

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