Mendez Arnaldo, Sawan Mohamad
Polystim Neurotechnologies Laboratory, Ecole Polytechnique de Montreal, Quebec, Canada.
Can J Urol. 2011 Feb;18(1):5504-16.
Chronic monitoring of bladder volume can improve the clinical diagnosis and the choice of therapeutic approach for patients suffering from urinary dysfunction. It can also be employed to notify patients or healthcare personnel when the bladder should be emptied. An early warning can be triggered either when functional bladder capacity is reached or when an abnormally high postvoiding residual volume remains in the bladder after an unfinished voiding. Currently, neuroprosthetic implants are used in the treatment of refractory patients with overactive bladder, with urgency-frequency or with voiding complications. These implants can further enhance their performance, and also reduce their adverse-effects, by implementing a conditional stimulation based on the ongoing information of bladder volume. In this paper, we review the measurement methods used in past studies, we analyze and assess them, and lastly we pinpoint the one that we consider the optimal one for chronic monitoring of bladder volume.
对膀胱容量进行长期监测可改善对排尿功能障碍患者的临床诊断及治疗方法的选择。它还可用于在膀胱需要排空时通知患者或医护人员。当达到功能性膀胱容量或在未完成排尿后膀胱中残留异常高的残余尿量时，均可触发早期预警。目前，神经假体植入物用于治疗膀胱过度活动症、尿急尿频或排尿并发症的难治性患者。通过基于膀胱容量的实时信息实施条件刺激，这些植入物可以进一步提高其性能，并减少其不良反应。在本文中，我们回顾了过去研究中使用的测量方法，对其进行了分析和评估，最后指出了我们认为最适合长期监测膀胱容量的方法。
