Summary
A total of 245 consecutive patients who presented with symptoms of prostatism were investigated urodynamically. An increase of bladder outlet resistance was found in 65% of the patients. Detrusor instability was found in 50%. Its occurrence was not related to the degree of obstruction. Detrusor strength did not increase with increasing resistance while detrusor speed was low in a considerable number. In non-obstructed bladders, symptoms were related to detrusor-instability in 50%, a decreased detrusor strength in 30%, and a slowly contracting detrusor in 35%.
Similar content being viewed by others
References
Turner-Warwick R, Whiteside CG, Arnold EP, Bates CP, Worth PHL, Milroy ECJ, Webster JR, Weir J (1973) A urodynamic view of prostatic obstruction and the results of prostatectomy. Br J Urol 45:631
Andersen JTh (1976) Detrusor hyperreflexia in benign infravesical obstruction. A cystometric study. J Urol 115:532
Abrams PH, Fenely RCL (1978) The significance of the symptoms associated with bladder outflow obstruction. Urol Int 33:171
Abrams PH, Griffiths DJ (1979) The assessment of prostatic obstruction from urodynamic measurement and from residual urine. Br J Urol 51:129
Coolsaet BLRA (1983) Detrusor contractility. In: Hinman F Jr (ed) Benign prostatic hypertrophy. Springer, Berlin Heidelberg New York, pp 443–449
Coolsaet BLRA, van Duyl WA, van Mastrigt R, van der Zwart A (1973) Stepwise cystometry of urinary bladder. Urology 2:255
Coolsaet BLRA (1977) Stepwise cystometry. A new method to investigate properties of the urinary bladder. Thesis, Rotterdam
van Mastrigt R, Coolsaet BLRA, van Duyl WA (1978) Passive properties of the urinary bladder in the collection phase. Med Biol Eng Comput 16:471
Gosling J, Dixon J (1979) The structure and innervations of trabeculated detrusor smooth muscle. Proceedings of the 9th Annual Meeting of the International Continence Society, Rome 1979
Susset J, Servot-Viguier I, Lanry F, Madernas P, Black R (1978) Collagen in 155 human bladders. Invest Urol 16:204
Kondo A, Susset J (1974) Viscoelastic properties of bladder. II. Comparative studies in normal and pathological dogs. Invest Urol 11:459
Griffiths DJ (1980) Urodynamics. Hilger, Bristol, pp 117–123 (Medical physics handbooks, vol 4)
Bottacini MR, Gleason DM, Byrne JC (1973) Resistance measurements in the human urethra. In: Lutzeyer W, Melchior H (eds) Urodynamics: upper and lower urinary tract. Springer, New York Heidelberg Berlin, pp 301–316
Gjertsen KT (1961) Paradoxical incontinence in prostatic patients. A cystometrical and clinical study. Norwegian University Press
Griffiths DJ (1977) Urodynamic assessment of bladder function. Br J Urol 49:29
Coolsaét BLRA (1980) Stop-test. Une détermination qualitative de la contractilité du détrusor chez les patients qui souffrent d'une incontinence d'effort. J Urol (Paris) 86:187
Coolsaet BLRA (1979) Stop-test. A preoperative determination of bladder contractility. Proceedings of the 9th Annual Meeting of the International Continence Society, Rome 1979
Coolsaet BLRA (1984) Cystometry. In: Stanton SL (ed) Clinical gynecologic urology. Mosby, St Louis, Mo, Toronto
van Duyl WA, Coolsaet BLRA, van Mastrigt R (1978) A new clinical parameter for the assessment of the contractility of the urinary bladder. Urol Int 33:31
Hill AV (1938) The heat of shortening and dynamic constants of muscle. Proc R Soc Lond [Biol] 126:136
van Mastrigt R, Coolsaet BLRA, van Duyl WA (1979) Clinical determination of maximum contraction velocity of urinary bladder. Proceedings of the 9th Annual Meeting of the International Continence Society, Rome 1979
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Coolsaet, B.L.R.A., van Venrooij, G.E.P.M. & Blok, C. Prostatism: Rationalization of urodynamic testing. World J Urol 2, 216–221 (1984). https://doi.org/10.1007/BF00327004
Issue Date:
DOI: https://doi.org/10.1007/BF00327004