Use of routine videocystourethrography in the evaluation of female lower urinary tract dysfunction

Barnick, Christian; Cardozo, Linda; Benness, Christopher

doi:10.1002/nau.1930080504

Cited by 16 publications

(7 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…USI was diagnosed in 45% of women following VCU compared with 25% following AUM; this confirms previous results showing that VCU is more sensitive in diagnosing USI than other urodynamic tests [7]. In addition, it is likely that what was interpreted as USI on VCU may had been DO incontinence.…”

Section: Discussionsupporting

confidence: 87%

See 1 more Smart Citation

Comparison of Videocystourethrography and Ambulatory Urodynamic Monitoring in Identifying the Causes of Overactive Bladder Symptoms

Mahfouz¹,

Rantell²,

Cardozo³

et al. 2010

UIJ

View full text Add to dashboard Cite

Abbreviations and AcronymsAUM = ambulatory urodynamic monitoring DO = detrusor overactivity ICS = International Continence Society LUTS = lower urinary tract symptoms OAB = overactive bladder UDS = urodynamic study USI = urodynamic stress incontinence UUI = urge urinary incontinence VCU = videocystourethrography VD = voiding dysfunction ABSTRACT INTRODUCTION: The purposes of the present study were to: (1) compare the findings from videocystourethrography (VCU) with those from ambulatory urodynamic monitoring (AUM) to determine their level of agreement in identifying the causes of overactive bladder (OAB) symptoms; (2) examine changes in the diagnoses that were made following the first test (VCU) after the patient had the second test (AUM). METHODS: This was a retrospective analysis of our AUM database during 2007 and 2008. The inclusion criteria were: (1) female patients over the age of 18 years with OAB symptoms; (2) complete documentation of all OAB symptoms;(3) results from both VCU and AUM. Patients were referred for AUM because the findings following VCU did not explain the presenting symptoms. The frequency and type of OAB symptoms and the results from the tests were recorded and compared. RESULTS:A total of 100 women fulfilled the inclusion criteria. The mean age was 56 years (range, 19-87 years). The cause of the OAB symptoms was defined in 55% of the patients following VCU and 64% of the patients following AUM. Detrusor overactivity (DO) was not identified for any patients following VCU; it was found in 32 patients following AUM. Urgency with or without urge urinary incontinence was the symptom most frequently associated with DO. Of the 100 patients, 45 women had normal results from the VCU. Nine of these women also had normal results following AUM. For the remaining 36 women, the results from AUM identified abnormalities that could explain their symptoms. The most common findings were DO (58%) and urodynamic stress incontinence (16%). CONCLUSION:Results from VCU for patients with symptoms of OAB should be interpreted with caution. AUM appears to be a more discerning tool in identifying DO. Clinicians should interpret urodynamic results in conjunction with clinical symptoms, particularly if a continence surgery is contemplated. AUM is particularly recommended for complex cases.UroToday International Journal ® UI J

show abstract

Section: Discussionsupporting

confidence: 87%

“…Although conventional cystometry or VCU are viable diagnostic tests for USI, AUM is considered to be more sensitive in the identification of DO [7]. AUM has been used in the investigation of lower urinary tract symptoms (LUTS) for over 25 years [8].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Videocystourethrography and Ambulatory Urodynamic Monitoring in Identifying the Causes of Overactive Bladder Symptoms

Mahfouz¹,

Rantell²,

Cardozo³

et al. 2010

UIJ

View full text Add to dashboard Cite

show abstract

“…Simultaneous fluoroscopy during urodynamics can be critical in determining the level of outlet obstruction as well as the presence of VUR, and bladder contours. 1 After doing a retrospective regression analysis of 203 VUDS, we have determined that increased radiation exposure during VUDS was significantly associated with larger BMI, female gender, larger bladder capacity, presence of VUR, junior operator, and higher number of fill cycles.…”

Section: Discussionmentioning

confidence: 99%

“…The simultaneous uses of fluoroscopy during urodynamics, also known as videourodynamics, can be helpful during the evaluation of lower urinary tract dysfunction in adult patients. The addition of fluoroscopy gives the clinician additional information about the urinary tract anatomy and function that in some situations can provide significant diagnostic value of the urodynamic study . However, the use of fluoroscopy requires ionizing radiation and has raised concerns about the potential subsequent risk of malignancy.…”

Section: Introductionmentioning

confidence: 99%

Radiation Exposure During Videourodynamics: Establishing Risk Factors

Brucker

Campeau

Fong

et al. 2016

LUTS

View full text Add to dashboard Cite

show abstract

“…This test can also be combined with fluoroscopy to allow for visualization of the bladder neck, position of the urethra, and ureteral reflux. 32 At specified increments during the test, the filling is stopped, and the patient is asked to cough with incremental increases in pressure or to slowly Valsalva. If leakage is demonstrated, the pressure when leakage occurs is marked on the study.…”

Section: Objective Testingmentioning

confidence: 99%

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Garely

Noor

2014

Obstetrics &Amp; Gynecology

View full text Add to dashboard Cite

Stress urinary incontinence (SUI) is a major problem affecting more than 20% of the nation's female population, with increasing prevalence as our population continues to age. Incontinence places a great burden on individuals, and the economic effect is large. Stress urinary incontinence occurs when there is involuntary leakage of urine during coughing, laughing, sneezing, or physical activity. It can be diagnosed during physical examination and by using low-cost office diagnostics. Although nonsurgical treatments provide some benefit, surgical interventions have demonstrated superiority with respect to subjective and objective cure and better long-term improvement. Corrective surgeries for SUI can be grouped into four categories: 1) slings (midurethral slings and slings placed at the ureterovesical junction), 2) retropubic urethropexy, 3) urethral bulking agents, and 4) artificial sphincters. The success and failure of each approach needs to be assessed in the context of individual patients and their circumstances. Slings and retropubic urethropexy are considered first-line surgical options. Since the advent of minimally invasive retropubic midurethral slings such as the tension-free vaginal tape, transobturator tension-free vaginal tape, and single-incision sling, retropubic urethropexy have fallen out of favor. Warnings about mesh use may contribute to a resurgence of retropubic urethropexy procedures such as the Burch procedure. A Burch procedure should still be considered for patients who have an aversion to mesh or if they are undergoing concurrent abdominal approach surgery. Urethral bulking agents are usually reserved for patients with a fixed, nonmobile urethra who cannot tolerate an operative experience or have failed previous antiincontinence procedures. Artificial sphincters should be considered an operation of last resort.

show abstract

Use of routine videocystourethrography in the evaluation of female lower urinary tract dysfunction

Cited by 16 publications

References 1 publication

Comparison of Videocystourethrography and Ambulatory Urodynamic Monitoring in Identifying the Causes of Overactive Bladder Symptoms

Comparison of Videocystourethrography and Ambulatory Urodynamic Monitoring in Identifying the Causes of Overactive Bladder Symptoms

Radiation Exposure During Videourodynamics: Establishing Risk Factors

Diagnosis and Surgical Treatment of Stress Urinary Incontinence

Contact Info

Product

Resources

About