Modification of the test "pressure-flow" for evaluation ofdetruzor contractility in the absence of urination


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Abstract

The aim of the study was design and validation of the test for examination
of detrusor contractility in the absence of urination. The
method consists in registration of detrusor pressure in maximal speed
of urinary flow in the course of artificial urination using Foley's catheter.
Urethral resistance was modeled by raising drainage up to 40 cm
above the level of the symphysis which was adjusted and found optimal
in 48 of 179 examinees. The method allowed to select patients
with infravesical obstruction (IVO) and normal detrusor contractility
(n = 36) as well as patients with hypocontractility without IVO (n =12).
The test "pressure-flow" in artificial urination evaluates detrusor
contractility in patients unable to urinate. The test distinquishes patients
with normal detrusor contractility and those with different degree
of its impairment. This is important in assessment and prognosis
of deficient urination.

References

  1. Chatelian Ch., Denis L., Foo J. K. et al. Evaluation and Treatment of Lower Urinary Tract Symptoms (LUTS) in Older Men. In: 5-th International consultation on BPH recommendations of the International Scientific Committee. Paris: Hlth Publication; 2001.
  2. Jacobsen S. J., Jacobson D. J., Girman С. I. et al. Natural history о prostatism: risk factors for acute urinary retention. J. Urol. (Baltimore) 1997; 158: 481-487.
  3. Djavan В., Madersbacher S., Klingler H. C., Marberger M. Urodynamic assessment of patients with acute uinary retention: Is treatment failure after prostatectomy predictable? J. Urol. (Baltimore) 1997; 158: 1829-1833.
  4. Reynard J. M., Shearer R. J. Failure to void after transurethral resection of the prostate and mode of presentation. Urology 1999; 53: 336-339.
  5. Neal D. E. The National prostatectomy audit. Br. J. Urol. 1997; 79 (suppl. 2): 69-75.
  6. Mebust W. K., fioltgrewe H. L., Cockett A. Т. К. etal. Transurethral prostatecnomy: immediate and post operative complications. A cooperative study of 13 participating institution evaluating 3885 patients. J. Urol. (Baltimore) 1989; 141: 243-247.
  7. Sullivan M. P., DuBeau С. Е., Resnick N. M. et al. Continuous occlusion test to determine detrusor contractile performance. J. Urol. (Baltimore) 1995; 154 (5): 1834-1840.
  8. Makar A. A., Thomas P. J., Fletcher M. S., Harrison N. W. Transballoon cystometry: a new technique to assess detrusor function after urinary retention. Br. J. Urol. 1998; 82 (1): 21 - 24.
  9. Susset J. G. Effect of aging and prostatic obstruction on detrusor morphology and function. In: Benign prostatic hypertrophy. New York: Springer-Verlag; 1983.
  10. Blaivas J. G. Synchronous multichannel videourodynamic studies. In: Resnick M. I., Spirnak P. S.,eds. Topics in clinical urology. New diagnostic tests. New York; Tokyo: IGAKU-SHOIN; 1995.
  11. Abrams P., Feneley R., Torrens M. Urodynamics. Berlin: Springer-Verlag; 1983. Chapt. 3.
  12. Abrams P., Cardozo L., Fall M. et al. Standardisation of terminology of lower urinary tract function. Neurourol. Urodynam. 2002; 21: 167-178.
  13. Адамов В. И. Дифференциальная диагностика недостаточности мочеиспускания: Автореф. дис. ... канд. мед. наук. Ташкент; 1989.
  14. Abrams P., Blaivas J., Stanton S., Andersen J. Standardisation of terminology of lower urinary tract function. Neurourol. Urodynam. 1988; 7: 403-427.
  15. Abrams P. Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. Br. J. Urol. 1999; 84 (1): 14-15.
  16. Griffits D. J. The bladder. In: Urodynamics, the mechanics and hydrodynamics of the lower urinary tract. Bristol: Adam Hilger; 1980.
  17. Пытель Ю. А., Борисов В. В., Симонов В. А. Физиология человека. Мочевые пути. М.: Высшая школа; 1992.
  18. Griffiths D. F. Hydrodynamics and mechanics of the bladder and urethra. In: Urodynamics. Principles, practice and application. 2-nd ed. Edinburgh: Churchill Livingstone; 1994.
  19. Elbadawi A. Voiding dysfunction in benign prostatic hyperplasia: trends, controversies and recent revelations. I. Symptoms and urodynamics. Urology 1998; 51 (suppl. 5A): 62-72.

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