Standardisation of urethral pressure measurement: Report from the standardisation sub‐committee of the International Continence Society

Lose, Gunnar; Griffiths, Derek; Hosker, G. L.; Kulseng‐Hanssen, Sigurd; Perucchini, Daniele; Schäfer, Werner; Thind, Peter; Versi, Eboo

doi:10.1002/nau.10051

Cited by 192 publications

(104 citation statements)

References 6 publications

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“…The ICS standardisation report on urethral pressure measurement concluded that ‘the clinical utility of urethral pressure measurement is unclear' and that ‘there is no doubt that the urethral pressure is of significant importance for the continence mechanism' [5]. The analysis of data from our study revealed trends that demonstrate the clinical value of UPP tests for female patients with UI.…”

Section: Discussionmentioning

confidence: 68%

The Correlation of Urethral Pressure Profilometry Data in Women with Different Types of Urinary Incontinence

Шарипова

Pilsetniece²,

Bekmukhambetov³

et al. 2016

Urol Int

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Introduction: The aim of the study was to analyse the correlation of subjective complaints and urethral pressure profilometry (UPP) data in women with different types of urinary incontinence (UI): stress UI (SUI), urgency UI (UUI), and mixed UI (MixUI). Methods: A study group of 405 women with complaints about UI were surveyed (UDI-6; ICIQ-UI) to determine the subjectively dominant type of UI, and UPP was performed for all these women. The variables analysed by UPP were the maximum urethral closure pressure at rest (MUCPrest), maximum urethral closure pressure at cough stress (MUCPstress), functional urethral length at rest (FULrest), functional urethral length during cough stress (FULstress) test and pressure transmission ratio (PTR). The statistical variation between different groups of UI patients was calculated for all the analysed variables. Results: The value of PTR was statistically and significantly higher in the group of patients with isolated UUI, compared to the SUI and MixUI groups. The MUCPrest and MUCPstress values were consistently lower in women with isolated SUI, compared to isolated UUI. The FULrest and FULstress values showed no statistically significant difference between the groups with different types of UI. Conclusions: The PTR value is a result of UPP test that helps in distinguishing objectively between UUI, SUI, and MixUI. The PTR value can be used to characterise the hypermobility of urethra. The MUCPrest and MUCPstress values are consistently lower in women with isolated SUI, compared to those with isolated UUI. MUCP can be used as an objective criterion for differentiation of these 2 groups of patients.

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Section: Discussionmentioning

confidence: 68%

The Correlation of Urethral Pressure Profilometry Data in Women with Different Types of Urinary Incontinence

Шарипова

Pilsetniece²,

Bekmukhambetov³

et al. 2016

Urol Int

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“…MUCP was defined according to the International Continence Society, noting that the microtransducer catheters do not directly measure the urethral pressure, but the stress on the transducer surface from the urethral tissue [6]. The MUCP represented the maximum difference between the urethral and the intravesical pressure.…”

Section: Methodsmentioning

confidence: 99%

Air-charged and microtransducer urodynamic catheters in the evaluation of urethral function

Pollak

Неймарк

Connor

et al. 2004

International Urogynecology Journal and Pelvic Floor Dysfunctio

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This study aimed to compare measurements of urethral pressure profile and Valsalva leak point pressure (VLPP) obtained with air-charged and microtransducer catheters. Forty-five women with urogynecologic dysfunction underwent multichannel urodynamic evaluation including maximum urethral closure pressure (MUCP), functional urethral length (FUL), and VLPP with air-charged balloon catheters as well as microtransducer catheters. Lin's concordance coefficient was used to examine the agreement of MUCP, VLPP, and FUL measurements with the two catheters. The MUCPs measured with the two catheters had a high concordance coefficient of 0.69 (95% CI 0.50, 0.82). The VLPP measurements obtained with the catheters also agreed well, with a concordance coefficient of 0.71 (95% CI 0.43, 0.87). The measurements of mean FUL had a low concordance of 0.35 (95% CI 0.085, 0.57). Overall, air-charged and microtransducer catheters yield similar information when evaluating VLPP and MUCP. There were differences in FUL and these were likely due to different catheter diameters.

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“…A two-way No. 9 flexible Foley catheter and a side-mounted transducer with a rate of 0.5 mm/s were used for stress urethral pressure profile [14]. The 20-min pad test was used to determine the amount of urine leakage.…”

Section: Methodsmentioning

confidence: 99%

“…Bladder storage dysfunction as deduced from urodynamic findings was defined as a decreased bladder capacity (less than 300 mL) at the point of strong desire, or the presence of idiopathic detrusor overactivity or low bladder compliance or GSI when a urine leak occurred following a cough during filling cystometry or stress urethral pressure profile [11]. The types of urinary incontinence were defined as idiopathic detrusor overactivity, GSI, or mixed GSI/idiopathic detrusor overactivity according to the definition recommended by the International Continence Society (ICS) and Urodynamic Society [13,14,15,16].…”

Section: Methodsmentioning

confidence: 99%

Impact of radical hysterectomy for cervical cancer on urodynamic findings

Lin

Yang

et al. 2004

Int Urogynecol J

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To elucidate the impact of radical hysterectomy upon the urodynamic findings of patients with cervical cancer, 20 patients with cervical cancer at stage IB to IIA who underwent radical hysterectomy were recruited. Each patient underwent a 20-min pad test and urodynamic study prior to and 3 months after radical hysterectomy. ANOVA, Bonferroni test and paired t -test were utilized for analysis. The mean age of the 20 patients was 50.2+/-8.7 years with a mean parity of 3.5+/-1.5. Four (20%) of the 20 cases revealed normal urodynamic findings preoperatively, and the urodynamic findings became abnormal after surgery. Comparing the urodynamic parameters of both bladder voiding and storage functions pre- and post-surgery, we found significant impairments postoperatively in all 20 cases. Our data demonstrate that abnormal urodynamic findings may pre-exist for some patients with cervical cancer prior to surgical treatment. These findings may worsen, and/or additional abnormal states may arise subsequent to radical hysterectomy.

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Standardisation of urethral pressure measurement: Report from the standardisation sub‐committee of the International Continence Society

Cited by 192 publications

References 6 publications

The Correlation of Urethral Pressure Profilometry Data in Women with Different Types of Urinary Incontinence

The Correlation of Urethral Pressure Profilometry Data in Women with Different Types of Urinary Incontinence

Air-charged and microtransducer urodynamic catheters in the evaluation of urethral function

Impact of radical hysterectomy for cervical cancer on urodynamic findings

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