Defining Voiding Dysfunction in Women: Bladder Outflow Obstruction Versus Detrusor Underactivity

Autor: Konstantinos-Vaios Mytilekas, Athanasios Oeconomou, Ioannis Sokolakis, Marina Kalaitzi, George Mouzakitis, Evangelia Nakopoulou, Apostolos Apostolidis
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Neurourology Journal, Vol 25, Iss 3, Pp 244-251 (2021)
Druh dokumentu: article
ISSN: 2093-4777
2093-6931
DOI: 10.5213/inj.2040342.171
Popis: Purpose We aimed to develop urodynamic criteria to improve the accuracy of the diagnosis of bladder outlet obstruction (BOO) and detrusor underactivity (DU) in women with lower urinary tract symptoms (LUTS). Methods Initially, in a group of 68 consecutive women with LUTS and increased postvoid residual (PVR) who had undergone urodynamic investigations, we examined the level of agreement between the operating physician’s diagnosis of BOO or DU and the diagnosis according to urodynamic nomograms/indices, including the Blaivas-Groutz (B-G) nomogram, urethral resistance factor (URA), bladder outlet obstruction index (BOOI), and bladder contractility index (BCI). Based on the initial results, we categorized 160 women into 4 groups using the B-G nomogram and URA (group 1, severe-moderate BOO; group 2, mild BOO and URA≥20; group 3, mild BOO and URA
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