Urodynamic investigation is a functional assessment of the lower urinary tract, which is performed to provide an objective pathophysiologic explanation of urinary tract dysfunction symptoms. Urodynamic studies comprise a series of tests, and the information provided by these tests is useful in establishing the etiology of the dysfunction and selecting the most appropriate intervention. The appropriate test should be selected and performed in an attempt to answer a specific question regarding the function to be evaluated. Urodynamic evaluation is an integral part of the evaluation of patients with voiding dysfunction. Before urodynamic investigation, a medical history, physical examination, and voiding diary should be completed. This information is necessary to select the appropriate studies and anticipate which events might occur during the urodynamic investigation.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology of lower urinary tract function: report from the Standardization Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167–178.
Drach G, Ignatoff J,Layton T. Peak urinary flow rate: observations in female subjects and comparison to male subjects. J Urol 1979;122: 215–219.
Abrams P, Torrens M. Urine flow studies. Urol Clin North Am 1979;6(1):71–79.
Jorgensen J, Jensen K. Uroflowmetry. Urol Clin North Am 1996;23: 237–242.
Thorup Andersen J, Jacobsen O, Gammelgaard PA, Hald T. Dysfunction of the bladder neck: a urodynamic study. Urol Int 1976; 31:78–86.
Abrams P, Khoury S, Wein A (eds.). Paris: Health Publication, 2004:317–372.
Webb R, Griffiths C, Ramsden P, Neal DE. Measurement of voiding pressures on ambulatory monitoring: comparison with conventional cystometry. Br J Urol 1990;65:152–154.
Susset JG, Ghoniem GM, Regnier CH. Clinical value of rapid cys- tometrogram in males. Neurourol Urodyn 1982;1:319–327.
Hjalmas K. Urodynamics in normal infants and children. Scand J Urol Nephrol Suppl 1989;114:20–27.
Ghoniem G. Disorders of bladder compliance. In: Krus E, McGuire E, eds. Female Urology. Philadelphia: Lippincott; 1994:83–94.
Combs A, Nitti V. Significance of rectal contractions noted on multichannel urodynamics. Neurourol Urodyn. 1995;14:73–80.
Ghoniem GM, Khater U, Elsergany R, Sokr M. The significance of rectal contractions in benign prostatic obstruction. Urodinomica 2005;15:33–38.
Nitti V. Cystometry and abdominal pressure monitoring. In: Nitti V, ed. Practical Urodynamics. Philadelphia: WB Saunders; 1998:47.
McGuire E. Urodynamic studies in prostatic obstruction. In: Fitz-patrick J, Krane R, eds. The Prostate. New York: Churchill Livingstone; 1989:103–109.
Ghoniem G. Urodynamics. In: Levy A, ed. Urology Pearls of Wisdom. Boston: Medical Publishing; 2001:113–118.
Abrams P, Griffiths D. The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol 1979; 51(2):129–134.
McGuire E, Woodside J, Borden T, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 1981;126: 205–209.
Bump RC, Coates KW, Cundiff GW, Harris RL, Weidner AC. Diagnosing intrinsic sphincter deficiency: comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures. Am J Obstet Gynecol 1997;177:303–310.
Cundiff GW, Harris RL, Coates KW, Bump RC. Clinical predictors of urinary incontinence in women. Am J Obstet Gynecol 1997;177: 266–267.
McGuire E. Urodynamic evaluation of stress urinary incontinence. Urol Clin North Am 1995;22:551–555.
Nitti V, Combs A. Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women. J Urol 1996;155:281–285.
Lane T, Shah P. Leak-point pressures. BJU Int 2000;86:942–949.
McGuire E, Fitzpatrick C, Wan J, et al. Clinical assessment of urethral sphincter function. J Urol 1993;150:1452–1454.
Horbach NS, Ostegard DR. Predicting intrinsic sphincter dysfunction in women with stress incontinence. Obstet Gynecol 1994;84: 188–192.
Ghoniem G, Elgamasy A, El Sergany R, et al. Grades of intrinsic sphincter deficiency associated with female stress urinary incontinence. Int Urogynecol J 2002;13:99–105.
Brown K, Hilton P. The incidence of detrusor instability before and after colposuspension: a study using conventional and ambulatory urodynamic monitoring. BJU Int 1999;84:961–965.
Groen J, van Mastrigt R, Bosch R. Factors causing differences in voiding parameters between conventional and ambulatory urody-namics. Urol Res 2000;28:128–131.
Robertson A, Griffiths C, Ramsden P, Neal DE. Bladder function in healthy volunteers: ambulatory monitoring and conventional uro-dynamic studies. Br J Urol 1994;73:242–249.
Webb R, Griffiths C, Zachariah K, Neal DE. Filling and voiding pressures measured by ambulatory monitoring and conventional studies during natural and artificial bladder filling. J Urol 1991;146:815–818.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer-Verlag London Limited
About this chapter
Cite this chapter
Ghoniem, G.M., Khater, U.M. (2008). Urodynamics. In: Davila, G.W., Ghoniem, G.M., Wexner, S.D. (eds) Pelvic Floor Dysfunction. Springer, London. https://doi.org/10.1007/978-1-84800-348-4_6
Download citation
DOI: https://doi.org/10.1007/978-1-84800-348-4_6
Publisher Name: Springer, London
Print ISBN: 978-1-84800-347-7
Online ISBN: 978-1-84800-348-4
eBook Packages: MedicineMedicine (R0)