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Ambulatory Urodynamics and Special Tests

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Handbook of Neurourology

Abstract

Although conventional urodynamics has proved its place in the diagnosis of neurogenic lower urinary dysfunction, it is still an inconvenient and unphysiological tool to assess lower urinary tract function. Ambulatory urodynamics can evaluate the lower urinary tract in more physiological circumstances. Through wireless sensors, it can also find its place in newer technological treatments such as closed loop neuromodulation systems.

Certain events may be masked or stay undiagnosed during urodynamics. Provocative measure such as the ice water test or the betanechol test may be used to screen for neurogenic dysfunction.

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References

  1. B. Abelson, S. Majerus, D. Sun, B.C. Gill, E. Versi, M.S. Damaser, Ambulatory urodynamic monitoring: state of the art and future directions. Nat. Rev. Urol. 16, 291–301 (2019). https://doi.org/10.1038/s41585-019-0175-5

    Article  PubMed  PubMed Central  Google Scholar 

  2. J.G. Blaivas, K.B. Labib, S.J. Michalik, A.A. Zayed, Failure of bethanechol denervation supersensitivity as a diagnostic aid. J. Urol. 123, 199–201 (1980)

    Article  CAS  PubMed  Google Scholar 

  3. S.P. Doherty, A. Vanhoestenberghe, L.D. Duffell, R. Hamid, S.L. Knight, Ambulatory urodynamic monitoring assessment of dorsal genital nerve stimulation for suppression of involuntary detrusor contractions following spinal cord injury: a pilot study. Spinal Cord Ser. Cases 6, 30 (2020). https://doi.org/10.1038/s41394-020-0279-4

    Article  PubMed  PubMed Central  Google Scholar 

  4. M. Fall, S. Lindstrom, L. Mazieres, A bladder-to-bladder cooling reflex in the cat. J. Physiol. 427, 281–300 (1990)

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. G. Geirsson, M. Fall, S. Lindstrom, The ice-water test--a simple and valuable supplement to routine cystometry. Br. J. Urol. 71, 681–685 (1993)

    Article  CAS  PubMed  Google Scholar 

  6. G. Geirsson, S. Lindstrom, M. Fall, The bladder cooling reflex and the use of cooling as stimulus to the lower urinary tract. J. Urol. 162, 1890–1896 (1999)

    Article  CAS  PubMed  Google Scholar 

  7. M. Ishigooka, T. Hashimoto, S. Hayami, Y. Suzuki, T. Izumi, T. Nakada, Ice water test in patients with overactive bladder due to cerebrovascular accidents and bladder outlet obstruction. Urol. Int. 58, 84–87 (1997)

    Article  CAS  PubMed  Google Scholar 

  8. J. Lapides, C. Friend, E.P. Ajemian, W.S. Reus, Denervation supersensibility as a test for neurogenic bladder. Surg. Gynecol. Obstet. 114, 241–244 (1962)

    Google Scholar 

  9. F.M. Martens, H.J. van Kuppevelt, J.A. Beekman, I.C. Heijnen, K.W. D’Hauwers, J.P. Heesakkers, No primary role of ambulatory urodynamics for the management of spinal cord injury patients compared to conventional urodynamics. Neurourol. Urodyn. 29, 1380–1386 (2010). https://doi.org/10.1002/nau.20895

    Article  CAS  PubMed  Google Scholar 

  10. J. Pannek, P. Pieper, Clinical usefulness of ambulatory urodynamics in the diagnosis and treatment of lower urinary tract dysfunction. Scand. J. Urol. Nephrol. 42, 428–432 (2008). https://doi.org/10.1080/00365590802299056

    Article  PubMed  Google Scholar 

  11. G. Ronzoni, P. Menchinelli, A. Manca, L. De Giovanni, The ice-water test in the diagnosis and treatment of the neurogenic bladder. Br. J. Urol. 79, 698–701 (1997)

    Article  CAS  PubMed  Google Scholar 

  12. A.A. Sidi, D.D. Dykstra, W. Peng, Bethanechol supersensitivity test, rhabdosphincter electromyography and bulbocavernosus reflex latency in the diagnosis of neuropathic detrusor areflexia. J. Urol. 140, 335–337 (1988)

    Article  CAS  PubMed  Google Scholar 

  13. T.D. van Meel, S. de Wachter, J.J. Wyndaele, Repeated ice water tests and electrical perception threshold determination to detect a neurologic cause of detrusor overactivity. Urology 70, 772–776 (2007)

    Article  PubMed  Google Scholar 

  14. M. Virseda-Chamorro, J. Salinas-Casado, M. de la Marta-Garcia, M. Esteban-Fuertes, S. Mendez, Comparison of ambulatory versus video urodynamics in patients with spinal cord injury. Spinal Cord 52, 551–555 (2014). https://doi.org/10.1038/sc.2014.9

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Stefan De Wachter .

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De Wachter, S. (2023). Ambulatory Urodynamics and Special Tests. In: Liao, L., Madersbacher, H. (eds) Handbook of Neurourology. Springer, Singapore. https://doi.org/10.1007/978-981-99-1659-7_16

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  • DOI: https://doi.org/10.1007/978-981-99-1659-7_16

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