Outpatient urodynamic monitoring in patients with BPH: world and russian experience


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Abstract

Outpatient urodynamic monitoring (AUM) - registration of the patient’s urination parameters for a certain time (for example, during the day), which is carried out in natural conditions for him. Monitoring allows you to identify hidden or periodically occurring (circadian) changes, which are not always possible to record with a single study. The research was searched in the PubMed and Elibrary.ru databases using the keywords «home uroflowmetry», «outpatient urodynamic examination», «outpatient urodynamic monitoring», «outpatient uroflowmetric monitoring». The difficulties in performing AUM lie not only in the hardware (the presence of a portable device, minimally invasive or non-invasive research, software that guarantees the storage and transmission of data), but also the difficulties associated with teaching patients and overcoming conservatism on the part of medical personnel. Today, there are several urodynamic devices and uroflowmeters designed for research at home. Outpatient (home) urodynamic monitoring is one of the most promising studies for implementation in everyday clinical practice in the provision of medical care to patients with urination disorders on the background of benign prostatic hyperplasia. The integration of home uroflowmetric monitoring into the eHealth system, of course, remains an inevitable trend in the development of modern healthcare.

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About the authors

I. A Shaderkin

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: info@uroweb.ru
PhD, Head of the Laboratory of Electronic Health, Institute of Digital Medicine Moscow, Russia

G. S Lebedev

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: geramail@rambler.ru
MD, PhD, professor, Head of the Department of Information and Internet Technologies at Sechenov University; Head of the Department of Innovative Development and Scientific Design of the Central Research Institute of Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation Moscow, Russia

V. A Shaderkina

Urological information portal UroWeb.ru

Email: viktoriashade@uroweb.ru
Scientific editor Moscow, Russia

D. M Monakov

City Clinical Hospital. S.P. Botkin

Email: gvkg-monakov@mail.ru
PhD, urologist Moscow, Russia

L. G Spivak

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: leonid.spivak@gmail.com
Doctor of Medical Sciences, Professor of the Institute of Urology and Human Reproductive Health of the Federal State Autonomous Educational Institution of Higher Education «First Moscow State Medical University named after them. Sechenov» Ministry of Health of Russia (Sechenov University) Moscow, Russia

Z. K Gadzhieva

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: zgadzhieva@ooorou.ru
Doctor of Medical Sciences, Head of the Department for Analysis of Personnel politics, Educational Programs and Scientific Research National Medical Research Center (NMRC) on the profile «urology» I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), scientific editor of the journal «Urology», assistant to the chairman of the Russian Society of Urologists for work with regions Moscow, Russia

M. A Gazimiev

I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)

Email: gazimiev@yandex.ru
Doctor of Medical Sciences, Professor, Deputy Director of the Institute of Urology and Human Reproductive Health, Director of the National Medical Research Center (NMRC) on the profile «urology» of the I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Deputy Chairman and Executive Director of the Russian Society of Urologists (ROU) Moscow, Russia

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