International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure‐flow study

Rosier, Peter; Schaefer, Werner; Lose, Gunnar; Goldman, Howard B.; Guralnick, Michael L.; Eustice, Sharon; Dickinson, Tamara; Hashim, Hashim

doi:10.1002/nau.23124

Cited by 447 publications

(614 citation statements)

References 108 publications

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“…There is still no consensus on the threshold of a positive IWT, and it is described between 3 and 30 cmH 2 O in the literature The results differ significantly depending on the threshold. In our opinion, a threshold of 3 cmH 2 O does not represent clinical practice, as urodynamic study is often not as precise as favored due to interfering factors, such as poor pressure transmissions or pressure drifts . In contrast, a threshold of 30 cmH 2 O is too high in consideration of P detmax of 27 cmH 2 O in women during recent pressure flow investigations, implicating lower detrusor contractility in general …”

Section: Discussionmentioning

confidence: 89%

Ice water test in multiple sclerosis: A pilot trial

et al. 2018

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Section: Discussionmentioning

confidence: 89%

Ice water test in multiple sclerosis: A pilot trial

et al. 2018

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“…When this clinical diagnosis had been compared with one specific element (filling‐cystometry) of the iUDS diagnosis in a dichotomous manner (“yes‐or‐no (stress‐) urine incontinence”) neither way of diagnosis has been superior for the patients recruited in this study to predict the success of “continence” as the single outcome. The question remains whether the outcome of the surgery (or of alternative management, based on the urodynamic results) could have been better than the ±65% overall success rate, when a more structured clinical as well as iUDS (staging and grading) diagnosis and/or analysis had been used in these clinical trials …”

Section: Methodsmentioning

confidence: 99%

International Consultation on Incontinence 2016; Executive summary: Urodynamic testing

Kuo

Gennaro²,

Gammie

et al. 2018

Neurourology and Urodynamics

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Aims The International Consultation on Incontinence has published an update of the recommendations for the diagnosis and management of urine incontinence (ICI2016). This manuscript summarizes the consultations committee—recommendations with regard to urodynamic assessment. Methods Expert consensus on the basis of structured evidence assessment has been the basis of the consultations publication and has been summarized by the committee for this manuscript. Results Patients that are not satisfied with their initial management on the basis of their reported signs and symptoms of urinary incontinence, as well as all patients with neurological abnormalities that are potentially relevant for the function of the lower urinary tract, may very likely profit from objective diagnosis and staging and grading of their dysfunction, with urodynamic testing, regardless their age, vulnerability and/or comorbidities. The principles and technical innovations as well as the principal recommendations for the utilization of (invasive) urodynamic assessment for women, men, children, and vulnerable elderly, with or without neurogenic lower urinary tract dysfunction with urinary incontinence are provided in this abbreviated ICI recommendations‐document. Conclusions The ICI2016 committee on urodynamics presents an executive summary of the most important reasons and recommendations for the use of urodynamic investigations for patients with urinary incontinence.

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“…Patients completed the 3‐day voiding diary, recording time, experience of urge, and UUI. Uroflowmetry and Urodynamics were performed according to ICS recommendations . Detrusor overactivity was not required for inclusion.…”

Section: Methodsmentioning

confidence: 99%

A prospective randomized clinical trial comparing two doses of AbobotulinumtoxinA for idiopathic overactive bladder

Bezerra

Toledo

Carramão

et al. 2018

Neurourology and Urodynamics

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Aims To compare 300 U versus 500 U of abobotulinumtoxinA (ABO) intravesical injections for the treatment of idiopathic overactive bladder (OAB) refractory to first and second‐line treatments. Methods A prospective, randomized, single blind study was performed in female patients with symptoms of OAB, who had failed conservative treatment. Patients were treated with 300 or 500 U of ABO injected into 30 sites, avoiding the trigone. All treatments were evaluated by voiding diary, ICIQ‐OAB questionnaire, urodynamic test, visual analogue scale (VAS) for treatment satisfaction and patient global impression of improvement (PGI‐I). The primary outcome was change in maximum cistometric capacity (MCC). Secondary outcome included changes in urgency, complete continence, subjective success (VAS and PGI‐I), and adverse events (urinary retention, UTI, and CIC). Results Twenty‐one patients were included. MCC has increased from 185.0 to 270.9 mL (300 U) and from 240.8 to 311.7 mL (500 U), comparing the baseline with 12 weeks, without statistical difference between the groups (P = 0.270). At 12 weeks, 91% of patients were dry in both groups. At 24 weeks, episodes of incontinence had returned in 50% (300 U) and 0% (500 U) (P = 0.013). Patients were better or much better (PGI‐I) in70% (300 U) and 88.9% (500 U) at 12 w; and 50% (300 U) and 100% (500 U), at 24 w (P = 0.027). The peak of PVR was at 4 w, being 71.7 mL (300 U) and 96.5 mL (500 U). General UTI incidence was 35.7%. One patient (500 U) required CIC for 2 weeks. Conclusions Intravesical ABO injection at 500 U improves symptoms and quality of life for longer period of time than 300 U for idiopathic OAB.

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International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure‐flow study

Abstract: ICS-GUP2016 updates and adds on to ICS-GUP2002 to improve urodynamic testing and reporting both for individual care and scientific purposes.

Cited by 447 publications

References 108 publications

Ice water test in multiple sclerosis: A pilot trial

Ice water test in multiple sclerosis: A pilot trial

International Consultation on Incontinence 2016; Executive summary: Urodynamic testing

A prospective randomized clinical trial comparing two doses of AbobotulinumtoxinA for idiopathic overactive bladder

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