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The Additional Value of Cystoscopy with urodynamic study in the Assessment of Patients with Urinary Incontinence

Open Journal of Urology 2016年第7期6卷 109-113页

作者： Diar Hameed Bajalan Sarwar Noori Mahmood Ismaeel Hama Ameen Zhino Noori Hussain Department of Surgery School of Medicine University of Sulaimania Sulaymaniyah Iraq Department of Urology Sulaymaniyah Surgical Teaching Hospital Sulaymaniyah Iraq

Background: Urinary incontinence (UI) is generally defined as the involuntary loss of urine from the bladder through the urethral meatus. Filling cystometry is the method by which the pressure/ volume relationship of the bladder is measured during bladder filling. Purpose: To determine the value of diagnostic cystoscopy in addition to urodynamic study (UDS) in patients with primary urinary incontinence. Material and Methods: 200 patients with primary incontinence studied prospectively from January 2013 to June 2014. Their age ranges from (14 - 93 years), 86.5% were female, and 13.5% of them were male. In addition to physical, neurological examination and bio-chemical investigations, urine analysis and urine culture with Ultra-sound and Post void residual volume (PVRV), all patients underwent diagnosticflexible cystoscopy under local anesthesia, and urodynamic study. Result: 43.5% of patients age were between (34 - 53 years), (39%) between (54 - 73 years), (9%) between (14 - 33 years) and (8.5%) were between (74 - 93 years). Atonic bladder on UDS were (40.5%), Detrusor over activity (29%), patients with normal UDS were (22%) and patients that had DSD (Detrusor Sphincter Dyssynergia) were (8.5%). Eighty-four cases (42%) were found to have normal cystoscopy, those with grade-I-II bladder wall trabeculations were (49%) and patients with grade-III were (8.5%). Sixty-one patients (30.5%) with normal diagnostic cystoscopy have abnormal UDS (Atonic bladder, over-active bladder and DSD) while twenty-one (10.5%) patients with normal UDS had bladder wall trabeculations (grade-I-III) on diagnostic cystoscopy. Conclusion: Diagnostic cystoscopy in addition to urodynamic study will put in further knowledge in the assessment of patients with urinary incontinence. To some extent, it can predict the diagnosis.

关键词： urodynamic study Diagnostic Cystoscopy Incontinence

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Does urodynamics predict voiding after benign prostatic hyperplasia surgery in patients with detrusor underactivity?

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Asian Journal of Urology 2019年第3期6卷 264-269页

作者： Dominique Thomas Kevin C.Zorn Nadir Zaidi Stephanie Ashley Chen Yiye Zhang Alexis Te Bilal Chughtai Department of Urology Weill Cornell Medical College/New York PresbyterianNew YorkNYUSA Section of Urology Department of SurgeryUniversity of Montreal Hospital CenterMontrealQCCanada Department of Healthcare Policy and Research Weill Cornell Medical College/New York PresbyterianNYUSA

Objective:We sought to determine if urodynamic study(UDS)predicted voiding outcomes in men with detrusor underactivity(DU)and benign prostatic enlargement(BPE)who underwent photovaporization of the prostate(PVP).Methods:Between September 2010 and July 2015,106 male patients with BPE and DU were *** patients underwent *** retention was noted by the preoperative necessity for an indwelling or intermittent *** collection included comorbidities,quality of life(QoL)scores,prostate volume,prostate-specific antigen(PSA),UDS and perioperative *** parameters included volume at first desire to void,volume at first urge to void,volume of severe urge,volume at capacity,compliance,detrusor contractions,maximum urinary flow rate(Qmax),and postvoid residual(PVR).Results:A total of 106 men were included in this analysis,who had urinary retention with a Foley catheter or clean intermittent catheterization(CIC)at the time of *** baseline we found patients who voided had a detrusor pressure at Qmax(Pdet@Qmax)of 10.05±6.45 cmH2O compared to 16.78±12.17 cmH2O in those who did not void(p=0.071).Postoperatively,96(90.6%,mean age 76.9±26.2 years)of patients voided successfully while 10(9.4%,mean age 80.52±9.61 years)of patients remained in urinary *** baseline Qmax was 4.895±5.452 mL/s and 2.900±3.356 mL/s(p=0.087)in those who voided and did not *** was 319.23±330.62 mL in those who voided and 276.88263.27 mL(p=0.344)in those who did not *** UDS parameter predicted who would void postoperatively or improvements in ***:The patients with DU and BPE might be able to successfully void after undergoing PVP regardless of UDS *** men who voided had improved international prostate symptom score and QoL scores compared to baseline and these parameters were durable up to 12 months.

关键词： Benign prostatic enlargement Detrusor underactivity Follow-up Photovaporization of the prostate urodynamic study

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