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Hydrostatic bladder distension - physiology and clinical application.

J C Smith, M Dunn, G M Ardran

    European Urology
    |January 1, 1975
    PubMed
    Summary
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    Hydrostatic bladder distention reduces blood flow, especially at high pressures. This method shows promising results for treating urinary urgency and incontinence, improving cystometrograms.

    Area of Science:

    • Urology
    • Physiology

    Background:

    • Urinary urgency and urge incontinence affect many patients.
    • Understanding bladder hemodynamics is crucial for effective treatment.

    Purpose of the Study:

    • To investigate bladder blood flow changes during hydrostatic distention.
    • To evaluate hydrostatic distention as a therapeutic approach for urinary urgency and incontinence.

    Main Methods:

    • Utilized radioactive clearance techniques to measure bladder blood flow.
    • Monitored blood flow changes in response to rising bladder pressure during hydrostatic distention.

    Main Results:

    • Bladder blood flow progressively decreased as bladder pressure increased.
    • Minimal blood flow was observed at systolic blood pressure.

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  • Prolonged hydrostatic distention demonstrated satisfactory early clinical outcomes.

    • Conclusions:

    • Hydrostatic bladder distention impacts bladder hemodynamics by reducing blood flow.
    • This technique offers a promising therapeutic option for patients with urgency and urge incontinence, evidenced by positive clinical results and cystometrogram changes.