Videourodynamic Studies of Women with Voiding Dysfunction

Abstract This retrospective study is aimed to present videourodynamic findings of women with symptoms of voiding dysfunction in a medical center. Of 1914 women, the diagnoses included bladder outlet obstruction (BOO, n = 810, 42.3%), bladder dysfunction (n = 1,048, 54.8%) and normal tracings (n = 56...

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Autores principales:	Sheng-Mou Hsiao, Ho-Hsiung Lin, Hann-Chorng Kuo
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2017
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a2dc65fc892748fbb9cd3662dd5bc6f4
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spelling	oai:doaj.org-article:a2dc65fc892748fbb9cd3662dd5bc6f42021-12-02T11:52:56ZVideourodynamic Studies of Women with Voiding Dysfunction10.1038/s41598-017-07163-22045-2322https://doaj.org/article/a2dc65fc892748fbb9cd3662dd5bc6f42017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-07163-2https://doaj.org/toc/2045-2322Abstract This retrospective study is aimed to present videourodynamic findings of women with symptoms of voiding dysfunction in a medical center. Of 1914 women, the diagnoses included bladder outlet obstruction (BOO, n = 810, 42.3%), bladder dysfunction (n = 1,048, 54.8%) and normal tracings (n = 56, 2.9%). Anatomic BOO (n = 49) included cystocele (n = 19) and urethral stricture (n = 30). Common functional BOOs included dysfunctional voiding (n = 325, 17.0%) and poor relaxation of the external sphincter (n = 336, 17.6%). Common bladder dysfunction subtypes included detrusor underactivity (n = 337, 17.6%), detrusor hyperactivity with impaired contractility (n = 231, 12.1%), and bladder oversensitivity (n = 325, 17.0%). Receiver operating characteristic (ROC) analysis were performed, and the following optimum cutoff values were determined: (1) voiding detrusor pressure at a maximum flow rate (Pdet.Qmax) = 30 cmH2O for differentiating BOO from bladder dysfunction and normal tracings, with an ROC area of 0.78; (2) the Abrams-Griffiths number = 30 for differentiating anatomic from functional BOO, with an ROC area of 0.66; (3) post-void residual = 200 mL for differentiating bladder neck dysfunction from the other BOOs, with an ROC area of 0.69; (4) Pdet.Qmax = 30 cmH2O for differentiating dysfunctional voiding from poor relaxation of the external sphincter with an ROC area of 0.93. The above findings can be used as initial guide for management of female BOO.Sheng-Mou HsiaoHo-Hsiung LinHann-Chorng KuoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-8 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Sheng-Mou Hsiao Ho-Hsiung Lin Hann-Chorng Kuo Videourodynamic Studies of Women with Voiding Dysfunction
description	Abstract This retrospective study is aimed to present videourodynamic findings of women with symptoms of voiding dysfunction in a medical center. Of 1914 women, the diagnoses included bladder outlet obstruction (BOO, n = 810, 42.3%), bladder dysfunction (n = 1,048, 54.8%) and normal tracings (n = 56, 2.9%). Anatomic BOO (n = 49) included cystocele (n = 19) and urethral stricture (n = 30). Common functional BOOs included dysfunctional voiding (n = 325, 17.0%) and poor relaxation of the external sphincter (n = 336, 17.6%). Common bladder dysfunction subtypes included detrusor underactivity (n = 337, 17.6%), detrusor hyperactivity with impaired contractility (n = 231, 12.1%), and bladder oversensitivity (n = 325, 17.0%). Receiver operating characteristic (ROC) analysis were performed, and the following optimum cutoff values were determined: (1) voiding detrusor pressure at a maximum flow rate (Pdet.Qmax) = 30 cmH2O for differentiating BOO from bladder dysfunction and normal tracings, with an ROC area of 0.78; (2) the Abrams-Griffiths number = 30 for differentiating anatomic from functional BOO, with an ROC area of 0.66; (3) post-void residual = 200 mL for differentiating bladder neck dysfunction from the other BOOs, with an ROC area of 0.69; (4) Pdet.Qmax = 30 cmH2O for differentiating dysfunctional voiding from poor relaxation of the external sphincter with an ROC area of 0.93. The above findings can be used as initial guide for management of female BOO.
format	article
author	Sheng-Mou Hsiao Ho-Hsiung Lin Hann-Chorng Kuo
author_facet	Sheng-Mou Hsiao Ho-Hsiung Lin Hann-Chorng Kuo
author_sort	Sheng-Mou Hsiao
title	Videourodynamic Studies of Women with Voiding Dysfunction
title_short	Videourodynamic Studies of Women with Voiding Dysfunction
title_full	Videourodynamic Studies of Women with Voiding Dysfunction
title_fullStr	Videourodynamic Studies of Women with Voiding Dysfunction
title_full_unstemmed	Videourodynamic Studies of Women with Voiding Dysfunction
title_sort	videourodynamic studies of women with voiding dysfunction
publisher	Nature Portfolio
publishDate	2017
url	https://doaj.org/article/a2dc65fc892748fbb9cd3662dd5bc6f4
work_keys_str_mv	AT shengmouhsiao videourodynamicstudiesofwomenwithvoidingdysfunction AT hohsiunglin videourodynamicstudiesofwomenwithvoidingdysfunction AT hannchorngkuo videourodynamicstudiesofwomenwithvoidingdysfunction
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Videourodynamic Studies of Women with Voiding Dysfunction

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