Translabial color Doppler for imaging in urogynecology: a preliminary report

Dietz, Hans Peter; McKnoulty, Leanne M.; Clarke, B.

doi:10.1046/j.1469-0705.1999.14020144.x

Cited by 25 publications

(13 citation statements)

References 10 publications

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“…Two papers investigated the use of translabial colour Doppler ultrasound. 139,141 This was compared as an alternative to fluoroscopy for the detection of urinary leakage during urodynamic investigation for the diagnosis of USI, DO and mixed incontinence.…”

Section: Urodynamics Compared With Ultrasoundmentioning

confidence: 99%

Systematic review and evaluation of methods of assessing urinary incontinence

Martin

Williams²,

Abrams³

et al. 2006

Health Technol Assess

111

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Section: Urodynamics Compared With Ultrasoundmentioning

confidence: 99%

Systematic review and evaluation of methods of assessing urinary incontinence

Martin

Williams²,

Abrams³

et al. 2006

Health Technol Assess

111

View full text Add to dashboard Cite

show abstract

“…Another option for documenting fluid leakage through the urethra is the use of color Doppler ultrasound, which was recently described by the authors [9]. Compared to this pilot study, conditions for the present study were standardized as much as possible to allow for a more objective comparison.…”

Section: Discussionmentioning

confidence: 99%

“…We have recently published a preliminary study investigating the feasibility of using translabial color Doppler to document urine leakage through the urethra [9]. In this blinded study comparing fluoroscopy and ultrasound imaging at identical bladder volumes and with indwelling catheter, the aim was to demonstrate the practicability of this method in the setting of a routine urodynamic assessment.…”

Section: Introductionmentioning

confidence: 99%

Translabial Color Doppler Urodynamics

Dietz

Clarke

2001

Int Urogynecol J

Self Cite

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Color Doppler ultrasound is a new method for documenting fluid leakage in the setting of videourodynamic testing. In order to compare color Doppler ultrasound with traditional fluoroscopic imaging we performed a prospective blinded comparative clinical study. Fifty-two consecutive patients undergoing urodynamic investigations for symptoms of incontinence or prolapse were examined using fluoroscopy and translabial color Doppler ultrasound to document stress leakage. The investigators were blinded to each other's results. Both tests were performed at maximum bladder capacity and with an indwelling 5 Fr microtransducer catheter, in both the supine and the erect positions. Equivalent results for both methods were obtained in 48 out of 52 patients (Cohen's kappa = 0.82). It was therefore concluded that translabial color Doppler ultrasound imaging can reliably demonstrate leakage through the female urethra on Valsalva maneuver or coughing.

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“…VLPP and CLPP were assessed during perineal ultrasound examination. Urine leakage was identified with color Doppler velocimetry (CDV) [14,15]. Sensitivity of the CDV was increased using an ultrasound contrast medium (Levovist) [16] (Fig.…”

Section: Methodsmentioning

confidence: 99%

Weak VLPP and MUCP correlation and their relationship with objective and subjective measures of severity of urinary incontinence

et al. 2006

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The aims of the present study were to find the correlation between Valsalva leak-point pressure (VLPP) and cough leak-point pressure (CLPP) and to determine whether the water perfusion maximum urethral closure pressure (MUCP) correlates with VLPP. Seventy-nine women with previously untreated stress urinary incontinence were recruited to participate in a clinical study. Their mean age was 56.4 years, mean BMI was 27.8, and mean parity was 1.9. The mean values of VLPP and CLPP were 50.4 and 52.9 cm H(2)O, respectively. We did not find statistically significant differences in the mean values of VLPP and CLPP. The mean value of MUCP at rest was 44.2 cm H(2)O and the mean value of MUCP during maximal Valsalva maneuver was 37.2 cm H(2)O; with 500 ml of sterile saline in the bladder the difference between them is statistically significant. In the study group (n=79), 56 patients (77%) had low VLPP (< or =60 cm H(2)O), 21 patients (30%) had low MUCP (< or =30 cm H(2)O), and 8 patients had MUCP< or =20 cm H(2)O (all at rest). Of the 56 patients with low VLPP, 16 also had a low MUCP (< or =30 cm H(2)O). This study mainly compares two parameters-the MUCP and the VLPP. Based on our results we can conclude that there is no correlation between these parameters. MUCP measures urethral resistance at rest and VLPP measures urethral resistance during increased intra-abdominal pressure (Valsalva maneuver).

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Translabial color Doppler for imaging in urogynecology: a preliminary report

Abstract: Translabial color Doppler imaging of the lower urinary tract allows the documentation of fluid leakage from the bladder. It has the potential to become the new imaging standard for urogynecology.

Cited by 25 publications

References 10 publications

Systematic review and evaluation of methods of assessing urinary incontinence

Systematic review and evaluation of methods of assessing urinary incontinence

Translabial Color Doppler Urodynamics

Weak VLPP and MUCP correlation and their relationship with objective and subjective measures of severity of urinary incontinence

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