How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure
Purpose: To compare several contemporary urodynamic criteria for diagnosing detrusor underactivity (DU) and estimate how well they coincide with each other. Materials and Methods: From our prospective urodynamic database we identified nonneurogenic lower urinary tract symptoms (LUTS) patients old...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Urological Association
2017-07-01
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| Series: | Investigative and Clinical Urology |
| Subjects: | |
| Online Access: | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-247.pdf |
| _version_ | 1819085997965574144 |
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| author | Seong Jin Jeong Jung Keun Lee Kwang Mo Kim Harim Kook Sung Yong Cho Seung-June Oh |
| author_facet | Seong Jin Jeong Jung Keun Lee Kwang Mo Kim Harim Kook Sung Yong Cho Seung-June Oh |
| author_sort | Seong Jin Jeong |
| collection | DOAJ |
| description | Purpose: To compare several contemporary urodynamic criteria for diagnosing detrusor underactivity (DU) and estimate how well
they coincide with each other.
Materials and Methods: From our prospective urodynamic database we identified nonneurogenic lower urinary tract symptoms
(LUTS) patients older than 60 years between 2003 and 2014. Patients were reclassified based on four and three contemporary criteria
for DU among men and women. Each criterion was compared with the others using the McNemar test.
Results: Urodynamic data of 4,372 patients (3,357 men and 1,015 women) were analyzed. In men, the prevalence of DU was estimated
to be 56%, 17%, 5%, and 10% based on bladder contractility index, Abrams-Griffith number, maximal detrusor pressure at
maximal flow rate (PdetQmax) 30, and bladder voiding efficiency (BVE) criteria. In women, 14.9%, 9.6%, and 6.4% of patients were
classified as having DU based on maximal flow rate/postvoid residual (Qmax/PVR), PdetQmax 30, and BVE criteria. For individual
subjects, all 4 criteria for men were significantly different from each other, while PdetQmax 30 and BVE criteria for women did not
differ significantly (p=0.065). Additionally, BVE criterion for men and PdetQmax 30 and BVE criteria for women could distinguish
the differences of patient age, free Qmax and free PVR between patient with and without DU.
Conclusions: Each urodynamic criterion for men does not coincide with each other in the diagnosis of DU within individual subjects.
On the other hand, PdetQmax 30 criteria and BVE criteria for women could be appropriately applied to clinical practice when
diagnosing DU in women with LUTS. |
| first_indexed | 2024-12-21T21:13:15Z |
| format | Article |
| id | doaj.art-fd30bbf8be354275ba071b221a1d7aca |
| institution | Directory Open Access Journal |
| issn | 2466-0493 2466-054X |
| language | English |
| last_indexed | 2024-12-21T21:13:15Z |
| publishDate | 2017-07-01 |
| publisher | Korean Urological Association |
| record_format | Article |
| series | Investigative and Clinical Urology |
| spelling | doaj.art-fd30bbf8be354275ba071b221a1d7aca2022-12-21T18:50:05ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-07-0158424725410.4111/icu.2017.58.4.247How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measureSeong Jin Jeong0Jung Keun Lee1Kwang Mo Kim2Harim Kook3Sung Yong Cho4Seung-June Oh5Seoul National University College of MedicineSeoul National University College of MedicineSeoul National University College of MedicineSeoul National University College of MedicineSeoul National University College of MedicineSeoul National University College of MedicinePurpose: To compare several contemporary urodynamic criteria for diagnosing detrusor underactivity (DU) and estimate how well they coincide with each other. Materials and Methods: From our prospective urodynamic database we identified nonneurogenic lower urinary tract symptoms (LUTS) patients older than 60 years between 2003 and 2014. Patients were reclassified based on four and three contemporary criteria for DU among men and women. Each criterion was compared with the others using the McNemar test. Results: Urodynamic data of 4,372 patients (3,357 men and 1,015 women) were analyzed. In men, the prevalence of DU was estimated to be 56%, 17%, 5%, and 10% based on bladder contractility index, Abrams-Griffith number, maximal detrusor pressure at maximal flow rate (PdetQmax) 30, and bladder voiding efficiency (BVE) criteria. In women, 14.9%, 9.6%, and 6.4% of patients were classified as having DU based on maximal flow rate/postvoid residual (Qmax/PVR), PdetQmax 30, and BVE criteria. For individual subjects, all 4 criteria for men were significantly different from each other, while PdetQmax 30 and BVE criteria for women did not differ significantly (p=0.065). Additionally, BVE criterion for men and PdetQmax 30 and BVE criteria for women could distinguish the differences of patient age, free Qmax and free PVR between patient with and without DU. Conclusions: Each urodynamic criterion for men does not coincide with each other in the diagnosis of DU within individual subjects. On the other hand, PdetQmax 30 criteria and BVE criteria for women could be appropriately applied to clinical practice when diagnosing DU in women with LUTS.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-247.pdfDetrusor underactivity; Diagnosis; Urodynamics |
| spellingShingle | Seong Jin Jeong Jung Keun Lee Kwang Mo Kim Harim Kook Sung Yong Cho Seung-June Oh How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure Investigative and Clinical Urology Detrusor underactivity; Diagnosis; Urodynamics |
| title | How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure |
| title_full | How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure |
| title_fullStr | How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure |
| title_full_unstemmed | How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure |
| title_short | How do we diagnose detrusor underactivity? Comparison of diagnostic criteria based on an urodynamic measure |
| title_sort | how do we diagnose detrusor underactivity comparison of diagnostic criteria based on an urodynamic measure |
| topic | Detrusor underactivity; Diagnosis; Urodynamics |
| url | https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-247.pdf |
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