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• W2022080332 abstract "No AccessJournal of UrologyClinical Urology: Urological Neurology and Urodynamics1 Jan 1998MORBIDITY OF THE EVALUATION OF THE LOWER URINARY TRACT WITH TRANSURETHRAL MULTICHANNEL PRESSURE-FLOW STUDIES H.C. Klingler, S. Madersbacher, B. Djavan, G. Schatzl, M. Marberger, and C.P. Schmidbauer H.C. KlinglerH.C. Klingler More articles by this author , S. MadersbacherS. Madersbacher More articles by this author , B. DjavanB. Djavan More articles by this author , G. SchatzlG. Schatzl More articles by this author , M. MarbergerM. Marberger More articles by this author , and C.P. SchmidbauerC.P. Schmidbauer More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)64054-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The aim of this prospective study was to determine morbidity and complication rate of invasive urodynamic evaluation of the lower urinary tract after transurethral multichannel pressure-flow studies. Materials and Methods: The study included 63 men with the clinical diagnosis of benign prostatic hyperplasia and 56 women with stress urinary incontinence. All patients underwent routine pressure-flow study as part of the urodynamic evaluation. A week later the patients returned for followup which also included a detailed interview on post-evaluation morbidity. Results: The overall complication rate, including urinary retention, gross hematuria, urinary tract infection and fever, was 19.0% (12 of 63) for men and 1.8% (1 of 56) for women. In men there was no statistically significant correlation between post-void residual urine or age and complication rate (p > .05). Of the men 4.8% experienced post-investigational urinary retention and all of them had significant bladder outflow obstruction. In addition, obstructed men reported a higher incidence of dysuria and pain (76.2%, 32 of 42) compared to those without obstruction (57.1%, 12 of 21), whereas only 53.6% of women reported these complaints. Of the 63 men 4 (6.2%) had significant urinary tract infections, while only 1 woman (1.8%) had infections. Conclusions: Invasive urodynamic investigation is associated with a considerable rate of complications and morbidity, particularly in men with infravesical obstruction. These facts must be considered and discussed with the patient before urodynamic testing. References 1 : The assessment of prostatic obstruction from urodynamic measurements and from residual urine.. Brit. J. Urol.1979; 51: 129. Google Scholar 2 : Urethral resistance? Urodynamic concepts of physiological and pathological bladder outlet function during voiding.. Neurourol. Urodynam.1985; 4: 161. Google Scholar 3 : Analysis of bladder-outlet function with the linearised passive urethral resistance relation, lin-PURR, and disease-specific approach for grading obstruction: from complex to simple.. World J. Urol.1995; 13: 47. Google Scholar 4 : Quantification of urethral resistance and bladder function during voiding, with special reference to the effects of prostate size reduction on urethral obstruction due to BPH.. Neurourol. Urodynam.1989; 8: 17. Google Scholar 5 : Pressure-flow studies preoperatively and postoperatively in patients with BPH: estimation of the pressure-flow relation and urethral elasticity.. Neurourol. Urodynam.1991; 10: 139. Google Scholar 6 : The results of prostatectomy: a symptomatic and urodynamic analysis of 152 patients.. J. Urol.1979; 121: 640. Abstract, Google Scholar 7 : Editorial: why pressure-flow studies should be optional and not mandatory studies for evaluation of men with benign prostatic hyperplasia.. Urology1994; 44: 156. Google Scholar 8 : Is it really necessary to do a pressure-flow study in each patient?. Neurourol. Urodynam.1993; 12: 419. abstract 66. Google Scholar 9 : Urodynamics-assessment of morbidity.. Neurourol. Urodynam.1996; 15: 306. abstract 30. Google Scholar 10 : Antibiotic prophylaxis after instrumentation for urodynamic testing.. Brit. J. Urol.1983; 55: 568. Google Scholar 11 : Urodynamic morbidity and dysuria prophylaxis.. Brit. J. Urol.1991; 67: 40. Google Scholar 12 : Morbidity following pressure flow studies (PFS). Are prophylactic antibiotics necessary?. Neurourol. Urodynam.1996; 15: 304. abstract 29. Google Scholar 13 : Urodynamics. London: Springer1997: 51. Google Scholar 14 : The impact of different sized catheters on pressure flow studies in patients with benign prostatic hyperplasia.. Neurourol. Urodynam.1996; 15: 473. Google Scholar 15 : The voiding vesical defense mechanism: the mathematical effect of residual volume, voiding interval and volume on bacteriuria.. J. Urol.1966; 96: 491. Abstract, Google Scholar 16 : The urethral catheter and urinary tract infections.. J. Urol.1964; 88: 834. Google Scholar From the Department of Urology, University of Vienna, Vienna, AustriaAccepted for publication June 20, 1997© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byBright E, Oelke M, Tubaro A and Abrams P (2018) Ultrasound Estimated Bladder Weight and Measurement of Bladder Wall Thickness—Useful Noninvasive Methods for Assessing the Lower Urinary Tract?Journal of Urology, VOL. 184, NO. 5, (1847-1854), Online publication date: 1-Nov-2010.SCARPERO H, PADMANABHAN P, XUE X and NITTI V (2018) PATIENT PERCEPTION OF VIDEOURODYNAMIC TESTING: A QUESTIONNAIRE BASED STUDYJournal of Urology, VOL. 173, NO. 2, (555-559), Online publication date: 1-Feb-2005.RODRIGUES P, LUCON A, FREIRE G and ARAP S (2018) URODYNAMIC PRESSURE FLOW STUDIES CAN PREDICT THE CLINICAL OUTCOME AFTER TRANSURETHRAL PROSTATIC RESECTIONJournal of Urology, VOL. 165, NO. 2, (499-502), Online publication date: 1-Feb-2001. Volume 159Issue 1January 1998Page: 191-194 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information H.C. Klingler More articles by this author S. Madersbacher More articles by this author B. Djavan More articles by this author G. Schatzl More articles by this author M. Marberger More articles by this author C.P. Schmidbauer More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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