Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors
Objective: To assess the clinical significance of low compliance bladder (LCB) in women with lower urinary tract symptoms. Materials and Methods: Medical records of 1490 women undergoing videourodynamic studies (VUSs) were reviewed. Comprehensive medical histories, physical examinations, bladder dia...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-12-01
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| Series: | Taiwanese Journal of Obstetrics & Gynecology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1028455915002338 |
| _version_ | 1819055020696403968 |
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| author | Jin-Yi Liao Yi-Hao Lin Ching-Chung Liang Wu-Chiao Hsieh She-Jane Lee Ling-Hong Tseng |
| author_facet | Jin-Yi Liao Yi-Hao Lin Ching-Chung Liang Wu-Chiao Hsieh She-Jane Lee Ling-Hong Tseng |
| author_sort | Jin-Yi Liao |
| collection | DOAJ |
| description | Objective: To assess the clinical significance of low compliance bladder (LCB) in women with lower urinary tract symptoms.
Materials and Methods: Medical records of 1490 women undergoing videourodynamic studies (VUSs) were reviewed. Comprehensive medical histories, physical examinations, bladder diaries, and results of multichannel VUS were analyzed. This study adopted an end filling detrusor pressure (EFP) greater than 20 cmH2O to define LCB.
Results: Among the study patients (n = 1490), 9.1% were diagnosed with LCB using a cutoff value of 17.5 cmH2O, which had a sensitivity and specificity of 89% and 92.7%, respectively. Results of multivariate analysis indicated that age (p = 0.005), maximum cystometric capacity (MCC; p = 0.002), detrusor overactivity (DO; p = 0.001), pelvic organ prolapse (POP; p = 0.018), recurrent urinary tract infection (p = 0.001), and radical abdominal hysterectomy (RAH; p < 0.001) as independent prognostic factors. Furthermore, our study results indicate that the MCC, urinary tract infection, and a history of RAH have a positive correlation with LCB, whereas, age, POP, and DO have a negative correlation with LCB.
Conclusion: Our idea using EFP (≥17.5 cmH2O) for screening women with LCB is feasible for clinical use. |
| first_indexed | 2024-12-21T13:00:53Z |
| format | Article |
| id | doaj.art-8267fef7b87e4a1082d094c869089ff2 |
| institution | Directory Open Access Journal |
| issn | 1028-4559 |
| language | English |
| last_indexed | 2024-12-21T13:00:53Z |
| publishDate | 2015-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Taiwanese Journal of Obstetrics & Gynecology |
| spelling | doaj.art-8267fef7b87e4a1082d094c869089ff22022-12-21T19:03:10ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592015-12-0154670971510.1016/j.tjog.2015.10.003Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factorsJin-Yi Liao0Yi-Hao Lin1Ching-Chung Liang2Wu-Chiao Hsieh3She-Jane Lee4Ling-Hong Tseng5University of Chang Gung School of Medicine, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Taoyuan, TaiwanDepartment of Obstetrics and Gynecology, Chang Gung Memorial Hospital Lin-Kou Branch and University of Chang Gung School of Medicine, Taoyuan, TaiwanObjective: To assess the clinical significance of low compliance bladder (LCB) in women with lower urinary tract symptoms. Materials and Methods: Medical records of 1490 women undergoing videourodynamic studies (VUSs) were reviewed. Comprehensive medical histories, physical examinations, bladder diaries, and results of multichannel VUS were analyzed. This study adopted an end filling detrusor pressure (EFP) greater than 20 cmH2O to define LCB. Results: Among the study patients (n = 1490), 9.1% were diagnosed with LCB using a cutoff value of 17.5 cmH2O, which had a sensitivity and specificity of 89% and 92.7%, respectively. Results of multivariate analysis indicated that age (p = 0.005), maximum cystometric capacity (MCC; p = 0.002), detrusor overactivity (DO; p = 0.001), pelvic organ prolapse (POP; p = 0.018), recurrent urinary tract infection (p = 0.001), and radical abdominal hysterectomy (RAH; p < 0.001) as independent prognostic factors. Furthermore, our study results indicate that the MCC, urinary tract infection, and a history of RAH have a positive correlation with LCB, whereas, age, POP, and DO have a negative correlation with LCB. Conclusion: Our idea using EFP (≥17.5 cmH2O) for screening women with LCB is feasible for clinical use.http://www.sciencedirect.com/science/article/pii/S1028455915002338low compliance bladderlower urinary tract symptomsurinary bladderurodynamics |
| spellingShingle | Jin-Yi Liao Yi-Hao Lin Ching-Chung Liang Wu-Chiao Hsieh She-Jane Lee Ling-Hong Tseng Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors Taiwanese Journal of Obstetrics & Gynecology low compliance bladder lower urinary tract symptoms urinary bladder urodynamics |
| title | Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors |
| title_full | Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors |
| title_fullStr | Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors |
| title_full_unstemmed | Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors |
| title_short | Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors |
| title_sort | monitoring bladder compliance using end filling detrusor pressure clinical results and related factors |
| topic | low compliance bladder lower urinary tract symptoms urinary bladder urodynamics |
| url | http://www.sciencedirect.com/science/article/pii/S1028455915002338 |
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