Urology Today.net

Site updated at Tuesday, 28 October 2014

Common Urological Problems

Bladder Overactivity

Findings in NonNeurogenic Overactive Bladder

Although no clear criteria exist for differentiating neurogenic from idiopathic DO, it has been suggested that unstable bladder contractions occurring as a result of neurological disease may be more likely to result in urge incontinence (17) and have a greater amplitude. Regardless, perhaps the most common urodynamic pattern seen in patients with idiopathic OAB… Findings in NonNeurogenic Overactive Bladder   



Findings in Neurogenic OAB

Patients with neurogenic OAB tend to have severe symptoms that are more difficult to treat pharmacologically. It is not immediately clear that the overactive contractions experienced by patients with neurological conditions are necessarily of greater amplitude or occur earlier during filling, although there is some indirect evidence to support this contention (13). Phasic detrusor… Findings in Neurogenic OAB   



Urodynamic Evaluation of Female Stress Urinary Incontinence

Introduction
The American Urological Association has published guidelines for the surgical management of female stress urinary incontinence (1). According to these guidelines, the objective demonstration of stress urinary incontinence should be documented prior to initiating surgical therapy.  This can be accomplished with physical examination (filling the bladder and observing stress incontinence with cough… Urodynamic Evaluation of Female  Stress Urinary Incontinence   



Urethral pressure profilometry

Historically, the first urodynamic parameter measured to characterize stress incontinence was the resting urethral pressure profile (UPP), which was based on the idea that continence is maintained as long as urethral pressure exceeds intravesical pressure. It was thought that measuring the pressure exerted by the urethra in relation to the intravesical pressure would predict… Urethral pressure profilometry   



Urethral Retroresistance Pressure

A new urodynamic measurement system for urethral retroresistance pressure (URP) has been described. URP is defined as the pressure required to achieve and maintain an open urethral sphincter and is measured by occluding the urethral meatus with a cone-tipped plug placed 5 mm in the urethra.

Sterile fluid is then infused retrograde at… Urethral Retroresistance Pressure   



Role of Urodynamic Testing in the Assessment of Female SUI

Although urodynamic testing is frequently performed as part of the evaluation of SUI, the benefits obtained by performing such testing have not been well defined. Advocates of a “minimalist” approach argue that direct observation of stress incontinence on physical examination is sufficient to allow the treating physician to proceed with surgery in the majority… Role of Urodynamic Testing in the Assessment of Female SUI   



diet1 - urethral retroresistance pressure2 - robotic-assisted bladder operations1 - joslin diabetes center1 - hormonal treatment1 - stanford university school of medicine2 - arteriovenous fistula4 - stress urinary incontinence1 - suspected fistula1 - renal replacement treatment1 - screening test1 - hormonal therapy2 - sudden-onset headache1 - interstitial cystitis2 - laparoscopic radical prostatectomy1 - cihi1 - national cancer institute1 - outlet obstruction6 - congenital malformations of urinary tract1 - diagnosis of prostate cancer1 - recurrent infections2 - aus1 - recurrent incontinence1 - prostate-specific-antigen1 - metabolic evaluation1 - bristol stool scale1 - implantable contraception1 - mitotane1 - triage1 - early-stage prostate cancer2 -