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Screening tests for detrusor instability in clinical urodynamics

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Abstract

Neither clinical investigation alone nor conventional filling cystometry can be regarded as methods of choice for making a diagnosis of detrusor instability. Rather, some kind of provocative cystometry is often needed. This article reviews these along with recent advances, including hyperdiuresis cystometry and the ‘mobile urodynamic investigation’. Particular emphasis is also placed on the acceleration of flow rate, a parameter which can be easily derived from a simple, non-invasive free-flow uroflowmetry. Its rationale for use in clinical testing is described.

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Cucchi, A. Screening tests for detrusor instability in clinical urodynamics. Int Urogynecol J 2, 101–104 (1991). https://doi.org/10.1007/BF00376572

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