Value of Routine Evaluation of the Voiding Phase When Performing Urodynamic Testing in Women With Lower Urinary Tract Symptoms

Carlson, Kevin; Fiske, Joshua; Νitti, Victor W.

doi:10.1016/s0022-5347(05)67041-3

Cited by 55 publications

(16 citation statements)

References 25 publications

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“…Furthermore, all women with a chief complaint of voiding or obstructive symptoms had bladder outlet obstruction, DO, or both. The most common voiding phase abnormality by far was dysfunctional voiding, which has been previously described in adult females [17]. Interestingly, none of the women in our study demonstrated impaired contractility.…”

Section: Discussionsupporting

confidence: 60%

“…Thus, even in women without a chief complaint of voiding symptoms (only 23% in this study), the AUASI can be used to guide the clinician in deciding whether or not to perform urodynamics. This also highlights the benefits of performing routine evaluation of the voiding phase when performing urodynamics [17]. Women with bladder dysfunction had similar total and storage scores to those without bladder dysfunction.…”

Section: Discussionmentioning

confidence: 62%

“…It has evolved from an instrument specifically designed for the symptoms of benign prostatic hyperplasia to one applied to LUTS in general in men and even in women [18,19]. The AUASI (and subscores) have been used to categorize LUTS in women [17,20], and has been shown to correlate with degree of bother from symptoms and effect on quality of life in men and women [21]. Women with urodynamic voiding phase dysfunction (35%) had higher total and voiding scores than women without.…”

Section: Discussionmentioning

confidence: 99%

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Voiding dysfunction in young, nulliparous women: symptoms and urodynamic findings

2004

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The objective was to determine urodynamic findings in young, premenopausal, nulliparous women with bothersome lower urinary tract symptoms and assess whether or not symptoms are predictive of specific urodynamic abnormalities. The records of 57 women were reviewed. Those with neurological disease or a primary complaint of stress incontinence were excluded. All completed the American Urological Association Symptom Index (AUASI) and underwent videourodynamics. Symptoms were compared in patients with and without bladder dysfunction and/or voiding phase dysfunction. Bladder dysfunction was diagnosed in 86% of patients with urge incontinence vs. 17% of those without (p<0.0001). Patients with voiding phase dysfunction had higher total and voiding AUASI scores. Occult neurological disease was later diagnosed in 4 women (24%) with urge incontinence and bladder dysfunction. Urge incontinence and voiding symptoms are frequently associated with urodynamically demonstrable abnormalities. Urge incontinence and bladder dysfunction may be a sign of occult neurological disease in this population. The presenting symptoms are useful in determining the utility of urodynamics in this population.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

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Voiding dysfunction in young, nulliparous women: symptoms and urodynamic findings

2004

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“…Carlson et al [23] ont montré que la seule cystomanomé-trie ne permet pas d'identifier les anomalies de la phase mictionnelle. Il faut donc associer la cystomanométrie, qui étudie la phase de remplissage à des études de la [12], suffisamment bonne pour que ce critère soit respecté en pratique courante.…”

Section: Resultsunclassified

Pressure-flow study in women

2008

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Ré sumé : Cette mise au point concerne l'instantané mictionnel chez la femme. L'instantané mictionnel complète la cystomanométrie lors du bilan urodynamique réalisé pour l'évaluation d'une dysurie. Après avoir rappelé les conditions de recueil des données et les précautions permettant d'obtenir des courbes de bonne qualité, les particularités de l'instantané mictionnel chez la femme sont rappelées, la faisabilité et la reproductibilité analysées. Enfin, les paramètres étudiés et les informations, contributives au diagnostic, susceptibles d'être obtenues lors de l'étude de la relation pression-débit, sont décrits.Abstract: This review focuses on pressure-flow studies in women. When assessing lower urinary tract symptoms, pressure-flow studies complement the cystomanometry performed as part of urodynamic testing. After reviewing the data collection methods and precautions to take to ensure high-quality curves, we discuss the characteristics of pressure-flow studies in women and analyse the feasibility and reproducibility of the test. Finally, we describe the parameters and data we used that assist the diagnosis process.

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“…The remainder had anatomic causes such as prior surgery [6]. In a cohort of 36 obstructed patients, Carlson et al [7] found dysfunctional voiding in 16, primary bladder neck obstruction in six, DSD due to previously unsuspected neurologic disease in five, stricture in three, anatomic obstruction due to prior incontinence surgery in three, impaired contractility in two, and a urethral diverticulum in one. A review of 132 patients presenting with OAB symptoms who underwent videourodynamics found that 28% had benign prostate hyperplasia (BPH), and 11% had voiding dysfunction (bladder outlet obstruction [BOO], impaired contractility, or neurogenic bladder) [8].…”

Section: Dysfunctional Voiding Versus Bladder Neck Dyssynergiamentioning

confidence: 99%