Correlation between urodynamic function and 3D cat scan anatomy in neobladders: Does it exist?

Autor: Christoph Wald, Ervin Kocjancic, John T. Stoffel, J.J. Smith, S. Crivellaro, John A. Libertino, John F. Bresette, E. Mami
Rok vydání: 2009
Předmět:
Zdroj: Neurourology and Urodynamics. 28:236-240
ISSN: 0733-2467
DOI: 10.1002/nau.20621
Popis: Introduction We compared the functional and anatomical differences among three different orthotopic neobladders, utilizing video urodynamics and 3D CT to determine what parameters, if any, correlate to function. Materials and Methods Thirty-four patients were able to participate in the evaluation of their neobladder by 3D CT and video urodynamics. Three different orthotopic neobladders were identified (12 ileal, 7 ileocecal, 15 sigmoid). Multiple measurements, observations and functional data have been obtained. Statistical analysis for this study employed a linear regression test and an odds ratio calculation (using StatSoft V. 5.1). Results In comparing three different neobladders, no significant differences were noted. Looking at the entire population, the following association was statistically significant in linear correlation: the maximal capacity and the neobladder volume; the pressure at the maximal capacity and the distance from the symphysis, the pressure at maximal flow and both the distance from the symphysis and the thickness of the neobladder. The distance from the left femoral head was directly correlated with the post void residual and inversely correlated with the maximal flow. The Odds ratio calculation revealed (with significant P
Databáze: OpenAIRE