Abstract
Urodynamics conventionally refers to cystometry, in which abdominal and bladder pressure are synchronously measured, allowing concurrent calculation of the detrusor pressure. Pressure is measured during bladder filling and voiding to identify any key problems during urine storage or bladder emptying. Invasive testing is only undertaken in people who have had conservative management and are likely to proceed subsequently to surgical intervention. Urodynamic tests must be undertaken according to International Continence Society standards. Crucially, the symptoms should be reproduced, and if they are not, the report should state this clearly. Modifications of the test allow synchronous imaging (videourodynamics), ambulatory testing and additional tests of urethral function.
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References
Wyndaele JJ, De Wachter S. Cystometrical sensory data from a normal population: comparison of two groups of young healthy volunteers examined with 5 years interval. Eur Urol. 2002;42(1):34–8.
Schafer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21(3):261–74.
Gammie A, Drake M, Swithinbank L, Abrams P. Absolute versus relative pressure. Neurourol Urodyn. 2009;28(5):468.
Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Neurourol Urodyn. 2002;21(2):167–78.
Abrams PH, Griffiths DJ. The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol. 1979;51(2):129–34.
Akikwala TV, Fleischman N, Nitti VW. Comparison of diagnostic criteria for female bladder outlet obstruction. J Urol. 2006;176(5):2093–7.
Abrams P. Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU Int. 1999;84(1):14–5.
Hogan S, Gammie A, Abrams P. Urodynamic features and artefacts. Neurourol Urodyn. 2012;31(7):1104–17.
Brown M, Wickham JEA. The urethral pressure profile. Br J Urol. 1969;41:211–7.
Kapoor D, White P, Housami F, Swithinbank L, Drake MJ. Maximum urethral closure pressure in women: normative data and evaluation as a diagnostic test. Int Urogynecol J. 2012;23:1613–8.
Heslington K, Hilton P. Ambulatory monitoring and conventional cystometry in asymptomatic female volunteers. Br J Obstet Gynaecol. 1996;103(5):434–41.
Swithinbank LV, James M, Shepherd A, Abrams P. Role of ambulatory urodynamic monitoring in clinical urological practice. Neurourol Urodyn. 1999;18(3):215–22.
Harding CK, Robson W, Drinnan MJ, Griffiths CJ, Ramsden PD, Pickard RS. An automated penile compression release maneuver as a noninvasive test for diagnosis of bladder outlet obstruction. J Urol. 2004;172(6 Pt 1):2312–5.
Griffiths CJ, Harding C, Blake C, McIntosh S, Drinnan MJ, Robson WA, et al. A nomogram to classify men with lower urinary tract symptoms using urine flow and noninvasive measurement of bladder pressure. J Urol. 2005;174(4 Pt 1):1323–6. discussion 1326; author reply 1326.
Harding C, Robson W, Drinnan M, Sajeel M, Ramsden P, Griffiths C, et al. Predicting the outcome of prostatectomy using noninvasive bladder pressure and urine flow measurements. Eur Urol. 2007;52(1):186–92.
Parsons BA, Bright E, Shaban AM, Whitehouse A, Drake MJ. The role of invasive and non-invasive urodynamics in male voiding lower urinary tract symptoms. World J Urol. 2011;29(2):191–7.
Al-Hayek S, Belal M, Abrams P. Does the patient’s position influence the detection of detrusor overactivity? Neurourol Urodyn. 2008;27(4):279–86.
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Drake, M.J. (2014). Urodynamics. In: Wein, A., Andersson, KE., Drake, M., Dmochowski, R. (eds) Bladder Dysfunction in the Adult. Current Clinical Urology. Humana Press, New York, NY. https://doi.org/10.1007/978-1-4939-0853-0_9
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DOI: https://doi.org/10.1007/978-1-4939-0853-0_9
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