The Role of Non-Invasive Urodynamics in Bladder Outlet Obstruction Diagnosis in Male Patients.

Autor: Palazzetti, A., Tosco, L, Crìvellaro, S., Guaitoli, P., Abbinante, M., Frea, B.
Předmět:
Zdroj: Urologia Journal; 2010 Suppl 16, Vol. 77, p59-64, 6p
Abstrakt: Purpose: Many Methods have been suggested to assess bladder outlet obstruction, as defined by the gold standard of pressure flow studies. A comprehensive review of the literature on the different methods used to diagnose bladder outlet obstruction by non-invasive means was performed in order to compare those methods to invasive urodynamics in terms of sensitivity and specificity. Materials and Methods: A MEDLINE search was done of the published literature covering from December 2003 on non-invasive methods, including only single measures to diagnose bladder outlet obstruction. We performed a comparison between all methods in terms of sensitivity and specificity for each test. For many techniques these values were calculated directly from the data presented in the article. Results: There has been applied many methods to diagnose bladder outlet obstruction. Those methods were divided into uroflowmetry condom-catheter method, penile cuff method and Doppler ultrasonography urodynamics. Each method has been described and discussed in terms of its role in adding information to the diagnostic work-up for bladder outlet obstruction. Conclusions: Pressure flow studies still remain the gold standard for assessing bladder outlet obstruction. However non-invasive urodynamics is a promising branch. Probably the most reliable information is given by the association of numerous methods together. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index