Abstract:
AIMS:To evaluate whether bladder outlet obstruction index (BOOI), a mathematical index of outlet resistance, in association with maximal flow rate (Qmax) obtained during multichannel urodynamics (UDS) or detrusor pressure at maximal flow rate (PdetQmax) could help the identification of obstruction in women. METHODS:From January 2004 to February 2005, 401 women were assessed in our urodynamic unit. Of these, 133 were neurologically intact women, referred symptoms suggestive of voiding disorders and had an abnormal non-intubated uroflussometry (NIF) (BOO group). A normal NIF was defined as a bell-shaped curve in presence of a Qmax >15 ml/sec and a PVR <50 ml. Symptoms of voiding disorders were ascertained by interview and rated positive if they occurred more than occasionally. Thirty-seven women were enrolled as unobstructed if they presented a normal NIF and symptoms suggestive of voiding disorders less than occasionally (unobstructed group). RESULTS:ROC curve demonstrated similar diagnostic accuracy in the diagnosis of urodynamic obstruction for Qmax obtained during UDS (AUC = 0.908; P < 0.0001; CI99% = 0.831 to 0.985) and BOOI (AUC = 0.879; P < 0.0001; CI99% = 0.794 to 0.918) and the least was seen for PdetQmax (AUC = 0.706; P = 0.001; CI99% = 0.620 to 0.830). A Qmax obtained during UDS cut-off < or =15 ml/sec provides specificity of 85.9% and sensitivity of 78.9%. A BOOI cut-off > or = -8 provides a sensitivity of 80.8% and specificity of 86.1%. The weakest sensitivity (64.2%) and specificity (64.6%) was recorded for PdetQmax > or =28 cmH(2)O. CONCLUSIONS:BOOI and Qmax obtained during UDS appears to be the most discriminating urodynamic parameters of female BOO. The use of these cutoff might facilitate the identification of women with functional and anatomical obstruction.
journal_name
Neurourol Urodynjournal_title
Neurourology and urodynamicsauthors
Gravina GL,Costa AM,Ronchi P,Galatioto GP,Luana G,Vicentini Cdoi
10.1002/nau.20375subject
Has Abstractpub_date
2007-01-01 00:00:00pages
247-53issue
2eissn
0733-2467issn
1520-6777journal_volume
26pub_type
杂志文章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
更新日期:2017-04-01 00:00:00
abstract:AIMS:To evaluate whether the treatment based on urodynamics (UDS) leads to better treatment response compared to where the treatment is based on symptoms alone. STUDY DESIGN, MATERIALS AND METHODS:All patients referred with lower urinary tract symptoms (LUTS) were offered the opportunity to participate in this patient...
journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
pub_type: 临床试验,杂志文章
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
pub_type: 杂志文章
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journal_title:Neurourology and urodynamics
pub_type: 杂志文章
doi:10.1002/nau.20312
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pub_type: 杂志文章
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journal_title:Neurourology and urodynamics
pub_type: 杂志文章,随机对照试验
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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journal_title:Neurourology and urodynamics
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