Department of Urology, University Medical Center Utrecht, Utrecht, The Netherlands.
Department of Urology, Hospital Clinico Universidad de Chile, Santiago, Chile.
Neurourol Urodyn. 2023 Nov;42(8):1590-1602. doi: 10.1002/nau.25192. Epub 2023 Apr 25.
The working group (WG) initiated by the International Continence Society Standardization Steering Committee and supported by the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction has revised the (1997) ICS Standard for pressure flow studies.
Based on the ICS standard for developing evidence-based standards, the WG developed this new ICS standard in the period from May 2020 to December 2022. A draft was posted on the ICS website in January 2023 to facilitate public discussion and the comments received have been incorporated into this final release.
The WG summarizes the theory and recommends the practice and the terms used for the diagnosis of voiding dysfunction for adult female and male patients without relevant neurological abnormalities, in part 1 of this standard. The WG has also recommended standard principles and parameters for objective and continuous grading of urethral resistance and detrusor voiding contraction on the basis of pressure flow studies in part 2. The recommendations for practice in this part have also the aim to increase the understanding of the physiology as well as the psychology of voiding. The potential effects of the laboratory situation of the test on the voiding as well as the role of the urodynamicist in this regard are discussed. The WG has recommended to use for diagnosis only the voidings that are considered representative by the patient.
A pressure flow study is the gold standard to assess voiding function and to quantify dysfunction. This part of the standard explains the clinical background, gives recommendations for the execution of a pressure flow study and lists relevant terms, parameters, and units of measurements.
国际尿控协会（ICS）标准化指导委员会发起并得到尿动力学、女性盆底医学和泌尿生殖重建学会支持的工作组对（1997）年 ICS 压力-流率研究标准进行了修订。
基于制定基于证据的标准的 ICS 标准，工作组在 2020 年 5 月至 2022 年 12 月期间制定了这个新的 ICS 标准。草案于 2023 年 1 月发布在 ICS 网站上，以方便公众讨论，收到的评论意见已纳入本最终版本。
工作组总结了理论，并推荐了用于诊断成年女性和男性患者排尿功能障碍的实践和术语，这些患者没有相关的神经异常，这是本标准的第 1 部分。工作组还根据压力-流率研究，为客观和连续分级尿道阻力和逼尿肌排尿收缩推荐了标准原则和参数，这是本标准的第 2 部分。本部分的实践推荐也旨在增加对排尿生理和心理的理解。讨论了测试的实验室环境对排尿的潜在影响以及尿动力学医师在这方面的作用。工作组建议仅使用患者认为具有代表性的排尿来进行诊断。
压力-流率研究是评估排尿功能和量化功能障碍的金标准。本标准部分解释了临床背景，给出了执行压力-流率研究的建议，并列出了相关术语、参数和测量单位。
