Standard and extramural ambulatory urodynamic investigation for the diagnosis of detrusor instability-correlated incontinence and micturition disorders.

Abstract:

:Forty-six patients were evaluated for complaints of urinary incontinence or voiding disorders. Diagnostic testing included a detailed history, physical examination, urine analysis, and urodynamic studies consisting of a conventional urodynamic test (S.I.) including provocative manoeuvres and extramural ambulatory urodynamic monitoring (e.a.m.). We compared the pre-classification diagnoses obtained from the medical history with both urodynamic tests. Conventional cystometry detected detrusor instability in 8 patients out of 16 with a history of urgency, while a normal detrusor behaviour was observed in the other 8. "Provocative" manoeuvres yielded an additional 13.3%. Extramural ambulatory monitoring confirmed the diagnosis in the 8 patients with hyperactivity and revealed detrusor instability in a further 7. E.a.m. proved adequate in 93.7% of patients with symptoms of detrusor instability. In the group of patients with urinary stress incontinence (USI) e.a.m. revealed detrusor instability in 18.7% of the patients, but did not significantly improved the diagnostic results obtained by S.I. Coughing was the most effective stimulus to objectify stress incontinence. The comparison of the results obtained with S.I. and those obtained with home e.a.m. will probably lead to a more rational use of both methods. Our data confirm the promising impact of ambulatory urodynamic investigation.

journal_name

Neurourol Urodyn

authors

Porru D,Usai E

doi

10.1002/1520-6777(1994)13:3<237::aid-nau1930130305

subject

Has Abstract

pub_date

1994-01-01 00:00:00

pages

237-42

issue

3

eissn

0733-2467

issn

1520-6777

journal_volume

13

pub_type

杂志文章
  • What is the exact working mechanism of botulinum toxin A and sacral nerve stimulation in the treatment of overactive bladder/detrusor overactivity? ICI-RS 2017.

    abstract:AIMS:Botulinum toxin A (BTX-A) and sacral nerve stimulation (SNS) are established treatments for overactive bladder (OAB) and are standard of care in refractory cases in international guidelines. Despite long term use over decades their "exact" working mechanisms are not entirely clear. At the ICI-RS meeting in Bristol...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.23552

    authors: Malde S,Fry C,Schurch B,Marcelissen T,Averbeck M,Digesu A,Sahai A

    更新日期:2018-06-01 00:00:00

  • Differences between bothersome and non-bothersome night-time frequency.

    abstract:AIMS:To determine the distributions of bothersome and non-bothersome nocturnal voiding and the differences between them using a community-based study. SUBJECTS AND METHODS:A total of 2,205 men and women aged 41-70 years from three Japanese towns responded to our postal questionnaire survey. The questionnaire included ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20451

    authors: Yoshimura K,Kamoto T,Oka Y,Tsukamoto T,Oshiro K,Suzukamo Y,Kinukawa N,Ogawa O

    更新日期:2007-01-01 00:00:00

  • Electrical stimulation of sacral dermatomes can suppress aberrant urethral reflexes in felines with chronic spinal cord injury.

    abstract:AIMS:Uncoordinated reflex contractions of the external urethral sphincter (EUS) are a major component of voiding dysfunction after neurologic injury. Patterned stimulation of sacral afferent pathways can reduce abnormal EUS reflexes after acute spinal cord injury (SCI); however, effectiveness following chronic SCI is u...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22276

    authors: McCoin JL,Bhadra N,Gustafson KJ

    更新日期:2013-01-01 00:00:00

  • Influence of temperature on urethra to bladder micturition reflex in the awake ewe.

    abstract:AIMS:The flow of fluid along the urethra is known to facilitate detrusor contraction during micturition. This reflex, previously described in awake ewes, helps to achieve complete bladder emptying. In anesthetized cats, another urethra to bladder reflex involving urethral cold receptors has been described. The aim of t...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20311

    authors: Combrisson H,Allix S,Robain G

    更新日期:2007-01-01 00:00:00

  • A mobile telehealth program for behavioral treatment of urinary incontinence in women veterans: Development and pilot evaluation of MyHealtheBladder.

    abstract:AIM:To develop and pilot test an interactive mobile telehealth program (mHealth) for behavioral treatment of women veterans with urinary incontinence (UI). METHODS:We developed an evidence-based 8-week behavioral mHealth program, MyHealtheBladder, with input from women veterans, behavioral medicine and health educatio...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24226

    authors: Goode PS,Markland AD,Echt KV,Slay L,Barnacastle S,Hale G,Wright MK,Lane TR,Burgio KL

    更新日期:2020-01-01 00:00:00

  • Anal sphincter fatigue: is the mechanism peripheral or central?

    abstract:AIMS:Striated muscles of continence appear to exhibit marked fatigue during voluntary efforts. This is counterintuitive considering the high proportion of slow twitch muscle fibers. One explanation is that fatigue is due to central, rather than peripheral mechanisms. Here we examined the contribution of reduced volunta...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.21162

    authors: Schabrun SM,Stafford RE,Hodges PW

    更新日期:2011-11-01 00:00:00

  • Clinical and neurophysiologic testing of the penilo-cavernosus reflex.

    abstract:AIMS:Both clinical and neurophysiologic testing of the penilo-cavernosus reflex is used in clinical practice. The aim of the present study was to determine the as yet unestablished potential contribution of sacral reflex testing to the diagnostic evaluation of patients with suspected neuropathic sacral lesions. METHOD...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20520

    authors: Podnar S

    更新日期:2008-01-01 00:00:00

  • Using a checklist to increase the effectiveness of behavioral therapy for overactive bladder: A prospective randomized controlled trial.

    abstract:AIM:To evaluate the benefits of a newly established checklist form of behavioral therapy for overactive bladder (OAB). METHODS:Of a total of 180 patients suffering eight or more micturitions, two or more nocturia, seven or more urgency, or four more urinary urgency incontinence (UUI) episodes per day according to a 3-...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.23974

    authors: Kilinc MF,Doluoglu OG,Yildiz Y,Yuceturk CN,Hascicek AM

    更新日期:2019-04-01 00:00:00

  • Treatment decision-making among men with lower urinary tract symptoms: A qualitative study of men's experiences with recommendations for patient-centred practice.

    abstract:AIMS:To inform and guide patient-centred care for men with lower urinary tract symptoms (LUTS), by providing in-depth qualitative evidence regarding men's perspectives on treatment decision-making for LUTS. METHODS:An interview study of men recruited from 26 English urology departments. Purposive sampling captured sur...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24533

    authors: Selman LE,Clement C,Ochieng CA,Lewis AL,Chapple C,Abrams P,Drake MJ,Horwood J

    更新日期:2020-10-14 00:00:00

  • Involvement of opioid receptors in inhibition of bladder overactivity induced by sacral neuromodulation in pigs: A possible action mechanism.

    abstract:AIMS:To determine the role of opioid receptors in the inhibition of bladder overactivity by sacral neuromodulation (SNM) in pigs, and explore the possible mechanism of SNM. METHODS:Both implant-driven stimulators of the S3 spinal nerve were implanted in seven pigs. Naloxone and tramadol were administered. Multiple cys...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23187

    authors: Li X,Liao L,Chen G,Wang Z,Deng H

    更新日期:2017-09-01 00:00:00

  • The relation of the pelvis and the perineal function in incontinent women: A neglected subject.

    abstract:AIMS:To Compare the angular parameters of the pelvis of continents and incontinent women and to correlate them with the electrical activity and the function of the pelvic floor muscles. METHODS:Cross-sectional study. Incontinent and continent women, aged between 18 and 59 years. The anatomical points were marked follo...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23772

    authors: Lemos AQ,Brasil CA,Alvares CM,Passos JCG,Lordêlo P,Sá KN

    更新日期:2018-11-01 00:00:00

  • Obstruction enhances rho-kinase pathway and diminishes protein kinase C pathway in carbachol-induced calcium sensitization in contraction of α-toxin permeabilized guinea pig detrusor smooth muscle.

    abstract:AIMS:We investigated the relative important role of rho kinase (ROK) and protein kinase C (PKC) pathways in carbachol (CCh)-induced Ca(2+) sensitization in α-toxin permeabilized Guinea pig detrusor smooth muscle (DSM) following bladder outlet obstruction (BOO). METHODS:Bladder outlet obstruction was created by placeme...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.21193

    authors: Shahab N,Kajioka S,Takahashi-Yanaga F,Onimaru M,Matsuda M,Seki N,Naito S

    更新日期:2012-04-01 00:00:00

  • Bed-wetting in Chinese children: epidemiology and predictive factors.

    abstract:AIMS:To estimate the prevalence and severity of bed-wetting in 1-18-year-old Chinese children. MATERIALS AND METHODS:A cross-sectional study of bed-wetting was performed by using 13,515 self-administered questionnaires distributed to the parents of 1-18-year-old Chinese children in Henan province. The prevalence of be...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20373

    authors: Wang QW,Wen JG,Song DK,Su J,Zhu QH,Liu K,Che YY,Du AM,Wei JX

    更新日期:2007-01-01 00:00:00

  • The cost of a catheter: An environmental perspective on single use clean intermittent catheterization.

    abstract:METHODS:We estimated the prevalence of CIC use in the United States using a neurogenic population, consisting of persons with multiple sclerosis, spina bifida, and spinal cord injury. We measured catheter samples to obtain the amount of waste per catheter. RESULTS:At least 300 800 persons in the United States perform ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23562

    authors: Sun AJ,Comiter CV,Elliott CS

    更新日期:2018-09-01 00:00:00

  • Is polypropylene mesh material fundamentally safe for use as a reconstructive material in vaginal surgery: ICI-RS 2019?

    abstract::Polypropylene (PP) mesh has been used as a primary or adjuvant material for vaginal reconstruction for both stress urinary incontinence (SUI) and pelvic organ prolapse (POP) for decades. Whether polypropylene is the optimal material for such indications has been called into question by clinicians, regulatory agencies ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.24312

    authors: Rovner E,de Tayrac R,Kirschner-Hermanns R,Veit-Rubin N,Anding R

    更新日期:2020-07-01 00:00:00

  • Transvaginal mesh repair of pelvic organ prolapse by the transobturator-infracoccygeal hammock technique: long-term anatomical and functional outcomes.

    abstract:AIMS:To evaluate long-term anatomical and functional outcomes of the transobturator-infracoccygeal hammock repair for complex genital prolapse with a porcine collagen-coated polypropylene mesh. METHODS:A prospective observational study comparing pre- and postoperative outcomes, using pelvic organ prolapse quantificati...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20956

    authors: Sergent F,Resch B,Al-Khattabi M,Ricbourg A,Schaal JP,Marpeau L

    更新日期:2011-03-01 00:00:00

  • The effects of prolapse surgery on vaginal wall sensibility, vaginal vasocongestion, and sexual function: a prospective single centre study.

    abstract:AIMS:Prolapse surgery has been shown to positively alter body image and decrease pelvic floor symptoms, hereby possibly improving sexual function. However, the surgical trauma itself may adversely affect sexual function, by damaging vaginal innervation and vascularization. The aim of this study is to evaluate the effec...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22491

    authors: Lakeman MM,Laan E,Roovers JP

    更新日期:2014-11-01 00:00:00

  • Pelvic floor dysfunction negatively impacts general functional performance in patients with multiple sclerosis.

    abstract:BACKGROUND:There is a lack of evidence to assess whether gait functionality can be affected by the condition of the pelvic floor musculature in patients with multiple sclerosis (MS). OBJECTIVE:To evaluate the relationship between pelvic floor functionality and general functional performance, and also their relationshi...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24314

    authors: Aguilar-Zafra S,Del Corral T,Vidal-Quevedo C,Rodríguez-Durán P,López-de-Uralde-Villanueva I

    更新日期:2020-03-01 00:00:00

  • Long-term bladder drainage: Suprapubic catheter versus other methods: a scoping review.

    abstract:AIMS:The purpose of this scoping review was to examine research activity comparing suprapubic catheterization to any other method of chronic bladder emptying such as intermittent and indwelling catheterization in adults in relation to complications, patient satisfaction, and health-related quality of life (QoL). METHO...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.22356

    authors: Hunter KF,Bharmal A,Moore KN

    更新日期:2013-09-01 00:00:00

  • Age-related changes in bladder function with altered angiotensin II receptor mechanisms in rats.

    abstract:AIMS:To examine alterations in expression of angiotensin II type 1 receptors (AT1R) which induce organ tissue remodeling, angiotensin II type 2 receptors (AT2R) which protect against it, and related molecules in the bladder of matured rats with bladder dysfunction. METHODS:Female SD rats of three different ages were u...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22849

    authors: Mori K,Noguchi M,Tobu S,Sato F,Mimata H,Tyagi P,Chancellor MB,Yoshimura N

    更新日期:2016-11-01 00:00:00

  • Anal incontinence: prevalence among female patients attending a urogynecologic clinic.

    abstract::The present study prospectively surveyed the prevalence of anal incontinence among 283 consecutive female patients attending a urogynecologic outpatient clinic in a maternity hospital. Data concerning bowel habits, laxative use, previous anorectal surgery, and the presence, severity, and frequency of anal incontinence...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1999)18:3<199::aid-nau6>3.

    authors: Gordon D,Groutz A,Goldman G,Avni A,Wolf Y,Lessing JB,David MP

    更新日期:1999-01-01 00:00:00

  • Detrusor underactivity: a plea for new approaches to a common bladder dysfunction.

    abstract:AIMS:Detrusor underactivity (DU) is defined by the International Continence Society as a contraction of reduced strength and/or duration resulting in prolonged or incomplete emptying of the bladder but has yet received only little attention. The purpose of this report is to summarize the ICI-RS meeting in Bristol in 20...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.21097

    authors: van Koeveringe GA,Vahabi B,Andersson KE,Kirschner-Herrmans R,Oelke M

    更新日期:2011-06-01 00:00:00

  • International Continence Society "Benign Prostatic Hyperplasia" Study: background, aims, and methodology.

    abstract::The International Continence Society Benign Prostatic Hyperplasia Study (ICS-BPH) was devised in response to the perceived underutilization of urodynamics in the diagnosis of benign prostatic obstruction (BPO), together with the apparent reliance on symptoms alone when selecting patients for invasive therapies, despit...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:

    authors: Abrams P,Donovan JL,de la Rosette JJ,Schäfer W

    更新日期:1997-01-01 00:00:00

  • Treatment of intrinsic sphincter deficiency using autologous ear chondrocytes as a bulking agent.

    abstract::Intrinsic sphincter deficiency (ISD) is frequently treated with collagen bulking at the bladder neck. The standard material used, Contigen, biodegrades over 3-19 months requiring repeated injections to maintain efficacy. The study objective was to evaluate use of autologous ear chondrocytes for treatment of ISD. Women...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/1520-6777(2001)20:2<157::aid-nau18>3.0.co;

    authors: Bent AE,Tutrone RT,McLennan MT,Lloyd LK,Kennelly MJ,Badlani G

    更新日期:2001-01-01 00:00:00

  • Is a 10-minute surgical scrub necessary in urologic prosthetic surgery? A randomized study of the effect of a 5- vs 10-minute surgical scrub on bacterial colony counts in the genital skin.

    abstract:AIMS:To determine the antiseptic efficacy on bacterial colony counts of a 5- vs 10-minute surgical site scrub in urologic surgery. METHODS:A prospective cohort study was conducted in 101 patients presenting for elective urological procedures. Patients were randomized to a 5- or 10-minute groin scrub with Betadine (pov...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.23945

    authors: Malalasekera A,Louie-Johnsun M,Wang A,van Diepen DC,Gottlieb T,Chan L

    更新日期:2019-03-01 00:00:00

  • Development of novel and non-invasive diagnostic markers for lower urinary tract symptoms using urothelial cells in voided urine.

    abstract:OBJECTIVES:We evaluated the association between lower urinary tract symptoms (LUTS) and the expression of connexin (Cx) and transient receptor potential (TRP) channel on urothelial cells non-invasively collected from voided urine in humans. METHODS:A total of 55 patients (36 males and 19 females, median age: 71 years ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23436

    authors: Shimura H,Mitsui T,Tsuchiya S,Miyamoto T,Ihara T,Kira S,Nakagomi H,Sawada N,Imai Y,Mochizuki T,Takeda M

    更新日期:2018-03-01 00:00:00

  • Terminology, epidemiology, etiology, and pathophysiology of nocturia.

    abstract::Nocturia, awaking from sleep to void, has a negative impact on health and well-being. Nocturia affects men and women and is more prevalent among the elderly. More than two nocturnal voids is considered to be a clinically meaningful threshold associated with significant negative outcomes for health and well-being, and ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.22595

    authors: Van Kerrebroeck P,Andersson KE

    更新日期:2014-04-01 00:00:00

  • Investigating the associations of mucosal P2Y6 receptor expression and urinary ATP and ADP concentrations, with symptoms of overactive bladder.

    abstract:AIM:To characterize purinergic signaling in overactive bladder (OAB). METHODS:Mucosal biopsies were taken by flexible cystoscopy from patients with storage symptoms referred to Urology Departments of collaborating hospitals. Immunohistochemistry (n = 12) and Western blot analysis (n = 28) were used to establish the qu...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24322

    authors: Firouzmand S,Ajori L,Towse J,Allameh F,Najafi S,Javed S,John B,Langley SEM,Fry CH,Young JS

    更新日期:2020-03-01 00:00:00

  • Characterization of urethral fibrosis in a rabbit model: Potential roles of Wnt-β catenin pathway and epithelial to mesenchymal transition.

    abstract:AIM:To elucidate the precise cellular and molecular mechanisms that underlie urethral fibrogenesis. METHODS:Endoluminal electrocautery injury (using Karl Storz 10 Fr. Pediatric urethroscope) was employed in male rabbits (n = 6) to create mucosal injury. Retrograde urethrogram (RUG) and endoluminal ultrasound technique...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.24281

    authors: Tai JW,Yu H,Chilukuri AT,Bhargava R,Deshpande R,Li W,Ongkeko WM,Bhargava V,Rajasekaran MR

    更新日期:2020-02-01 00:00:00

  • Low pressure voiding induced by a novel implantable pudendal nerve stimulator.

    abstract:AIM:To validate the functionality of an implantable pudendal nerve stimulator under development for Food and Drug Administration approval to restore bladder function after spinal cord injury. METHODS:In nine cats under anesthesia, two tripolar cuff electrodes were implanted bilaterally on the pudendal nerves and one b...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23994

    authors: Cai H,Morgan T,Pace N,Shen B,Wang J,Roppolo JR,Horlen K,Khanwilkar P,de Groat WC,Tai C

    更新日期:2019-06-01 00:00:00