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Urodynamics: what to do and when is it clinically necessary?

作者信息

Rutman Matthew P, Blaivas Jerry G

机构信息

Department of Urology, Weill Medical College of Cornell University, 445 East 77th Street, New York, NY 10021, USA.

出版信息

Curr Urol Rep. 2007 Jul;8(4):263-8. doi: 10.1007/s11934-007-0071-z.

DOI:10.1007/s11934-007-0071-z
PMID:18519009
Abstract

The role of urodynamics in the evaluation and treatment of men with lower urinary tract symptoms is not well defined. Symptoms do not correlate very well with urodynamic findings, but patients with prostatic obstruction fare better after ablative prostatic surgery than those with impaired detrusor contractility. The only proven method for distinguishing between the two is urodynamics, ie, the detrusor pressure/uroflow study. This article reviews urodynamic techniques and the literature pertaining to urodynamics, along with their clinical utility in benign prostatic hyperplasia. The role of urodynamics in clinical practice is discussed as well.

摘要

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本文引用的文献

1
Predictives regarding outcome after transurethral resection for prostatic adenoma associated with detrusor underactivity.经尿道前列腺腺瘤切除术治疗伴逼尿肌活动低下患者的预后预测因素
Urology. 2006 Feb;67(2):306-10. doi: 10.1016/j.urology.2005.08.015.
2
The natural history of lower urinary tract dysfunction in men: minimum 10-year urodynamic followup of transurethral resection of prostate for bladder outlet obstruction.男性下尿路功能障碍的自然病史：对因膀胱出口梗阻行前列腺经尿道切除术患者进行至少10年的尿动力学随访
J Urol. 2005 Nov;174(5):1887-91. doi: 10.1097/01.ju.0000176740.76061.24.
3
A nomogram to classify men with lower urinary tract symptoms using urine flow and noninvasive measurement of bladder pressure.
一种使用尿流和膀胱压力无创测量对下尿路症状男性进行分类的列线图。
J Urol. 2005 Oct;174(4 Pt 1):1323-6; discussion 1326; author reply 1326. doi: 10.1097/01.ju.0000173637.07357.9e.
4
Measuring resistance index in patients with BPH and lower urinary tract symptoms.测量良性前列腺增生症和下尿路症状患者的阻力指数。
J Clin Ultrasound. 2005 May;33(4):176-80. doi: 10.1002/jcu.20115.
5
[Value of preoperative urodynamics to the prognosis of transurethral prostate resection for benign prostatic hyperplasia].[术前尿动力学检查对良性前列腺增生经尿道前列腺切除术预后的价值]
Zhonghua Nan Ke Xue. 2005 Mar;11(3):207-9.
6
Patient perception of videourodynamic testing: a questionnaire based study.患者对影像尿动力学检查的认知：一项基于问卷调查的研究。
J Urol. 2005 Feb;173(2):555-9. doi: 10.1097/01.ju.0000149968.60938.c0.
7
EAU 2004 guidelines on assessment, therapy and follow-up of men with lower urinary tract symptoms suggestive of benign prostatic obstruction (BPH guidelines).欧洲泌尿外科学会（EAU）2004年关于疑似良性前列腺梗阻的男性下尿路症状的评估、治疗及随访指南（BPH指南）
Eur Urol. 2004 Nov;46(5):547-54. doi: 10.1016/j.eururo.2004.07.016.
8
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Urology. 2004 Aug;64(2):302-5. doi: 10.1016/j.urology.2004.03.035.
9
Comparison of outcomes of transurethral prostate resection in urodynamicallyobstructed versus selected urodynamicallyunobstructed or equivocal men.尿动力学梗阻男性与经选择的尿动力学无梗阻或不明确男性经尿道前列腺切除术的结果比较。
Urology. 2003 Oct;62(4):672-6. doi: 10.1016/s0090-4295(03)00511-9.
10
AUA guideline on management of benign prostatic hyperplasia (2003). Chapter 1: Diagnosis and treatment recommendations.美国泌尿外科学会良性前列腺增生管理指南（2003年）。第1章：诊断与治疗建议。
J Urol. 2003 Aug;170(2 Pt 1):530-47. doi: 10.1097/01.ju.0000078083.38675.79.