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Urodynamic assessment of the bashful bladder
D J Rosario1, C R Chapple, P R Tophill
1Department of Urology, Royal Hallamshire Hospital, Sheffield, England.
The Journal of Urology
|December 22, 1999
Summary
Ambulatory urodynamic monitoring helps diagnose urinary symptoms when standard tests fail, especially in men over 40. It identifies surgically correctable causes in about 20% of these patients.
Area of Science:
- Urology
- Diagnostic Medicine
Background:
- Urinary symptoms significantly impact quality of life.
- Conventional video cystometrography (VCUG) can fail to diagnose voiding dysfunction.
- Ambulatory urodynamic monitoring (AUM) offers an alternative for complex cases.
Purpose of the Study:
- To evaluate the utility of AUM in men unable to void during VCUG.
- To identify potential causes of urinary symptoms in this patient group.
Main Methods:
- 40 men with voiding difficulties on VCUG underwent AUM.
- Solid-state transducers and a portable recorder were used.
- Patients voided privately into a specialized flow meter.
Main Results:
- Diagnostic data were obtained in over 90% of AUM procedures.
- 15% of patients had obstruction, predominantly those over 40.
- Surgical intervention improved symptoms in obstructed patients.
Conclusions:
- AUM is highly effective in diagnosing voiding dysfunction when VCUG fails.
- About 20% of men over 40 with these symptoms have a surgically correctable cause.
- AUM has limited value for men under 40 with similar symptoms.