A comparative analysis of pediatric uroflowmetry curves.

Abstract:

AIMS:This study was conducted to try to objectify assessment of pediatric uroflowmetry curves. MATERIALS AND METHODS:Nine professionals in pediatric incontinence care judged 480 pediatric uroflows. On a 1-5 scale, where 1 = anomalous and 5 = normal, uroflows were assessed on four items: staccato, interrupted, flow time and obstruction. Eighty uroflows were re-evaluated for intra-observer agreement. After staccato and interrupted flow had been defined more sharply, another 100 uroflows were analyzed. Cohen's Kappa test for nominally classified data was applied to assess agreement. Kappa value of <0.20 denoted poor agreement, 0.21-0.40 fair, 0.41-0.60 moderate, 0.61-0.80 substantial and 0.81-1.0 perfect or almost perfect agreement. A second analysis was done using a 3 point scale, anomalous, intermediate and normal. RESULTS:For interobserver agreement, Kappas were 0.45 for staccato flow, 0.67 for interrupted, 0.59 for flow time, and 0.66 for obstruction. For intra-observer agreement, Kappas were 0.47 for staccato, 0.65 for interrupted, 0.55 for flow time, and 0.65 for obstruction. On a three-point scale, anomalous, intermediate, and normal, interobserver agreement was equal to 0.80 or above. In the second 100 uroflows, the interobserver agreement Kappas were 0.44 for staccato, 0.95 for interrupted, 0.71 for flow time and 0.73 for obstruction. CONCLUSION:Moderate to substantial agreement on uroflowmetry curves can be reached, except for staccato. Agreement increases if staccato and interrupted flows are defined more sharply. Staccato is defined as three or more peaks and troughs of more than the square root of maximal flow without touching 0, whereas interrupted flow needs at least one 0 passage. In a normal, uninterrupted uroflow, flow time is under 15  sec.

journal_name

Neurourol Urodyn

authors

Vijverberg MA,Klijn AJ,Rabenort A,Bransen J,Kok ET,Wingens JP,de Jong TP

doi

10.1002/nau.21152

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

1576-9

issue

8

eissn

0733-2467

issn

1520-6777

journal_volume

30

pub_type

杂志文章
  • Case report: acute urinary retention secondary to Isaacs' syndrome.

    abstract::We report an unusual case of acute urinary retention secondary to Isaacs' syndrome due to external urethral sphincter spasm. The patient was able to resume spontaneous voiding after the treatment of the underlying disease. At 6-month follow-up, there were no voiding complaints. ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1999)18:2<113::aid-nau6>3.

    authors: Tiguert R,Lewis RA,Gheiler EL,Tefilli MV,Gudziak MR

    更新日期:1999-01-01 00:00:00

  • Urinary complications and risk factors in symptomatic multiple sclerosis patients. Study of a cohort of 328 patients.

    abstract:AIMS:Lower urinary tract dysfunctions (LUTD) are very common in Multiple Sclerosis (MS), have a significant social impact, while the organic impact is discussed. We studied urinary complications and their risk factors in our cohort of MS patients, in order to improve the management of LUTD in MS. METHODS:Between 2004 ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22495

    authors: Castel-Lacanal E,Gamé X,Clanet M,Gasq D,De Boissezon X,Guillotreau J,Bourg V,Viala F,Rischmann P,Marque P

    更新日期:2015-01-01 00:00:00

  • A commentary on expectations of healthcare professionals when applying the international continence society standards to basic assessment of lower urinary tract function.

    abstract::The International Continence Society (ICS) has sustained a drive to improve the clinical assessment of lower urinary tract function for many years. Increasingly, healthcare professionals (HCPs) engage with the guidance, and patients benefit from the precision that results when their carers apply a sensible and logical...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23732

    authors: Drake MJ,Abrams P

    更新日期:2018-08-01 00:00:00

  • Urethral pressure increase on effort originates from within the urethra, and continence from musculovaginal closure.

    abstract::The aim of the study was to determine the contribution of intra-abdominal pressure transmission to urinary continence in the female. Five patients with genuine stress incontinence (GSI) were studied. Pressure transmission was measured in equivalent positions inside and outside the urethra and bladder during the Intrav...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.1930140406

    authors: Petros PE,Ulmsten U

    更新日期:1995-01-01 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

  • Nerve growth factor in bladder dysfunction: contributing factor, biomarker, and therapeutic target.

    abstract::In the last two decades, nerve growth factor (NGF), initially described as a prototypical trophic factor in the development of sensory and sympathetic innervation, has emerged as a complex regulator of neural plasticity along the micturition pathways. This review aims to summarize the current experimental and clinical...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.21022

    authors: Ochodnický P,Cruz CD,Yoshimura N,Michel MC

    更新日期:2011-09-01 00:00:00

  • Are patient symptoms predictive of the diagnostic and/or therapeutic value of hydrodistention?

    abstract:INTRODUCTION:Hydrodistention (HD) has been utilized as a diagnostic and therapeutic tool in patients with refractory and diverse pelvic floor symptoms, including bladder pain with or without irritative bladder symptoms such as urinary urgency and urinary frequency. We sought to determine whether we could better define ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20200

    authors: Cole EE,Scarpero HM,Dmochowski RR

    更新日期:2005-01-01 00:00:00

  • Effect of doxazosin on rat urinary bladder function after partial outlet obstruction.

    abstract::Hypoxia induced by partial outlet obstruction is believed to play a major role in both the hypertrophic and degenerative effects of partial outlet obstruction. Doxazosin (dox) is a clinically effective alpha-adrenergic antagonist used in the treatment of symptomatic benign prostatic hyperplasia (BPH). Although the maj...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.10045

    authors: Das AK,Leggett RE,Whitbeck C,Eagen G,Levin RM

    更新日期:2002-01-01 00:00:00

  • The penilo-cavernosus reflex: comparison of different stimulation techniques.

    abstract:AIMS:Although several stimulation techniques are available to elicit sacral reflexes, no comparative data on their utility has been published. The aim of the present study was to determine the most sensitive stimulation technique used for neurophysiologic recording of the penilo-cavernosus reflex. METHODS:Neurophysiol...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20474

    authors: Podnar S

    更新日期:2008-01-01 00:00:00

  • Retrospective clinic and urodynamic study in the neurogenic bladder dysfunction caused by human T cell lymphotrophic virus type 1 associated myelopathy/tropical spastic paraparesis (HAM/TSP).

    abstract:INTRODUCTION:HTLV-I associated tropical spastic paraparesis (TSP) and HTLV-I associated myelopathy (HAM) is an endemic disease in Caribbean Island. Bladder-sphincter dysfunctions are almost present. The objectives of the study are to describe clinic and urodynamic characteristics of voiding disorders in Martiniquan pop...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22952

    authors: Troisgros O,Barnay JL,Darbon-Naghibzadeh F,Olive P,René-Corail P

    更新日期:2017-02-01 00:00:00

  • External urethral sphincter activity in diabetic rats.

    abstract:AIM:To examine the temporal effects of diabetes on the bladder and the external urethral sphincter (EUS) activity in rats. METHODS:Female Sprague-Dawley rats (n = 24) were divided into two groups: streptozotocin-induced diabetic rats and age-matched controls. Cystometrograms (CMGs) were taken under urethane anesthesia...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20543

    authors: Liu G,Lin YH,Yamada Y,Daneshgari F

    更新日期:2008-01-01 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

  • Pelviureteral inhibitory reflex and ureteropelvic excitatory reflex: role of the two reflexes in regulation of urine flow from the renal pelvis to the ureter.

    abstract::The mechanism by which the ureteropelvic junction (UPJ) regulates the passage of urine from the renal pelvis to the ureter, and prevents urinary backflow from the the ureter to the renal pelvis, is not completely understood. The current communication studies this mechanism in 18 dogs. With the dogs under anesthesia, n...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/(sici)1520-6777(1997)16:4<315::aid-nau7>3.

    authors: Shafik A

    更新日期:1997-01-01 00:00:00

  • The vaginal vestibule: assessing the case for an anterior and posterior division.

    abstract::The vaginal vestibule has not been the subject of a dedicated journal article. Recent terminology has suggested its division into anterior and posterior components. The case for this division has not yet been assessed. Both components extend laterally from the hymen to the junction with the labia minora. The posterior...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23064

    authors: Haylen BT,Fischer G,Vu D,Tse K

    更新日期:2017-04-01 00:00:00

  • Use of uroflow parameters in diagnosing an overactive bladder-Back to the drawing board.

    abstract:AIMS:The aim of our study was to analyze whether uroflowmetry parameters are helpful in diagnosing overactive bladder (OAB). The working hypothesis was that the flow curves of patients with OAB symptoms would appear as a sharp peak flow rate with a short duration and high amplitude, lasting only for a short period duri...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22898

    authors: Futyma K,Nowakowski Ł,Bogusiewicz M,Ziętek A,Wieczorek AP,Rechberger T

    更新日期:2017-01-01 00:00:00

  • Comparison of voiding function and nociceptive behavior in two rat models of cystitis induced by cyclophosphamide or acetone.

    abstract:AIMS:Nociceptive behavior and its relationship with bladder dysfunction were investigated in two cystitis models, which were induced by intraperitoneal (i.p.) injection of cyclophosphamide (CYP) or intravesical instillation of acetone, using freely moving, non-catheterized conscious rats. METHODS:Female Sprague-Dawley...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20777

    authors: Saitoh C,Yokoyama H,Chancellor MB,de Groat WC,Yoshimura N

    更新日期:2010-03-01 00:00:00

  • Exploratory factory analysis and predicted probabilities of a Chinese version of Dysfunctional Voiding Symptom Score (DVSS) questionnaire.

    abstract:AIMS:To evaluate the reliability, validity, and predicted probabilities of a Chinese version of the Dysfunctional Voiding Symptom Score (DVSS) and to explore the latent factors underlying dysfunctional voiding. MATERIALS AND METHODS:We enrolled 60 children (38 girls and 22 boys) with a diagnosis of dysfunctional voidi...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22254

    authors: Chang SJ,Chen TH,Su CC,Yang SS

    更新日期:2012-11-01 00:00:00

  • New technology assessment and current and upcoming therapies for underactive bladder.

    abstract:BACKGROUND AND AIMS:Stakeholders from around the world came together to address the unmet needs of underactive bladder (UAB) at the 3rd International Congress for Underactive Bladder. METHODS:The main recommendation from the regulatory working group is a need for a meeting of UAB stakeholders and regulatory agencies i...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23738

    authors: Chancellor MB,Bartolone SN,DeVries EM,Diokno AC,Gibbons M,Jankowski R,Lamb LE,Pruchnic R,Thor K,Dmochowski R

    更新日期:2018-11-01 00:00:00

  • Left-colon antegrade enema (LACE): Long-term experience with the Macedo-Malone approach.

    abstract:AIMS:We evaluated the long-term results with a left antegrade continence enema (LACE) approach: "Macedo-Malone (MM) procedure" to define parameters such as clinical durability of the technique and patients' compliance with the method. METHODS:We reviewed the medical records of all patients that underwent the MM proced...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.22880

    authors: Anselmo CB,do Amaral RD,Oliveira DE,da Cruz ML,Liguori R,Garrone G,Leslie B,Ottoni SL,Ortiz V,Macedo A Jr

    更新日期:2017-01-01 00:00:00

  • Treatment of daytime urinary incontinence: A standardization document from the International Children's Continence Society.

    abstract:PURPOSE:This article is a standardization document of the International Children's Continence Society (ICCS); it represent a consensus of ICCS on the management of pediatric daytime urine incontinence (DUI). MATERIALS AND METHODS:This document was designed and written by a multi-disciplinary core group of authors appo...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.22911

    authors: Chang SJ,Van Laecke E,Bauer SB,von Gontard A,Bagli D,Bower WF,Renson C,Kawauchi A,Yang SS

    更新日期:2017-01-01 00:00:00

  • Continent catheterizable vesicostomy in an adult population: success at high costs.

    abstract:AIMS:To evaluate the long term outcome, to review the complication ratio and to analyze predicting factors of catheterizable continent vesicostomy in an adult population. To deduct a proper patient counseling policy. METHODS:We identified all patients that underwent a continent vesicostomy between 1998 and 2008. We di...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20699

    authors: Van der Aa F,Joniau S,De Baets K,De Ridder D

    更新日期:2009-01-01 00:00:00

  • Surgery for female SUI: The ICI algorithm.

    abstract:INTRODUCTION:Stress urinary incontinence (SUI) is common in women and can significantly impact quality of life. METHODS:This is a review of the 6th International Consultation on Incontinence (ICI) chapter analyzing level of evidence on surgical treatment of SUI as well as the consensus algorithm that resulted from the...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.23879

    authors: Kowalik CG,Dmochowski RR,De EJB

    更新日期:2019-08-01 00:00:00

  • Review of the 6th International Consultation on Incontinence: Primary prevention of urinary incontinence.

    abstract:AIMS:To report the state of the science on primary prevention of urinary incontinence (UI) in adults from the 6th International Consultation on Incontinence with an update through January 2019. METHODS:Online databases PubMed, CINAHL, PsycInfo, and Medline were searched in March 2016 and February 2019 with a focus on ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,评审

    doi:10.1002/nau.24222

    authors: Palmer MH,Cockerell R,Griebling TL,Rantell A,van Houten P,Newman DK

    更新日期:2020-01-01 00:00:00

  • What if there were no tapes?

    abstract::It is possible that the controversy involving prostheses implanted into women with pelvic floor problems might result in the majority of, or even all such products being restricted, banned or withdrawn in certain jurisdictions. A clear distinction between "tapes" for urinary incontinence and "mesh" for prolapse has be...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23741

    authors: Haylen BT,Lee JKS,Sivagnanam V,Cross A

    更新日期:2018-08-01 00:00:00

  • Assessing bladder capacity in children: is it feasible at all?

    abstract:AIM:The aim of the study was to assess correlations between body parameters and bladder capacity in healthy schoolboys and schoolgirls. On the basis of those anthropometric data functional bladder capacity (FBC) in children was estimated. MATERIALS AND METHODS:The questionnaires were sent to 1,055 parents of children ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20123

    authors: Chrzan R,Czernik J,Apoznański W,Bagłaj M,Patkowski D

    更新日期:2006-01-01 00:00:00

  • Effect of severity of urinary incontinence on quality of life in women.

    abstract:AIMS:While the effect of different types of incontinence on the quality of life (QoL) has been clearly documented, the information about the impact of incontinence severity on QoL in women is lacking. Therefore, we investigated whether increasingly severe degrees of incontinence were linearly correlated with poorer QoL...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.23568

    authors: Krhut J,Gärtner M,Mokris J,Horcicka L,Svabik K,Zachoval R,Martan A,Zvara P

    更新日期:2018-08-01 00:00:00

  • Effect of partial urethral obstruction on force development of the guinea pig bladder.

    abstract::We created gradual partial urethral obstruction in 20 guinea pigs using silver jeweler's jump rings. After 4 or 8 weeks obstruction all animals underwent cystometry and were assigned to one of five urodynamic categories: normal, high pressure voiding, unstable, low compliance, or decompensated. After sacrifice, the co...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.1930120607

    authors: van Koeveringe GA,Mostwin JL,van Mastrigt R,van Koeveringe BJ

    更新日期:1993-01-01 00:00:00

  • Personal goals and expectations of OAB patients in the UK.

    abstract:INTRODUCTION:In clinical practice and in research patient-centred outcomes are often utilised to help improve communication between patients and clinicians and to help manage expectations from treatment. However, many of these goals are generic and do not adequately capture the details of day to day life that bother pa...

    journal_title:Neurourology and urodynamics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/nau.23094

    authors: Rantell A,Cardozo L,Khullar V

    更新日期:2017-04-01 00:00:00

  • Do women have realistic expectations of treatment for stress urinary incontinence?

    abstract:AIMS:Our objective was to determine what women find acceptable regarding treatment and outcomes for treatment of stress urinary incontinence (SUI), and correlate this to age, distress and quality of life (QOL). MATERIALS AND METHODS:This prospective cross-sectional IRB-approved study evaluated women with primary SUI. ...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章

    doi:10.1002/nau.20570

    authors: Langford CF,Elmissiry MM,Ghoniem GM

    更新日期:2008-01-01 00:00:00

  • Long-term treatment of older patients with overactive bladder using a combination of mirabegron and solifenacin: a prespecified analysis from the randomized, phase III SYNERGY II study.

    abstract:AIMS:SYNERGY II was a 12-month phase III trial in patients with overactive bladder (OAB) symptoms that investigated the safety and efficacy of the combination of mirabegron and solifenacin in comparison with each monotherapy. This analysis evaluated the trial findings using four age subgroups (<65, ≥65, <75, and ≥75 ye...

    journal_title:Neurourology and urodynamics

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/nau.23919

    authors: Mueller ER,van Maanen R,Chapple C,Abrams P,Herschorn S,Robinson D,Stoelzel M,Yoon SJ,Al-Shukri S,Rechberger T,Gratzke C

    更新日期:2019-02-01 00:00:00