The Experts below are selected from a list of 7695 Experts worldwide ranked by ideXlab platform
Carlo Vicentini - One of the best experts on this subject based on the ideXlab platform.
-
urodynamic obstruction in women with stress urinary incontinence do nonintubated Uroflowmetry and symptoms aid diagnosis
The Journal of Urology, 2007Co-Authors: Giovanni Luca Gravina, Andrea Tubaro, A M Costa, Giuseppe Paradiso Galatioto, Piero Ronchi, Carlo VicentiniAbstract:Purpose: We estimated the prevalence of urodynamic obstruction in women with stress urinary incontinence and determined which clinical indicator (nonintubated Uroflowmetry or urinary symptoms) better predicts urodynamic obstruction.Materials and Methods: From December 2004 to June 2005, 101 women with urodynamic stress urinary incontinence were enrolled. Adjunctive lower urinary tract symptoms were also observed. Of 101 women with stress urinary incontinence 27 had abnormal and 74 had normal nonintubated Uroflowmetry. Normal nonintubated Uroflowmetry was defined as a bell-shaped curve with maximum flow more than 15 ml per second and post-void residual urine less than 50 ml. Urodynamic obstruction was diagnosed based on maximum urine flow less than 12 ml per second and maximum detrusor pressure at maximum flow more than 25 cm H2O.Results: In our stress urinary incontinence population the prevalence of urodynamic obstruction was 15.7%. In urodynamically obstructed women storage symptoms were most common (56...
Andrea Tubaro - One of the best experts on this subject based on the ideXlab platform.
-
urodynamic obstruction in women with stress urinary incontinence do nonintubated Uroflowmetry and symptoms aid diagnosis
The Journal of Urology, 2007Co-Authors: Giovanni Luca Gravina, Andrea Tubaro, A M Costa, Giuseppe Paradiso Galatioto, Piero Ronchi, Carlo VicentiniAbstract:Purpose: We estimated the prevalence of urodynamic obstruction in women with stress urinary incontinence and determined which clinical indicator (nonintubated Uroflowmetry or urinary symptoms) better predicts urodynamic obstruction.Materials and Methods: From December 2004 to June 2005, 101 women with urodynamic stress urinary incontinence were enrolled. Adjunctive lower urinary tract symptoms were also observed. Of 101 women with stress urinary incontinence 27 had abnormal and 74 had normal nonintubated Uroflowmetry. Normal nonintubated Uroflowmetry was defined as a bell-shaped curve with maximum flow more than 15 ml per second and post-void residual urine less than 50 ml. Urodynamic obstruction was diagnosed based on maximum urine flow less than 12 ml per second and maximum detrusor pressure at maximum flow more than 25 cm H2O.Results: In our stress urinary incontinence population the prevalence of urodynamic obstruction was 15.7%. In urodynamically obstructed women storage symptoms were most common (56...
-
visual assessment of Uroflowmetry curves description and interpretation by urodynamists
World Journal of Urology, 2007Co-Authors: Mauro Gacci, Giulio Del Popolo, Walter Artibani, Andrea Tubaro, Domenico Palli, Gianni Vittori, A Lapini, Sergio Serni, Marco CariniAbstract:The aim of study is to verify the aptitude of urodynamists to carry out an objective description of uroflowmetric parameters and to formulate a diagnostic suspicion by using merely the visual interpretation of Uroflowmetry curves. An anonymous questionnaire including ten Uroflowmetry curves was administered to urologists participating in the XXVI Congress of the Italian Society of Urodynamics (SIUD). To evaluate the accuracy in the description of Uroflowmetry pattern, we asked to classify as “normal” or “abnormal” all Uroflowmetry parameters; to assess the capability to outline a diagnostic suspicion, we requested to choose one out of six possible diagnoses. Inter- and intraobserver agreements were calculated. We overall recruited 105 questionnaires out of 300 urologists attending the SIUD Congress. Substantial interobserver agreement was obtained for maximum flow rate, average flow rate, flow time, and voiding time (K = 0.79, 0.79, 0.77, and 0.72), whereas substantial intraobserver agreements were evidenced for maximum flow rate and flow time (K = 0.70 and 0.63). We noted substantial agreement for the “No abnormalities” diagnosis (K = 0.72), fair agreement for “Urethral stricture” (K = 0.30), and slight agreement for both “Benign prostatic obstruction” and “Bladder outflow obstruction” (K = 0.17 and 0.20); moreover, we reported a moderate intraobserver agreement (K = 0.05) on diagnostic suspicion. Maximum flow rate, average flow rate, flow time, and voiding time are properly assessed by the large part of urodynamists. Flow curves from healthy men or from patients with urethral stricture or benign prostatic obstruction are easily recognizable. Long experience and daily practice may make the difference in the assessment of Uroflowmetry curves.
Lane S Palmer - One of the best experts on this subject based on the ideXlab platform.
-
Uroflowmetry parameters before and after meatoplasty for primary symptomatic meatal stenosis in children
The Journal of Urology, 2008Co-Authors: Brian A Vanderbrink, Jordan Gitlin, Lane S PalmerAbstract:Purpose: One measure of a successful outcome of meatoplasty for symptomatic urethral meatal stenosis has traditionally been witnessed voiding and subjective assessment of urinary stream. This evaluation is flawed by nonobjective criteria and potential differing interpretations by different clinicians. We sought to assess urinary flow better following meatoplasty using voiding Uroflowmetry to measure objectively response to treatment.Materials and Methods: We retrospectively reviewed the records of 22 boys who underwent meatoplasty for symptomatic meatal stenosis and who had Uroflowmetry (flow rates, voided volumes and voiding times) performed preoperatively and postoperatively. Statistical comparison of voiding parameters was analyzed using Student's paired t test.Results: Mean patient age was 7 years (range 4 to 13). There were no complications and no recurrences associated with meatoplasty during a mean followup of 12 months. There was a significant increase in maximum urinary flow rates following meato...
Steven G Docimo - One of the best experts on this subject based on the ideXlab platform.
-
can ultrasonography or Uroflowmetry predict which children with voiding dysfunction will have recurrent urinary tract infections
The Journal of Urology, 2005Co-Authors: Nader Shaikh, Sameem Abedin, Steven G DocimoAbstract:ABSTRACTPurpose:: It has been suggested that in children with voiding dysfunction improper bladder emptying contributes to recurrent urinary tract infections (UTIs) and progressive renal scarring. Incomplete bladder emptying may be related to bladder-sphincter dyssynergia. Ultrasonography and Uroflowmetry are used in the initial evaluation of many children with voiding dysfunction. We determine in children with voiding dysfunction whether incomplete bladder emptying has an important role in the pathogenesis of urinary tract infections and whether abnormal ultrasonography or Uroflowmetry can predict which children are at increased risk of recurrent UTIs.Materials and Methods:: In this retrospective cohort study charts of 148 consecutive patients diagnosed with voiding dysfunction were reviewed for information regarding residual urine volumes on initial post-void ultrasound and the number of urinary tract infections on followup. Initial Uroflowmetry curves were blindly reevaluated for this study.Results:: C...
Giovanni Muzzonigro - One of the best experts on this subject based on the ideXlab platform.
-
the role of Uroflowmetry biofeedback and biofeedback training of the pelvic floor muscles in the treatment of recurrent urinary tract infections in women with dysfunctional voiding a randomized controlled prospective study
Urology, 2010Co-Authors: Daniele Minardi, Gianluca Danzeo, Gianni Parri, M Polito, Mara Piergallina, Ziad El Asmar, Mara Marchetti, Giovanni MuzzonigroAbstract:Objectives To evaluate the efficacy of a training program with Uroflowmetry biofeedback and pelvic floor relaxation biofeedback on urodynamic and voiding parameters in women with dysfunctional voiding. Methods Eighty-six women with recurrent urinary tract infections (UTIs) and dysfunctional voiding were randomly assigned to receive a treatment schedule as follows: Uroflowmetry biofeedback (group 1), biofeedback training of the pelvic floor muscles (group 2), Uroflowmetry biofeedback combined to biofeedback training of the pelvic floor muscles (group 3), no treatment (group 4). Patients were regularly evaluated by American Urological Association Symptom Index and urodynamics during the study period. All the patients were followed up for 1 year with monthly urine cultures. A further evaluation was done at month 24 by American Urological Association Symptom Index and free Uroflowmetry with measurement of residual urine. Results The prevalence of storage and emptying symptoms decreased significantly at 3, 6, and 12 months in the groups 1, 2, and 3, and remained stable during the study period. Mean flow rate, flow time, voiding volume increased significantly, whereas postvoid residual urine decreased. The prevalence of UTI decreased significantly in groups 1, 2, and 3. At month 24, storage and emptying symptoms and voiding patterns were similar to the baseline values in all the patients. The incidence of UTIs was similar to baseline values in groups 1, 2, and 3. Conclusions Training the voluntary control of the pelvic floor seems essential in obtaining control over the bladder function. These results reinforce the importance of pelvic floor therapy in the resolution of UTIs.
