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Ambulatory monitoring

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Abstract

Ambulatory monitoring has been hailed as the ‘way forward’ in urodynamic investigation. Its introduction has caused much excitement and there is no doubt that it detects more abnormalities than does conventional cystometry. It is, however, labour intensive and time consuming for both operator and patient, and requires commitment from both to be successful. No standards have been set as to how long a test ought to last, how many voids are required and how to interpret traces. To date the standard cystometric criteria of normality have been applied, but this would appear to be inappropriate. Several commercial companies have developed systems and are marketing them widely as an adjunct, or alternative, to conventional cystometry. It is recommended that before this technique is introduced into routine clinical practice it is fully evaluated, with standardization of terminology relating to its use.

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References

  1. Mackay RS. Radiotelemetering from within the human body.IRE Trans Med Electronics ME-6 1959;11:100–105

    Google Scholar 

  2. Gleason DM, Lattimer JK, Bauxbaum C. Bladder pressure telemetry.J Urol 1965;94:252–256

    PubMed  CAS  Google Scholar 

  3. Warrell DW, Watson BW, Shelley T. Intravesical pressure measurement in women during movement using a radio-pill and an air-probe.J Obstet Gynaecol Br Commonw 1963;70:959

    PubMed  CAS  Google Scholar 

  4. Thuroff JW, Jonas U, Frohneberg EP, Hohenfellner R. Telemetric urodynamic investigations in normal males.Urol Int 1980;35:427–434

    Article  PubMed  CAS  Google Scholar 

  5. James ED. The behavior of the bladder during physical activity.J Urol 1978;50:387–394

    CAS  Google Scholar 

  6. Kvarnstein B, Aase O, Hansen T-E, Dobloug P. A new method with fibreoptic transducers used for simultaneous recording of intravesical and urethral pressure during physiological filling and voiding phases.J Urol 1983;130:504–506

    Google Scholar 

  7. Ask P, Hok B. Pressure measurement techniques in urodynamic investigations.Neurourol Urodyn 1990;9:1–15

    Article  Google Scholar 

  8. Bhatia NN, Bradley WE, Haldeman S, Johnson BK. Continuous montoring of bladder and urethral pressures: new technique.Urology 1981;18:207–210

    Article  PubMed  CAS  Google Scholar 

  9. Bhatia NN, Bradley WE, Haldeman S, Johnson BK. Continuous urodynamic monitoring.Urology 1981;18:39–41

    Article  Google Scholar 

  10. Van Waalwijk van Doorn ESC, Valcke AAP, Ijsenbrandt H, Kimmich HP, Debruyne FMJ. A miniature eight channel PCM telemetry system for objectivation of occult unstable bladder and sphincter disorders [abstract]. Proceedings of the Fourteenth Annual Meeting of the International Continence Society. 1984; Innsbruck, 168–170

  11. Van Waalwijk van Doorn ESC, Bouwmeister PPM, van Oostendorp ME, Debruyne FMJ. A retrospective study of the clinical value of telemetric urodynamics compared with standard urodynamics in patients with urinary incontinence [abstract]. Proceedings of the Sixteenth Annual Meeting of the International Continence Society, 1986, Boston, 600–602

  12. Griffiths CJ, Assi MS, Styles RA, Ramsden PD, Neal DE. Ambulatory monitoring of bladder and detrusor pressure during natural filling.J Urol 1989;142:780–784

    PubMed  CAS  Google Scholar 

  13. McInerney PD, Stephenson TP. Knotting of the pressure line during urodynamicNeurourol Urodyn 1989;8:243–244

    Article  Google Scholar 

  14. Bhatia NN, Bradley WE, Haldeman S, Johnson BK. Continuous ambulatory urodynamic monitoring.Br J Urol 1982;54:357–359

    PubMed  CAS  Google Scholar 

  15. Van Waalwij van Doorn ESC, Remmers A, Janknegt RA. Extramural ambulatory urodynamic monitoring during natural filling and normal daily activities: evaluation of 100 patients.J Urol 1991;91:124–131

    Google Scholar 

  16. James ED, Flack FC, Caldwell KPS, Martin MR. Continuous measurement of urine loss and frequency in incontinent patients.Br J Urol 1971;43:233–237

    Article  PubMed  CAS  Google Scholar 

  17. Abrams P, Blaivas JG, Stanton SL et al. The standardisation of terminology of lower urinary tract function.Br J Obstet Gynaecol 1990;97(Suppl 6):1–16

    Google Scholar 

  18. Styles RA, Neal DE, Ramsden PD. Comparison of long-term monitoring and standard cystometry in chronic retention of urine.Br J Urol 1986;58:652–656

    PubMed  CAS  Google Scholar 

  19. Robertson AS, Griffiths CJ, Ramsden PD, Neal DE. Bladder function in healthy volunteers: ambulatory monitoring and conventional urodynamic studies.Br J Urol 1994;73:242–249

    Article  PubMed  CAS  Google Scholar 

  20. Yeung CK, Godley ML, Duffy PG, Ransley PG. Nautral filling cystometry in infants and children.Br J Urol 1995;75:531–537

    PubMed  CAS  Google Scholar 

  21. Styles RA, Neal DE, Griffiths CJ, Ramsden PD. Long term monitoring of bladder pressure in chronic retention of urine: the relationship between detrusor activity and upper tract dilatation.J Urol 1988;140:330–334

    PubMed  CAS  Google Scholar 

  22. Van Waalwijk van Doorn ESC, Remmers A, Janknegt RA. Conventional and extramural ambulatory urodynamic testing of the lower urinary tract in female volunteers.J Urol 1992;147:1319–1326

    PubMed  Google Scholar 

  23. Heslington K, Hilton P. A comparison of ambulatory monitoring and conventional cystometry in asymptomatic female volunteers [abstract].Neurourol Urodyn 1995;14:534–535

    Google Scholar 

  24. Webb RJ, Styles RA, Griffiths CJ, Ramsden PD, Neal DE. Ambulatory monitoring of bladder pressure in patients with low compliance as a result of neurogenic bladder dysfunction.Br J Urol 1989;64:150–154

    Article  PubMed  CAS  Google Scholar 

  25. McInerney PD, Vanner TF, Harris SAB, Stephenson TP. Ambulatory urodynamics.Br J Urol 1991;67:272–274

    PubMed  CAS  Google Scholar 

  26. Heslington K, Hilton P. The incidence of detrusor instability by ambulatory monitoring in symptomatic females with normal conventional cystometry [abstract]. Proceedings of Twenty Fifth Annual Meeting of the International Contience Society, 17–20 Oct 1995, Sydney, 415–416

  27. Turner-Warwick RT. Some clinical aspects of detrusor dysfunction.J Urol 1975;113:539–544

    Google Scholar 

  28. Wijkstra H, van Kerrebroeck Ph EVA, Koldewijn E, Debruyne FMJ. The use of heat sensors in detecting urine leakage during long term urodynamics [abstract].Neurourol Urodyn 1991;10:422–423

    Google Scholar 

  29. Eckford SD, Abrams PH. A new temperature device to detect incontinent episodes during ambulatory monitoring. [abstract].Neurourol Urodyn 1992;11:448–450

    Google Scholar 

  30. Webb RJ, Griffiths CJ, Ramsden PD, Neal DE. Measurement of voiding pressures on ambulatory monitoring: comparison with conventional cystometry.Br J Urol 1990;65:152–154

    PubMed  CAS  Google Scholar 

  31. Heslington K, Hilton P. The incidence of detrusor instability by ambulatory monitoring and conventional cystometry pre and post colposuspension [abstract]Neurourol Urodyn 1995;14:416–417

    Google Scholar 

  32. Webb RJ, Griffiths CJ, Neal DE. A comparison of measurement of voiding pressures by ambulatory monitoring during a natural filling and conventional cystometry [abstract].Neurourol Urodyn 1989;8:401–402

    Google Scholar 

  33. Heslington K, Hilton P. A study of voiding pressures on ambulatory monitoring and conventional cystometry using fluid filled catheters and microtip transducers [abstract]. Proceedings of The Twenty Sixth Meeting of the International Continence Society 28–30 Aug, 1996, Athens (in press)

  34. Neal DE, Rao CVS, Styles RA et al. The effect on urodynamic parameters of catheter size in men undergoing elective prostatectomy.Br J Urol 1987;60:64–68

    Article  PubMed  CAS  Google Scholar 

  35. Davila GW. Ambulatory urodynamics in urge incontinence evaluation.Int Urogynecol J 1994;5:25–30

    Article  Google Scholar 

  36. Cardozo L, Khullar V, Anders K, Hill S. Ambulatory urodynamics: a useful urogynaecological service? [abstract]. Proceedings of the 27th British Congress of Obstetrics and Gynaecology, 5–7 July 1995, Dublin, Royal College of Obstetricians and Gynaecologists, 1995, 414

  37. Griffiths DJ. Urodynamics. Exeter: A. Wheaton & Co. Ltd. 1980:121

    Google Scholar 

  38. Van Waalwijk van Doorn ESC, Remmers A, Ambergen AW, Janknegt RA. Detrusor activity index a means to quantify detrusor overactivity [abstract].Neurourol Urodyn 1992;11:461–462

    Google Scholar 

  39. Bailey R, Abrams P, Shepherd AM, Bailey D. Development of a micro-computer based system for long-term ambulatory urodynamic monitoring using data-reduction [abstract].Neurourol Urodyn 1989;8:404–405

    Google Scholar 

  40. Bouwmeister PPM, Van Waalwij van Doorn ESC, Van Oostendorp ME, Debruyne FMJ. 24-hour ambulant monitoring of the efficacy of oxybutynin chloride in patients with proven motor urge incontinence. Proceedings of the 16th Annual Meeting of the International Continence Society, 17–19 September 1986, Boston, Massachusetts, 354–355

  41. Hasan ST, Robson WA, Pridie AK, Neal DE. Outcome of transcutaneous electrical stimulation in patients with detrusor instability [abstract].Neurourol Urodyn 1994;13:349–350

    Google Scholar 

  42. McInerney PD, Harris SA, Prichard A, Stephenson TP. Night studies for primary diurnal and nocturnal eneuresis and preliminary results of the ‘clam’ ileocystoplasty.Br J Urol 1991;67:42–43

    PubMed  CAS  Google Scholar 

  43. Sethia KK, Webb RJ, Neal DE. Urodynamic study of ileocystoplasty in the treatment of idiopathic detrusor instability.Br J Urol 1991;67:286–290

    PubMed  CAS  Google Scholar 

  44. Robertson AS, Davies JB, Webb RJ, Neal DE. Bladder augmentation and replacement. Urodynamic and clinical review of 25 patients.Br J Urol 1991;68:590–597

    PubMed  CAS  Google Scholar 

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Brown, K., Hilton, P. Ambulatory monitoring. Int Urogynecol J 8, 369–376 (1997). https://doi.org/10.1007/BF02765598

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