Urodynamic diagnosis of bladderoutlet obstruction in men

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The analysis of the results of pressure flow studies results performed by 39 men with lower urinary tract symptoms. Using Abrams–Griffiths index in the results interpretation allowed to estimate the presence or absence of bladder outlet obstruction in 21 patients (53.8 %) patients, whereas in 18 (46.2 %) it was not possible. Including the amendment (K) in the traditional formula for the nonlinear relation between detrusor pressure and urinary flow rate, which is calculated with the formula K = 58,7 – 0,00554'(Qmax)3, was reduced the number of patients in the “uncertainty zone” to 7 (18 %).

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About the authors

Igor Valentinovich Kuzmin

St.-Petersburg State I. P. Pavlov Medical University

Email: kuzminigor@mail.ru
doctor of medical science, professor. Department of Urology

Adel Salmanovich Al-Shukri

St.-Petersburg State I. P. Pavlov Medical University

Email: al-shukri@mail.ru
doctor of medical science, professor. Department of Urology

Refat Eldarovich Amdiy

St.-Petersburg State I. P. Pavlov Medical University

Email: R.E.Amdiy@mail.ru
doctor of medical science, associate professor. Department of Urology

Timur Georgievich Giorgobiani

St.-Petersburg State I. P. Pavlov Medical University

urologist. Department of Urology


  1. Аль-Шукри С. Х., Амдий Р. Э., Кузьмин И. В., Дарагма Г. И. Нарушение сократимости детрузора у больных доброкачественной гиперплазией предстательной железы // Нефрология. — 2010. — Т. 14, № 3. — С. 52–57.
  2. Machino R., Kakiizaki H., Ameda K. et al. Detrusor instability with equivocal obstruction: a predictor of unfavorable symptomatic outcomes after transurethral prostatectomy // Neurourol. Urodyn. 2002. — Vol. 21, N 5. — P. 444–449.
  3. Rischmann P. Urodynamics prior to prostatectomy // Eur. Urol. 2004. — Vol. 45, N 5. — P. 561–563.
  4. Аль-Шукри С. Х., Амдий Р. Э. Значение комбинированного уродинамического обследования больных с неудовлетворительными результатами оперативного лечения аденомы предстательной железы // Урология. — 2006. — № 4. — С. 11–13.
  5. Thomas A. W., Cannon A., Bartlett E. et al. The natural history of lower urinary tract dysfunction in men: the influence of detrusor underactivity on the outcome after transurethral resection of the prostate with a minimum 10-year urodynamic follow-up // BJU Int. 2004. — Vol. 93, N 6. — P. 745–750.
  6. Аль-Шукри C. Х., Kузьмин И. В. Амдий Р. Э. Клиническая эффективность комплексного лечения больных с нестабильностью детрузора // Урология. — 2001. — № 5. — С. 26–29.
  7. Ou R., Pan C., Chen H. et al. Urodynamically diagnosed detrusor hypocontractility: should transurethral resection of the prostate be contraindicated? // Int. Urol. Nephrol. — 2012. — Vol. 44, N 1. — P. 35–39
  8. Аль-Шукри С. Х., Амдий Р. Э. Связь между уродинамическими показателями и функцией почек у больных доброкачественной гиперплазий предстательной железы // Урологические ведомости. — 2012. — Т. 2, № 1. — С. 12–16.
  9. Porru D., Jallous H., Cavalli V. et al. Prognostic value of a combination of IPSS, flow rate and residual urine volume compared to pressure-flow studies in the preoperative evaluation of symptomatic BPH // Eur. Urol. — 2002. — Vol. 41, N 3. — P. 246–249.
  10. Аль-Шукри С. Х., Амдий Р. Э. Диагностика инфравезикальной обструкции у больных аденомой предстательной железы // Урология. — 2006. — № 2. — С. 41–45.
  11. Abrams P. H., Griffiths D. J. The assessment of prostatic obstruction from urodynamic measurements and from residual urine // Br. J. Urol. — 1979. — Vol.51. — P.129–134.
  12. Shafer W. Basic principles and clinical application of advanced analysis of bladder voiding function // Urol. Clin. North Am. — 1990. — Vol. 17, N 2. — P. 553–566.
  13. Abrams P., Cardozo L., Fall M. et al. The standardisation of terminology in lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society // Neurourol. Urodynam. — 2002. — Vol. 21, N 2. — P. 167–178.
  14. Schafer W., Abrams P., Liao L. et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies // Neurourol. Urodyn. — 2002. — Vol. 21, N 1. — P. 261–267.

Copyright (c) 2013 Kuzmin I.V., Al-Shukri A.S., Amdiy R.E., Giorgobiani T.G.

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