Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology

Blaivas, Jerry G.; Groutz, Asnat

doi:10.1002/1520-6777(2000)19:5<553::aid-nau2>3.3.co;2-2

Cited by 66 publications

(115 citation statements)

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“…However, these studies did not include a thorough evaluation of symptoms of voiding dysfunction. Blaivas and Groutz [11,12] compared scores on the American Urological Association symptom index to pressure-flow study results in women; however, this index score was designed for use in men and may not be useful in day-to-day practice. Lemack [13] assessed correlation of one question relating to voiding dysfunction in women on the short form (6 item) Urogenital Distress Inventory (UDI-6), using pressure-flow parameters.…”

Section: Introductionmentioning

confidence: 99%

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Al-Shahrani

Lovatsis

2004

Int Urogynecol J

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The objective was to determine if symptoms of obstructive voiding correlate with post-void residual urine volume measured by catheterization. A cross-sectional study of 134 consecutive women referred to a tertiary urogynecology clinic was performed. Subjects were interviewed regarding three types of obstructive voiding symptoms: a sensation of incomplete emptying, straining to void, and slow urine stream. Post-void residual urine volume was measured by catheterization as the gold standard. Data for each symptom were analyzed using Cohen's kappa test, sensitivity, specificity, likelihood ratios for a positive of negative test, and positive and negative predictive values. A total of 11 out of 134 patients (8%) had a post-void residual volume greater than 100 ml. Of these 11, 1 had symptoms of incomplete emptying (9%), 1 had symptoms of straining to void (9%), and 2 had symptoms of slow urine stream (18%). Sensitivity, specificity, likelihood ratio for a positive symptom, likelihood ratio for a negative symptom, positive predictive value, negative predictive value, and Cohen's kappa, respectively, were 9%, 80%, 0.47, 1.13, 4%, 91%, and 0.05 for the symptom of incomplete emptying, 9%, 91%, 1.12, 1.0, 8%, 92%, and 0.01 for straining to void, and 18%, 89%, 1.6, 0.92, 13%, 92%, and 0.07 for the symptom of slow urine stream. It was concluded that symptoms of obstructive voiding do not correlate with measured post-void urine volume. In clinically important situations, these symptoms cannot substitute for measurement of post-void residual urine volume.

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Section: Introductionmentioning

confidence: 99%

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Al-Shahrani

Lovatsis

2004

Int Urogynecol J

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“…Since the pathological reaction of tissues to the mesh is T helper type 1-mediated [16,20], the same type of immune reaction that occurs in autoimmune patients [7,21], it can be assumed that women who undergo suburethral sling procedures may more easily develop an uncontrolled immune response versus grafts, which can Although the exact rate of postoperative complications varies widely in the literature, indeed, lengths of follow-up were typically short and it is fair to estimate that the incidence of vaginal erosion and chronic pelvic pain is ≤1% [13] and 2.7% [4], respectively, during the first postoperative year, and the incidence of dyspareunia is about 15.4% at 5-year follow-up [5]. The reported incidence of urinary retention is about 9% and de novo OAB symptoms after suburethral sling procedures range from 3% to 26% [4].…”

Section: Discussionmentioning

confidence: 99%

“…Bladder outlet obstruction was measured by a pressure-flow study according to the Blaivas and Groutz nomogram [13].…”

Section: Methodsmentioning

confidence: 99%

Suburethral sling in autoimmune patients: complications, quality of life, and success rate

et al. 2011

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“…Impaired compliance was defined as <12.5 ml/ cmH 2 O [8]. Impaired contractility was defined from the available literature on obstruction in women as a detrusor contraction of <20 cmH 2 O, associated with a flow of <12 ml/s and no radiographic evidence of obstruction, or an unsustained detrusor contraction resulting in poor emptying [9,10]. Patients voided in the seated position, and detrusor pressure, flow rate, EMG activity, and post void residual (PVR) were assessed.…”

Section: Methodsmentioning

confidence: 99%

Voiding dysfunction in young, nulliparous women: symptoms and urodynamic findings

2004

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The objective was to determine urodynamic findings in young, premenopausal, nulliparous women with bothersome lower urinary tract symptoms and assess whether or not symptoms are predictive of specific urodynamic abnormalities. The records of 57 women were reviewed. Those with neurological disease or a primary complaint of stress incontinence were excluded. All completed the American Urological Association Symptom Index (AUASI) and underwent videourodynamics. Symptoms were compared in patients with and without bladder dysfunction and/or voiding phase dysfunction. Bladder dysfunction was diagnosed in 86% of patients with urge incontinence vs. 17% of those without (p<0.0001). Patients with voiding phase dysfunction had higher total and voiding AUASI scores. Occult neurological disease was later diagnosed in 4 women (24%) with urge incontinence and bladder dysfunction. Urge incontinence and voiding symptoms are frequently associated with urodynamically demonstrable abnormalities. Urge incontinence and bladder dysfunction may be a sign of occult neurological disease in this population. The presenting symptoms are useful in determining the utility of urodynamics in this population.

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Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology

Cited by 66 publications

References 0 publications

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Do subjective symptoms of obstructive voiding correlate with post-void residual urine volume in women?

Suburethral sling in autoimmune patients: complications, quality of life, and success rate

Voiding dysfunction in young, nulliparous women: symptoms and urodynamic findings

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