Skip to main content

Terminology/Standard Interpretative Format for Basic and Advanced Urodynamics

  • Chapter
  • First Online:
Interpretation of Basic and Advanced Urodynamics

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 be subclassified within each of these phases. Conveniently, each of these aspects can be titled with a “C,” thus providing the 9 “Cs” 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

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Abrams P, Cardoza L, Fall M, Griffiths D, Rosier P, Ulmsten U, Kerrekroeck P, Victor A, Wein A. 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.

    Article  PubMed  Google Scholar 

  2. Perez LM, Webster GD. The history of urodynamics. Neurourol Urodyn. 1992;11(1):1–21.

    Article  Google Scholar 

  3. Rovner ES, Koski ME. Rapid and practical interpretation of urodynamics. Philadelphia: Springer; 2014.

    Google Scholar 

  4. Lucia van Leijsen SA, Kluivers KB, Mol BW, et al. Value of urodynamics before stress urinary incontinence surgery: a randomized controlled trial. Obstet Gynecol. 2013;121(5):999–1007.

    Article  Google Scholar 

  5. Clement KD, Lapitan MCM, Omar MI, Glazener CMA. Urodynamic studies for the management of urinary incontinence in children and adults. Cochrane database of systematic reviews 2013; 10:Art. No.CD003195.

    Google Scholar 

  6. Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, Sirls LT, Norton PA, Arisco AM, Chai TC, Zimmern P, Barber MD, Dandreo KJ, Menefee SA, Kenton K, Lowder J, Richter HE, Khandwala S, Nygaard I, Kraus SR, Johnson HW, Lemack GE, Mihova M, Albo ME, Mueller E, Sutkin G, Wilson TS, Hsu Y, Rozanski TA, Rickey LM, Rahn D, Tennstedt S, Kusek JW, Gormley EA; Urinary Incontinence Treatment Network. A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med. 2012;366(21):1987–97.

    Google Scholar 

  7. Wein A. Classification of neurogenic voiding dysfunction. J Urol. 1981;125:605–9.

    CAS  PubMed  Google Scholar 

  8. Peter FWM, Rosier PFWM, Kuo HC, De Gennaro M, Kakizaki H, Hashim H, Van Meel TD, Hobson PT. Urodyanmics. In: Abrams P, Cardozo L, Khoury S, Wein A, editors. Incontinence. 5th ed. Arnheim, The Netherlands: ICUD—European Association of Urology; 2013.

    Google Scholar 

  9. Haylen B, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN. 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.

    Article  PubMed  Google Scholar 

  10. Stöhrer M, Goepel M, Kondo A, Kramer G, Madersbacher H, Millard R, Rossier A, Wyndaele JJ. 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.

    Article  PubMed  Google Scholar 

  11. McGuire EJ, Cespedes RD, O’Connell HE. Leak-point pressures. Urol Clin North Am. 1996;23:253–62.

    Article  CAS  PubMed  Google Scholar 

  12. McGuire EJ, Woodside JR, Borden TA, Weiss RM. Prognostic value of urodynamic testing in myelodysplastic patients. J Urol. 1981;126(2):205–9.

    CAS  PubMed  Google Scholar 

  13. Rosier PFWM, Kuo H-C, De Gennaro M. Urodynamic testing. In: Abrams P, Cardozo Khoury A, Wein A, editors. Incontinence. 5th ed. Arnheim, The Netherlands: ICUD—European Association of Urology; 2013.

    Google Scholar 

  14. 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.

    Article  Google Scholar 

  15. Scarpero HM, Kaufman MR, Koski ME, et al. Urodynamics best practices. AUA Update Series. 2009;28:9.

    Google Scholar 

  16. Maniam P, Goldman HB. Removal of transurethral catheter during urodynamics may unmask stress urinary incontinence. J Urol. 2002;167(5):2080–2.

    Article  PubMed  Google Scholar 

  17. 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.

    Article  PubMed  Google Scholar 

  18. 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.

    Article  CAS  PubMed  Google Scholar 

  19. Osman NI, Chapple CR, Abrams P, Dmochowski R, Haab F, Nitti V, Koelbl H, van Kerrebroeck P, Wein AJ. 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.

    Article  PubMed  Google Scholar 

  20. Cucchi A, Quaglini S, Rovereto B. Proposal for a urodynamic redefinition of detrusor underactivity. J Urol. 2009;181(1):225–9.

    Article  PubMed  Google Scholar 

  21. Tanagho EA, Miller ER. The initiation of voiding. Br J Urol. 1970;42:175–83.

    Article  CAS  PubMed  Google Scholar 

  22. Oelke M, Rademakers KL, van 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.

    Article  PubMed  Google Scholar 

  23. 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.

    Article  CAS  PubMed  Google Scholar 

  24. Nitti VW. Urodynamic and video-urodynamic evaluation of the lower urinary tract. In: Wein A, Kavoussi LR, Novick AC, et al., editors. Campbell-Walsh urology. 10th ed. Philadelphia: Elsevier Saunders; 2012. p. 1847–70.

    Chapter  Google Scholar 

  25. Agency for Health Care Policy and Research. Clinical practice guideline: urinary incontinence in adults. AHPCR Pub. No. 96-0682. Rockville, MD: Dept of Health and Human Services (US), Agency for Health Care Policy and Research; 1996.

    Google Scholar 

  26. Gehrich A, Stany MP, Fischer JR, Buller J, Zahn CM. Establishing a mean postvoid residual volume in asymptomatic perimenopausal and postmenopausal women. Obstet Gynecol. 2007;110(4):827–32.

    Article  PubMed  Google Scholar 

  27. 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.

    Article  CAS  PubMed  Google Scholar 

  28. De Nunzio C, Autorino R, Bachmann A, Briganti A, Carter S, Chun F, Novara G, Sosnowski R, Thiruchelvam N, Tubaro A, Ahyai S. The diagnosis of benign prostatic obstruction: development of a clinical nomogram. Neurourol Urodyn. 2016;35(2):235–40.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eric S. Rovner M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Freilich, D.A., Rovner, E.S. (2017). Terminology/Standard Interpretative Format for Basic and Advanced Urodynamics. In: Firoozi, F. (eds) Interpretation of Basic and Advanced Urodynamics. Springer, Cham. https://doi.org/10.1007/978-3-319-43247-2_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-43247-2_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43245-8

  • Online ISBN: 978-3-319-43247-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics