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A comparison of flow rate curve shape and video-urodynamic findings in women with lower urinary tract symptoms: can flow rate curve shape predict female bladder outflow obstruction or detrusor underactivity?
- Source :
-
World journal of urology [World J Urol] 2021 May; Vol. 39 (5), pp. 1591-1595. Date of Electronic Publication: 2020 Jul 11. - Publication Year :
- 2021
-
Abstract
- Purpose: To establish the correlation between flow rate curve shape and video-urodynamic findings in women with lower urinary tract symptoms (LUTS).<br />Methods: A retrospective review of consecutive women with LUTS who performed a free flow study immediately before undergoing video-urodynamic investigations over a 28-month period. Flow rate curve shape and video-urodynamic parameters were analysed. Free flow curves were defined into five categories: bell-shaped, prolonged, fluctuating, intermittent or plateau. Women who voided less than 150 ml on the free flow study were excluded from the analysis.<br />Results: A total of 250 women with LUTS, with a mean age 48 years (range 18-83), were included. Bell-shaped tracings excluded obstruction in 89%. Prolonged flow rate curves diagnosed obstruction in 62% and detrusor underactivity in 8%. Fluctuating and intermittent flow rate curves were associated with urodynamic obstruction in 37 and 39%, respectively, and detrusor underactivity in 25 and 29%, respectively. A plateau flow rate curve was indicative of urodynamic obstruction in all three cases observed.<br />Conclusion: Flow rate curve patterns can be suggestive of urodynamic diagnoses. Women without a prolonged void and bell-shaped traces had normal voiding urodynamics in 76% of cases, and the majority could be managed without invasive investigations. Patients with fluctuating and intermittent flow rate curves demonstrate a spectrum of urodynamic diagnoses with a third of cases having obstruction and a third of cases having detrusor underactivity. Plateau flow rate curve patterns are associated with urethral obstruction.
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Correlation of Data
Humans
Lower Urinary Tract Symptoms complications
Middle Aged
Predictive Value of Tests
Retrospective Studies
Urinary Bladder Neck Obstruction complications
Urinary Bladder, Underactive complications
Video Recording
Young Adult
Lower Urinary Tract Symptoms physiopathology
Urinary Bladder Neck Obstruction diagnosis
Urinary Bladder Neck Obstruction physiopathology
Urinary Bladder, Underactive diagnosis
Urinary Bladder, Underactive physiopathology
Urodynamics
Subjects
Details
- Language :
- English
- ISSN :
- 1433-8726
- Volume :
- 39
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- World journal of urology
- Publication Type :
- Academic Journal
- Accession number :
- 32653952
- Full Text :
- https://doi.org/10.1007/s00345-020-03343-4