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Videourodynamic Studies of Women with Voiding Dysfunction.
Sheng-Mou Hsiao1,2,3, Ho-Hsiung Lin1,3, Hann-Chorng Kuo4
1Department of Obstetrics and Gynecology, Far Eastern Memorial Hospital, Banqiao, New Taipei, Taiwan.
Scientific Reports
|July 30, 2017
Summary
This study analyzed videourodynamic findings in women with voiding dysfunction. Key metrics like voiding detrusor pressure and Abrams-Griffiths number help differentiate bladder outlet obstruction subtypes for better management.
Area of Science:
- Urology
- Female Pelvic Medicine
- Diagnostic Imaging
Background:
- Voiding dysfunction significantly impacts women's quality of life.
- Accurate diagnosis of bladder outlet obstruction (BOO) and its subtypes is crucial for effective treatment.
- Videourodynamics offers detailed insights into lower urinary tract function.
Purpose of the Study:
- To present videourodynamic findings in women experiencing voiding dysfunction.
- To identify diagnostic criteria for differentiating various causes of BOO and bladder dysfunction.
- To establish optimal cutoff values for key urodynamic parameters.
Main Methods:
- Retrospective analysis of videourodynamic studies from 1914 women.
- Classification of diagnoses into bladder outlet obstruction (BOO), bladder dysfunction, and normal tracings.
- Receiver operating characteristic (ROC) analysis to determine optimal cutoff values for differentiating conditions.
Main Results:
- Bladder dysfunction (54.8%) and BOO (42.3%) were the most common diagnoses.
- Optimal cutoff values were identified: voiding detrusor pressure (30 cmH2O) for BOO vs. others (ROC 0.78), Abrams-Griffiths number (30) for anatomic vs. functional BOO (ROC 0.66), post-void residual (200 mL) for bladder neck dysfunction (ROC 0.69), and Pdet.Qmax (30 cmH2O) for dysfunctional voiding vs. sphincter relaxation issues (ROC 0.93).
Conclusions:
- Videourodynamic parameters provide valuable information for diagnosing voiding dysfunction in women.
- Established cutoff values can guide the initial management of female BOO.
- Further research can refine these diagnostic criteria for improved patient outcomes.
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