COMPARISON OF FLOWRATES AND VOIDED VOLUMES DURING NON-INSTRUMENTED UROFLOWMETRY AND PRESSURE-FLOW STUDIES IN WOMEN WITH STRESS INCONTINENCE
Identifieur interne : 003B22 ( Main/Exploration ); précédent : 003B21; suivant : 003B23COMPARISON OF FLOWRATES AND VOIDED VOLUMES DURING NON-INSTRUMENTED UROFLOWMETRY AND PRESSURE-FLOW STUDIES IN WOMEN WITH STRESS INCONTINENCE
Auteurs : Er Mueller ; H. Litman [États-Unis] ; Lr Rickey [États-Unis] ; L. Sirls ; P. Norton ; T. Wilson ; P. Moalli [États-Unis] ; M. Albo ; P. ZimmernSource :
- Neurourology and urodynamics [ 0733-2467 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Bandelettes sous-urétrales, Couches pour incontinents, Femelle, Humains, Incontinence urinaire d'effort (), Incontinence urinaire d'effort (physiopathologie), Obstruction urétrale (), Obstruction urétrale (physiopathologie), Pression, Prolapsus d'organe pelvien (), Prolapsus d'organe pelvien (physiopathologie), Sujet âgé, Urodynamique (physiologie).
- MESH :
- physiologie : Urodynamique.
- physiopathologie : Incontinence urinaire d'effort, Obstruction urétrale, Prolapsus d'organe pelvien.
- Adulte d'âge moyen, Bandelettes sous-urétrales, Couches pour incontinents, Femelle, Humains, Incontinence urinaire d'effort, Obstruction urétrale, Pression, Prolapsus d'organe pelvien, Sujet âgé.
English descriptors
- KwdEn :
- Aged, Female, Humans, Incontinence Pads, Middle Aged, Pelvic Organ Prolapse (physiopathology), Pelvic Organ Prolapse (surgery), Pressure, Suburethral Slings, Urethral Obstruction (physiopathology), Urethral Obstruction (surgery), Urinary Incontinence, Stress (physiopathology), Urinary Incontinence, Stress (surgery), Urodynamics (physiology).
- MESH :
- physiology : Urodynamics.
- physiopathology : Pelvic Organ Prolapse, Urethral Obstruction, Urinary Incontinence, Stress.
- surgery : Pelvic Organ Prolapse, Urethral Obstruction, Urinary Incontinence, Stress.
- Aged, Female, Humans, Incontinence Pads, Middle Aged, Pressure, Suburethral Slings.
Abstract
The Blaivas-Groutz nomogram defines voiding obstruction in women using Qmax from the NIF and the maximum detrusor pressure (Pdetmax) from the PFS. The aim of this study was to understand the relationship between NIF and PFS maximum flow rates in women with stress incontinence.
We analyzed the UDS of 597 women with stress-dominant urinary incontinence. Each subject underwent a NIF and then a PFS. Mixed model was used to test the hypothesis that the relationship between flow rates and voided volume were similar for NIF and PFS.
There were 452 subjects with both NIF and PFS studies that met the inclusion criteria and had max flow rate (Qmax) for both NIF and PFS. The mean age was 53. Overall, higher voided volumes were observed during PFS compared to NIF and subjects had higher Qmax with NIF compared to PFS. The relationship between Qmax and VV was significantly different between NIF and PFS (p < 0.004). At 200 mL, NIF Qmax was 14% higher than PFS Qmax and this difference increased to 30% at 700mL.
The difference between PFS Qmax and NIF Qmax increases as voided volumes increase. As a result, values from PFS and NIF cannot be used interchangeably as has been suggested in the Blaivas-Groutz nomogram for obstruction in women.
Url:
DOI: 10.1002/nau.22625
PubMed: 24797058
PubMed Central: 4219932
Affiliations:
- États-Unis
- Maryland, Massachusetts, Pennsylvanie
- College Park (Maryland), Pittsburgh
- Université de Pittsburgh, Université du Maryland
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Litman</name><affiliation wicri:level="2"><nlm:aff id="A2">New England Research Institutes, Watertown, MA</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>New England Research Institutes, Watertown</wicri:cityArea></affiliation></author><author><name sortKey="Rickey, Lr" sort="Rickey, Lr" uniqKey="Rickey L" first="Lr" last="Rickey">Lr Rickey</name><affiliation wicri:level="4"><nlm:aff id="A3">University of Maryland, Baltimore, Maryland, Department of Urology</nlm:aff><orgName type="university">Université du Maryland</orgName><country>États-Unis</country><placeName><settlement type="city">College Park (Maryland)</settlement><region type="state">Maryland</region></placeName></affiliation></author><author><name sortKey="Sirls, L" sort="Sirls, L" uniqKey="Sirls L" first="L" last="Sirls">L. Sirls</name><affiliation><nlm:aff id="A4">William Beaumont Hospital, Royal Oak, Michigan, Department of Urology</nlm:aff><wicri:noCountry code="subfield">Department of Urology</wicri:noCountry></affiliation></author><author><name sortKey="Norton, P" sort="Norton, P" uniqKey="Norton P" first="P" last="Norton">P. Norton</name><affiliation><nlm:aff id="A5">University of Utah, Salt Lake City, Utah, Department of Obstetrics and Gynecology</nlm:aff><wicri:noCountry code="subfield">Department of Obstetrics and Gynecology</wicri:noCountry></affiliation></author><author><name sortKey="Wilson, T" sort="Wilson, T" uniqKey="Wilson T" first="T" last="Wilson">T. Wilson</name><affiliation><nlm:aff id="A6">University of Alabama Medical Center, Birmingham, Department of Urology</nlm:aff><wicri:noCountry code="subfield">Department of Urology</wicri:noCountry></affiliation></author><author><name sortKey="Moalli, P" sort="Moalli, P" uniqKey="Moalli P" first="P" last="Moalli">P. Moalli</name><affiliation wicri:level="4"><nlm:aff id="A7">University of Pittsburgh, Department of Obstetrics & Gynecology</nlm:aff><orgName type="university">Université de Pittsburgh</orgName><country>États-Unis</country><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Albo, M" sort="Albo, M" uniqKey="Albo M" first="M" last="Albo">M. Albo</name><affiliation><nlm:aff id="A8">University of California, San Diego, CA, Department of Urology</nlm:aff><wicri:noCountry code="subfield">Department of Urology</wicri:noCountry></affiliation></author><author><name sortKey="Zimmern, P" sort="Zimmern, P" uniqKey="Zimmern P" first="P" last="Zimmern">P. Zimmern</name><affiliation><nlm:aff id="A9">Southwestern Medical Center, Dallas, Texas, Department of Urology</nlm:aff><wicri:noCountry code="subfield">Department of Urology</wicri:noCountry></affiliation></author></analytic><series><title level="j">Neurourology and urodynamics</title><idno type="ISSN">0733-2467</idno><idno type="eISSN">1520-6777</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Incontinence Pads</term><term>Middle Aged</term><term>Pelvic Organ Prolapse (physiopathology)</term><term>Pelvic Organ Prolapse (surgery)</term><term>Pressure</term><term>Suburethral Slings</term><term>Urethral Obstruction (physiopathology)</term><term>Urethral Obstruction (surgery)</term><term>Urinary Incontinence, Stress (physiopathology)</term><term>Urinary Incontinence, Stress (surgery)</term><term>Urodynamics (physiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandelettes sous-urétrales</term><term>Couches pour incontinents</term><term>Femelle</term><term>Humains</term><term>Incontinence urinaire d'effort ()</term><term>Incontinence urinaire d'effort (physiopathologie)</term><term>Obstruction urétrale ()</term><term>Obstruction urétrale (physiopathologie)</term><term>Pression</term><term>Prolapsus d'organe pelvien ()</term><term>Prolapsus d'organe pelvien (physiopathologie)</term><term>Sujet âgé</term><term>Urodynamique (physiologie)</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Urodynamique</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Urodynamics</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Incontinence urinaire d'effort</term><term>Obstruction urétrale</term><term>Prolapsus d'organe pelvien</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Pelvic Organ Prolapse</term><term>Urethral Obstruction</term><term>Urinary Incontinence, Stress</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Pelvic Organ Prolapse</term><term>Urethral Obstruction</term><term>Urinary Incontinence, Stress</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Incontinence Pads</term><term>Middle Aged</term><term>Pressure</term><term>Suburethral Slings</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Bandelettes sous-urétrales</term><term>Couches pour incontinents</term><term>Femelle</term><term>Humains</term><term>Incontinence urinaire d'effort</term><term>Obstruction urétrale</term><term>Pression</term><term>Prolapsus d'organe pelvien</term><term>Sujet âgé</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Aims</title><p id="P1">The Blaivas-Groutz nomogram defines voiding obstruction in women using Q<sub>max</sub> from the NIF and the maximum detrusor pressure (P<sub>detmax</sub>) from the PFS. The aim of this study was to understand the relationship between NIF and PFS maximum flow rates in women with stress incontinence.</p></sec><sec id="S2"><title>Methods</title><p id="P2">We analyzed the UDS of 597 women with stress-dominant urinary incontinence. Each subject underwent a NIF and then a PFS. Mixed model was used to test the hypothesis that the relationship between flow rates and voided volume were similar for NIF and PFS.</p></sec><sec id="S3"><title>Results</title><p id="P3">There were 452 subjects with both NIF and PFS studies that met the inclusion criteria and had max flow rate (Q<sub>max</sub>) for both NIF and PFS. The mean age was 53. Overall, higher voided volumes were observed during PFS compared to NIF and subjects had higher Q<sub>max</sub> with NIF compared to PFS. The relationship between Q<sub>max</sub> and VV was significantly different between NIF and PFS (p < 0.004). At 200 mL, NIF Q<sub>max</sub> was 14% higher than PFS Q<sub>max</sub> and this difference increased to 30% at 700mL.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">The difference between PFS Q<sub>max</sub> and NIF Q<sub>max</sub> increases as voided volumes increase. As a result, values from PFS and NIF cannot be used interchangeably as has been suggested in the Blaivas-Groutz nomogram for obstruction in women.</p></sec></div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Maryland</li><li>Massachusetts</li><li>Pennsylvanie</li></region><settlement><li>College Park (Maryland)</li><li>Pittsburgh</li></settlement><orgName><li>Université de Pittsburgh</li><li>Université du Maryland</li></orgName></list><tree><noCountry><name sortKey="Albo, M" sort="Albo, M" uniqKey="Albo M" first="M" last="Albo">M. Albo</name><name sortKey="Mueller, Er" sort="Mueller, Er" uniqKey="Mueller E" first="Er" last="Mueller">Er Mueller</name><name sortKey="Norton, P" sort="Norton, P" uniqKey="Norton P" first="P" last="Norton">P. Norton</name><name sortKey="Sirls, L" sort="Sirls, L" uniqKey="Sirls L" first="L" last="Sirls">L. Sirls</name><name sortKey="Wilson, T" sort="Wilson, T" uniqKey="Wilson T" first="T" last="Wilson">T. Wilson</name><name sortKey="Zimmern, P" sort="Zimmern, P" uniqKey="Zimmern P" first="P" last="Zimmern">P. Zimmern</name></noCountry><country name="États-Unis"><region name="Massachusetts"><name sortKey="Litman, H" sort="Litman, H" uniqKey="Litman H" first="H" last="Litman">H. Litman</name></region><name sortKey="Moalli, P" sort="Moalli, P" uniqKey="Moalli P" first="P" last="Moalli">P. Moalli</name><name sortKey="Rickey, Lr" sort="Rickey, Lr" uniqKey="Rickey L" first="Lr" last="Rickey">Lr Rickey</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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