scholarly journals In women with incontinence, the need for pressure-flow study before surgery and abnormalities in the voiding phase. An up-to-date comment on the available problem accompanied by literature

2021 ◽  
Vol 93 (4) ◽  
pp. 441-444
Author(s):  
Kutluhan Erdem ◽  
Alper Coskun ◽  
Fatih Üstün ◽  
Fatih Tarhan
Keyword(s):  
Urinary Incontinence ◽  
Clinical Decision ◽  
Pressure Flow ◽  
International Consultation ◽  
Significant Difference ◽  
Pressure Flow Studies ◽  
Pressure Flow Study ◽  
Questionnaire Form ◽  
Patient’S History ◽  
The Relationship

Objective: To investigate the differences between urodynamic findings and history in women with urinary incontinence before surgery and clarify the need for preoperative pressure-flow studies. Materials and methods: The medical records of 1018 women who underwent urodynamic examination for urinary incontinence between 2010 and 2015 were evaluated retrospectively. Stress (n = 442), urge (n = 334) and mixed (n = 242) were classified as type urinary incontinence according to urodynamics. The voiding phase findings of the patients were examined. Results: The mean age of the patients was 47.85 ± 0.27 years. 18.4% of patients (n = 187) had voiding phase problems. Furthermore, this condition was seen in the most urge incontinence type urinary incontinence (35%). There was a statistically significant difference between the groups' voiding phase findings (p < 0.0001). The relationship between the patient's history and international consultation on incontinence questionnaire form scoring (ICIQ) and the urodynamics results showed no excellent correlation. Conclusions: Voiding phase abnormalities are not uncommon in patients with urinary incontinence. They should be considered in the evaluation of patients. Voiding phase findings may show significant differences between urodynamic data and history. Besides, the data obtained with the questionnaire forms were significantly different from the findings obtained by urodynamics. Consequently, urodynamics may change pre-operative clinical decision.

4971Blood viscosity and its relevance to the diagnosis and management of pulmonary hypertension: a new elephant in the cathlab

2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
A Kempny ◽  
K Dimopoulos ◽  
A E Fraisse ◽  
G P Diller ◽  
L C Price ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Cardiac Catheterization ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Pulmonary Vasculature ◽  
Pulmonary Vascular Disease ◽  
Significant Difference ◽  
The Difference ◽  
Clinically Significant ◽  
The Relationship

Abstract Background Pulmonary vascular resistance (PVR) is an essential parameter assessed during cardiac catheterization. It is used to confirm pulmonary vascular disease, to assess response to targeted pulmonary hypertension (PH) therapy and to determine the possibility of surgery, such as closure of intra-cardiac shunt or transplantation. While PVR is believed to mainly reflect the properties of the pulmonary vasculature, it is also related to blood viscosity (BV). Objectives We aimed to assess the relationship between measured (mPVR) and viscosity-corrected PVR (cPVR) and its impact on clinical decision-making. Methods We assessed consecutive PH patients undergoing cardiac catheterization. BV was assessed using the Hutton method. Results We included 465 patients (56.6% female, median age 63y). The difference between mPVR and cPVR was highest in patients with abnormal Hb levels (anemic patients: 5.6 [3.4–8.0] vs 7.8Wood Units (WU) [5.1–11.9], P<0.001; patients with raised Hb: 10.8 [6.9–15.4] vs. 7.6WU [4.6–10.8], P<0.001, respectively). Overall, 33.3% patients had a clinically significant (>2.0WU) difference between mPVR and cPVR, and this was more pronounced in those with anemia (52.9%) or raised Hb (77.6%). In patients in the upper quartile for this difference, mPVR and cPVR differed by 4.0WU [3.4–5.2]. Adjustment of PVR required Conclusions We report, herewith, a clinically significant difference between mPVR and cPVR in a third of contemporary patients assessed for PH. This difference is most pronounced in patients with anemia, in whom mPVR significantly underestimates PVR, whereas in most patients with raised Hb, mPVR overestimates it. Our data suggest that routine adjustment for BV is necessary.

scholarly journals The Role of Urodynamic Investigations in Management of Stress Urinary Incontinence

2015 ◽  
Vol 61 (4) ◽  
pp. 298-302
Author(s):  
Veronica Maria Ghirca ◽  
D Porav-Hodade ◽  
C Chibelean ◽  
S Voidazan ◽  
M Vartolomei ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Surgical Treatment ◽  
Stress Urinary Incontinence ◽  
Abdominal Pressure ◽  
Detrusor Contraction ◽  
Pressure Flow ◽  
Detrusor Contractility ◽  
Urodynamic Investigations ◽  
Pressure Flow Study ◽  
Flow Study

AbstractObjective: The aim of this study is to establish the importance of urodynamic investigations in women diagnosed with stress urinary incontinence (SUI) who have indication of surgical treatment.Methods: We performed a retrospective study over a period of 3 years (January 2012-December 2014) in Clinic of Urology from Tirgu Mures. The inclusion criteria were: female patients diagnosed with SUI having indication of surgical treatment and the existence of urodynamic investigations (uroflowmetry and pressure-flow study). We evaluated 118 patients with SUI. From this patients, 24 cases (20.3%) accomplished the criteria from above.Results: We included in this study 24 patients aged 64.25+/−8.25 (standard deviation). Pressure-flow study revealed an impaired detrusor contraction in 13 cases. Statistical anaysis pouved a relation between existence of post void residual urine (PVR) and underactive detrusor (UD) (p=0.01). There is no correlation between maximum flow rate (Qmax) and UD, r=0.18 (CI= −0.2-0.5), p=0.3 and between normal value of Qmax and normal detrusor pressure (Pdet), r= 0,28(CI=−0.6-0.8), p=0.58. Also there is no relation between a low Qmax and UD, p=0,5. There is a statistical relation between increased abdominal pressure (Pabd) and UD, p=0.02.Conclusions: Uroflowmetry has the role to guide us concerning the micturition process Pressure-flow study is indicated in management of SUI, in selected cases, in patients with voiding symptomatology, the suspicion of a detrusor contractility dysfunction, abnormal uroflowmetry results, existence of PVR, in prediction of the surgical treatment outcome or if we think that the findings can change the choice of treatment.

Clinical and Functional Assessment of Dysautonomia and Its Correlation in Alzheimer’s Disease

2012 ◽  
Vol 27 (8) ◽  
pp. 592-599 ◽  
Author(s):  
Beata Zakrzewska-Pniewska ◽  
Malgorzata Gawel ◽  
Elzbieta Szmidt-Salkowska ◽  
Katarzyna Kepczynska ◽  
Monika Nojszewska
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Urinary Incontinence ◽  
Orthostatic Hypotension ◽  
Functional Assessment ◽  
Sympathetic Skin Response ◽  
Test Results ◽  
Significant Difference ◽  
Skin Response ◽  
The Relationship

The aims were to assess dysautonomia in Alzheimer’s Disease (AD), clinically and electrophysiologically, using sympathetic skin response (SSR) test and R-R interval variation (RRIV) test and to analyze the relationship between symptoms of dysautonomia and SSR/RRIV results. A tota of 54 patients with AD and 37 controls were evaluated using Autonomic Symptoms Questionnaire and SSR/RRIV test. Clinical dysautonomia was observed in 66% of patients (eg, orthostatic hypotension in 34.5%, constipation in 17.2%, urinary incontinence in 13.8%). The SSR test was abnormal in 26%, but the RRIV test was abnormal in 97.7% of cases; there was significant difference in RRIV test results between AD and controls (R mean 8.05% and 14.6%, respectively). In AD, clinical dysautonomia occurs at a various degree, and the abnormal SSR and RRIV test results were not always related to the presence of clinical dysautonomia; this observation points that the tests could be used as a useful tool in the assessment of subclinical dysautonomia.

scholarly journals Compression or obstruction: Prospective analysis of the function of the adjustable transobturator male system (ATOMS) based on pre- and postoperative urodynamic data

2021 ◽  
Vol 16 (5) ◽  
Author(s):  
Fabian Queissert ◽  
Benedict Bruecher ◽  
Sonia Ruiz ◽  
Miguel Virseda-Chamorro ◽  
Andres J. Schrader ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Urinary Tract ◽  
Lower Urinary Tract ◽  
Short Form ◽  
Flow Analysis ◽  
Outlet Obstruction ◽  
Rank Test ◽  
Pressure Flow ◽  
International Consultation ◽  
Lower Urinary

Introduction: This analysis, based on pre- and postoperative urodynamic data, is the first to elucidate the influence of the adjustable transobturator male system (ATOMS, A.M.I. GmbH, Feldkirch, Austria) on the lower urinary tract and disclose possible obstructive properties. Methods: A prospective study was performed in patients who had stress urinary incontinence and were scheduled for ATOMS implantation after radical prostatectomy. Apart from continence assessment (24-hour pad test, International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form [ICIQ-SF]), urodynamic testing was done with International Continence Society (ICS)-standardized pressure-flow analysis before and after ATOMS implantation/adjustment. The Wilcoxon signed-rank test was used for statistical analysis. Results: The analysis included 12 consecutive patients from two centers (mean 69 years) with a mean followup of 246 days. Median urine leakage dropped from 240 (72–1250) to 70 (0–700) g/24 hours postoperatively, with a pad reduction of 4 to 0.9 pads/day. Pressure-flow analysis revealed a significant change only in the bladder outlet obstruction index (BOOI). The bladder contractility index, intravesical pressure conditions, and uroflowmetry were not significantly affected. None of the patients showed de novo obstruction postoperatively in the ICS analysis. Conclusions: The ATOMS significantly increases the BOOI in conjunction with good continence results. However, no case reached pathological level according to the BOOI and thus there is no potential danger to the lower urinary tract or urethral integrity.

Reproducibility of same session repeated cystometry and pressure-flow studies in women with symptoms of urinary incontinence

2009 ◽  
Vol 29 (3) ◽  
pp. 428-431 ◽  
Author(s):  
Suzan R. Broekhuis ◽  
Kirsten B. Kluivers ◽  
Jan C.M. Hendriks ◽  
Elske T. Massolt ◽  
Jan Groen ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pressure Flow ◽  
Pressure Flow Studies

The Relationship Between Pressure Flow Studies and Furosemide Urography in Hydronephrosis

1987 ◽  
Vol 21 (2) ◽  
pp. 89-92 ◽  
Author(s):  
J. C. Djurhuus ◽  
J. B. Nielsen ◽  
E. U. Poulsen ◽  
P. S. Jørgensen
Keyword(s):  
Pressure Flow ◽  
Pressure Flow Studies ◽  
The Relationship

What is the relationship between free flow and pressure flow studies in women?

2012 ◽  
Vol 24 (3) ◽  
pp. 447-452 ◽  
Author(s):  
Jonathan Duckett ◽  
Katherine Cheema ◽  
Avanti Patil ◽  
Maya Basu ◽  
Sian Beale ◽  
...  
Keyword(s):  
Free Flow ◽  
Pressure Flow ◽  
Pressure Flow Studies ◽  
The Relationship

scholarly journals The Relation Between BMI and Polypharmacy with Urinary Incontinence in Diabetic Geriatric Patients

2021 ◽  
Author(s):  
Gulçin Şahingöz Erdal ◽  
Feyzi Sİnan Erdal
Keyword(s):  
Urinary Incontinence ◽  
Geriatric Patients ◽  
Short Form ◽  
Depressive Mood ◽  
Multiple Drug ◽  
Exclusion Criteria ◽  
International Consultation ◽  
And Gender ◽  
The Relationship

Objective: In our study, we aimed to examine the effects of body mass index (BMI) and multiple drug use on urinary incontinence (UI) in diabetic geriatric patients. Materials and Methods: Our study included 246 type 2 diabetes mellitus patients aged 65 and over who applied to our outpatient clinic between October and December 2019 and remained after the exclusion criteria were applied. The relationship between the frequency of UI and age, diabetes age, HbA1c, BMI, number of drugs and gender was investigated. UI described as any involuntary incontinence complaint. The questionnaire contained socio-demographic questions and the International Consultation on Incontinence Modular Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF). Results: Most (82.2%) of the patients with UI were women. Diabetes age and HbA1c level did not differ significantly between those with and without UI. There was a statistically significant relationship between BMI and the number of drugs used with the indication of UI (Mann-Whitney U; p <0.05). Incontinence was more common in those with high BMI (average BMI 30.27 kg/m2 ). While 47.7% of those with UI were obese patients. The number of drugs used was found significantly higher in those patients with UI (p=0.008). Conclusion: UI causes social isolation, depressive mood and introversion. In our study, we found that obesity and polypharmacy are associated with incontinence and triggered urinary incontinence. This indicates that UI is a problem that needs to be questioned and focused on in this patient population.

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