Abstract
Proper reading and interpretation of a pressure flow urodynamic tracing should be performed in a systematic fashion. Unfortunately, there is no universally agreed upon approach to the interpretation of a pressure flow urodynamic study. Using the functional classification of voiding dysfunction as a framework, the pressure-flow tracing can be dissected into a filling/storage portion and an emptying portion. Important aspects of the urodynamic study can sub-classified within each of these phases. Conveniently, each of these aspects can be titled with a “C” thus providing the 9 “C’s” of pressure-flow urodynamics interpretation and reporting. Such a scheme allows a complete and uniform approach to the interpretation of the urodynamic tracing. This chapter will provide a framework with which the practitioner can approach and interpret the pressure-flow urodynamic (PFUD) study.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Abrams P, Cardoza L, Fall M, et al. The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the international continence society. Neurourol Urodyn. 2002;21:167–78.
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.
Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardization of terminology of lower urinary tract function. Produced by the International Continence Society Committee on Standardization of Terminology. World J Urol. 1989;6:233–45.
Agency for Health Care Policy and Research. Clinical practice guideline: urinary incontinence in adults. AHPCR Pub. No. 96-0682. Rockville: Dept of Health and Human Services (US)/Agency for Health Care Policy and Research; 1996.
Chaikin DC, Groutz A, Blaivas JG. Predicting the need for anti-incontinence surgery in continent women undergoing repair of severe urogenital prolapse. J Urol. 2000;163(2):531–4.
Cucchi A, Quaglini S, Rovereto B. Proposal for a urodynamic redefinition of detrusor underactivity. J Urol. 2009;181(1):225–9.
De Nunzio C, Autorino R, Bachmann A, et al. The diagnosis of benign prostatic obstruction: development of a clinical nomogram. Neurourol Urodyn. 2016;35(2):235–40.
Griffiths CJ, Harding C, Blake C, 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.
Haylen B, de Ridder D, Freeman RM, et al. An international urogynecological association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5–26.
Nitti VW. Urodynamic and video-urodynamic evaluation of the lower urinary tract. In: Wein A, Kavoussi LR, Novick AC, editors. Campbell-Walsh urology. 10th ed. Philadelphia: Elsevier Saunders; 2012. p. 1847–70.
Maniam P, Goldman HB. Removal of transurethral catheter during urodynamics may unmask stress urinary incontinence. J Urol. 2002;167(5):2080–2.
McGuire EJ, Cespedes RD, O’Connell HE. Leak-point pressures. Urol Clin North Am. 1996;23:253–62.
McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 1981;126(2):205–9.
Oelke M, Rademakers KL, Koeveringe GA. Detrusor contraction power parameters (BCI and W max) rise with increasing bladder outlet obstruction grade in men with lower urinary tract symptoms: results from a urodynamic database analysis. World J Urol. 2014;32(5):1177–83.
Osman NI, Chapple CR, Abrams P, et al. Detrusor underactivity and the underactive bladder: a new clinical entity? A review of current terminology, definitions, epidemiology, etiology, and diagnosis. Eur Urol. 2014;65(2):389–98.
Perez LM, Webster GD. The history of urodynamics. Neurourol Urodyn. 1992;11(1):1–21.
Peter FWM, Rosier PFWM, Kuo HC, et al. Urodyanmics. In: Incontinence. 5th ed. Paris, France: ICUD/European Association of Urology; 2013. p. 429–506.
Rosier PFWM, Kuo H-C, De Gennaro M. Urodynamic testing. In: Abrams P, Cardozo Khoury A, Wein A, editors. Incontinence. 5th ed. Armhem, Netherland: ICUD-EAU Publishing; 2013. p. 429–506.
Rovner ES, Koski ME. Rapid and practical interpretation of urodynamics. Philadelphia: Springer; 2014.
Scarpero HM, Kaufman MR, Koski ME, et al. Urodynamics best practices. AUA Update Series. 2009;28:9.
Smith AL, Ferlise VJ, Wein AJ, Ramchandani P, Rovner ES. Effect of A 7-F transurethral catheter on abdominal leak point pressure measurement in men with post-prostatectomy incontinence. Urology. 2011;77(5):1188–93.
Stöhrer M, Goepel M, Kondo A, et al. The standardization of terminology in neurogenic lower urinary tract dysfunction: with suggestions for diagnostic procedures. International Continence Society Standardization Committee. Neurourol Urodyn. 1999;18(2):139–58.
Tanagho EA, Miller ER. The initiation of voiding. Br J Urol. 1970;42:175–83.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer-Verlag London
About this chapter
Cite this chapter
Chiles, L., Rovner, E.S. (2017). Practical Interpretation and Application of Urodynamic Findings. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_3
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4348-2_3
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4347-5
Online ISBN: 978-1-4471-4348-2
eBook Packages: MedicineMedicine (R0)