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Related Experiment Videos

Functional assessment of the bladder.

J Nordling1

  • 1Department of Urology, Herlev Hospital, University of Copenhagen, Denmark.

Ciba Foundation Symposium
|January 1, 1990
PubMed
Summary
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Understanding bladder function involves assessing storage and emptying. Diagnostic tools like frequency-volume charts and cystometry help evaluate bladder capacity, detrusor muscle activity, and coordination for effective urinary voiding.

Area of Science:

  • Urology
  • Physiology

Background:

  • The urinary bladder performs storage and emptying functions.
  • Patient-completed frequency-volume charts offer insights into voiding patterns and bladder capacity.

Purpose of the Study:

  • To detail the diagnostic utility of various urodynamic assessments.
  • To explain the relationship between detrusor pressure and urinary flow rate during emptying.

Main Methods:

  • Utilizing frequency-volume charts for patient data.
  • Employing filling cystometry to assess storage phase function, including detrusor instability and sensation.
  • Simultaneous registration of detrusor pressure and urinary flow rate to evaluate emptying dynamics.

Main Results:

  • Filling cystometry provides data on bladder sensation, capacity, compliance, and detrusor instability.

Related Experiment Videos

  • Detrusor function during emptying is inversely related to outflow conditions.
  • Underactive detrusor function is characterized by low pressure and low flow rates.

    • Conclusions:

    • Urodynamic assessments are crucial for diagnosing bladder dysfunction.
    • Distinguishing between psychogenic inhibition and neurogenic lesions causing non-contractile detrusor requires further specialized tests.