Browse

Novel Natural Fill Telemetric Pressure Flow Study of Discomfort and Bladder Outlet Obstruction

Cited 1 time in Web of Science Cited 1 time in Scopus
Authors
Kong, Hyoun-Joong; Park, Sunmee; Lee, Tack; Lee, Ji Youl; Oh, Seung-June; Kim, Hee Chan
Issue Date
2009-08
Publisher
ELSEVIER SCIENCE INC
Citation
JOURNAL OF UROLOGY; Vol.182 2; 601-606
Keywords
prostatepainurodynamicsprostatic hyperplasiaurinary bladder neck obstruction
Abstract
Purpose: We evaluated the accuracy of natural fill telemetric pressure flow study performed in a private room, and assessed patient discomfort and experience after the procedure compared to those of standard pressure flow study. Materials and Methods: In 58 patients with lower urinary tract symptoms/benign prostatic hyperplasia free uroflowmetry, and natural fill telemetric and standard pressure flow studies were prospectively performed. Immediately after each step patients were asked to rate the experience in terms of pain, embarrassment, bother, boredom and repeat testing. Subjective items and objective urodynamic parameters were compared among the 3 tests. Results: Maximum urine flow on natural fill telemetric pressure flow study was not different from that on free uroflowmetry. In contrast, maximum flow, detrusor pressure at maximum flow and bladder contractility index on the standard pressure flow study were significantly lower than on the natural fill pressure flow study. However, the bladder outlet obstruction index was not significantly different between the 2 studies, and the bladder outlet obstruction and bladder contractility indexes correlated well. There were also no differences in bother and embarrassment scores. However, natural fill telemetric pressure flow study was superior in terms of pain and boredom scores. Patients were more willing to undergo repeat natural fill telemetric pressure How study than standard pressure flow study. Time to complete the test was significantly shorter for the natural fill study than for the standard study. Conclusions: Flow rate differences between pressure flow studies and free uroflowmetry are not due to mechanical obstruction by the catheter but to other factors, such as the bladder filling method. Objective parameters on the natural fill telemetric pressure flow study correlated with standard pressure flow study findings. The natural fill telemetric pressure flow study shortened the time needed for the test and may decrease the discomfort of the standard pressure How study.
ISSN
0022-5347
Language
English
URI
http://hdl.handle.net/10371/77086
DOI
https://doi.org/10.1016/j.juro.2009.04.030
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Urology (비뇨기과학전공)Journal Papers (저널논문_비뇨기과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse