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• W4318932908 abstract "Considering that to date there is no consensus on the urodynamic (UDS) criteria for diagnosing female bladder outlet obstruction (fBOO), we read with great interest the article by Pang et al. [ [1] Pang K.H. Campi R. Arlandis S. et al. Diagnostic tests for female bladder outlet obstruction: a systematic review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus. 2022; 8: 1015-1030 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar ]. The authors certainly provide detailed and useful information from different publications devoted to the study of fBOO. However, we would like to make a more critical analysis of the studies included, focusing only on those that evaluated UDS. To do this, we must begin by noting that an error was made regarding the 1998 article by Vírseda Chamorro et al, which could not be the study conducted among men [ [2] Vírseda Chamorro M. Salinas Casado J. Aristizábal Agudelo J.A. Fernández Ajubita H. Resel Estévez L. Urodynamic models in the analysis of pressure-flow studies in the adult male. Arch Esp Urol. 1998; 51: 1011-1020 PubMed Google Scholar ] and seems to be the one conducted among women [ [3] Vírseda Chamorro M. Teba Del Pino F. Salinas Casado J. Fernández Lucas C. Arredondo Martínez F. Pressure-flow studies in the diagnosis of micturition disorders in the female. Arch Esp Urol. 1998; 51: 1021-1028 PubMed Google Scholar ]. This study was on “micturition disorders” in women, and not on fBOO, with cases defined only by a low free maximum flow rate (Qmax). Thus, our analysis includes 24 studies [ 4 Akikwala T.V. Fleischman N. Nitti V.W. Comparison of diagnostic criteria for female bladder outlet obstruction. J Urol. 2006; 176: 2093-2097 Crossref PubMed Scopus (73) Google Scholar , 5 Blaivas J.G. Groutz A. Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn. 2000; 19: 553-564 Crossref PubMed Scopus (341) Google Scholar , 6 Chen Y.-C. Kuo H.-C. Clinical and video urodynamic characteristics of adult women with dysfunctional voiding. J Formos Med Assoc. 2014; 113: 161-165 Crossref PubMed Scopus (20) Google Scholar , 7 Choi Y.S. Kim J.C. Lee K.S. et al. Analysis of female voiding dysfunction: a prospective, multi-center study. Int Urol Nephrol. 2013; 45: 989-994 Crossref PubMed Scopus (47) Google Scholar , 8 Chuang F.-C. Kuo H.-C. Videourodynamic differential diagnosis of voiding dysfunction in Taiwanese women. Tzu Chi Med J. 2012; 24: 51-55 Crossref Scopus (1) Google Scholar , 9 Cormier L. Ferchaud J. Galas J.-M. Guillemin F. Mangin P. Diagnosis of female bladder outlet obstruction and relevance of the parameter area under the curve of detrusor pressure during voiding: preliminary results. J Urol. 2002; 167: 2083-2087 Crossref PubMed Scopus (36) Google Scholar , 10 Defreitas G.A. Zimmern P.E. Lemack G.E. Shariat S.F. Refining diagnosis of anatomic female bladder outlet obstruction: comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls. Urology. 2004; 64: 675-679 Abstract Full Text Full Text PDF PubMed Scopus (158) Google Scholar , 11 Dybowski B. Bres-Niewada E. Radziszewski P. Pressure-flow nomogram for women with lower urinary tract symptoms. Arch Med Sci. 2014; 10: 752-756 Crossref PubMed Scopus (12) Google Scholar , 12 Gravina G.L. Costa A.M. Ronchi P. Paradiso Galatioto G. Gualà L. Vicentini C. Bladder outlet obstruction index and maximal flow rate during urodynamic study as powerful predictors for the detection of urodynamic obstruction in women. Neurourol Urodyn. 2007; 26: 247-253 Crossref PubMed Scopus (16) Google Scholar , 13 Groutz A. Blaivas J.G. Chaikin D.C. Bladder outlet obstruction in women: definition and characteristics. Neurourol Urodyn. 2000; 19: 213-220 Crossref PubMed Scopus (236) Google Scholar , 14 Ha S.B. Kim S.S. Lee S.T. et al. Predictive factors for female bladder outlet obstruction defined by pressure-flow study. Korean J Urol. 2009; 50: 848 Crossref Scopus (1) Google Scholar , 15 Hsiao S.-M. Lin H.-H. Kuo H.-C. Videourodynamic studies of women with voiding dysfunction. Sci Rep. 2017; 7: 6845 Crossref PubMed Scopus (33) Google Scholar , 16 Klijer R. Bar K. Białek W. Bladder outlet obstruction in women: difficulties in the diagnosis. Urol Int. 2004; 73: 6-10 Crossref PubMed Scopus (10) Google Scholar , 17 Kuo H.-C. Urodynamic parameters for the diagnosis of bladder outlet obstruction in women. Urol Int. 2004; 72: 46-51 Crossref PubMed Scopus (45) Google Scholar , 18 Kuo H.-C. Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction. Urology. 2005; 66: 1005-1009 Abstract Full Text Full Text PDF PubMed Scopus (122) Google Scholar , 19 Kuo H.-C. Clinical symptoms are not reliable in the diagnosis of lower urinary tract dysfunction in women. J Formos Med Assoc. 2012; 111: 386-391 Crossref PubMed Scopus (25) Google Scholar , 20 Lemack G.E. Zimmern P.E. Pressure flow analysis may aid in identifying women with outflow obstruction. J Urol. 2000; 163: 1823-1828 Crossref PubMed Scopus (130) Google Scholar , 21 Massey J.A. Abrams P.H. Obstructed voiding in the female. Br J Urol. 1988; 61: 36-39 Crossref PubMed Scopus (212) Google Scholar , 22 Nitti V.W. Tu L.M. Gitlin J. Diagnosing bladder outlet obstruction in women. J Urol. 1999; 161: 1535-1540 Crossref PubMed Scopus (314) Google Scholar , 23 Ong H.L. Lee C. Kuo H. Female bladder neck dysfunction—a video-urodynamic diagnosis among women with voiding dysfunction. Low Urin Tract Symptoms. 2020; 12: 278-284 Crossref PubMed Scopus (2) Google Scholar , 24 Rosenblum N. Scarpero H.M. Nitti V.W. Voiding dysfunction in young, nulliparous women: symptoms and urodynamic findings. Int Urogynecol J Pelvic Floor Dysfunct. 2004; 15: 373-377 Crossref PubMed Scopus (7) Google Scholar , 25 Solomon E. Yasmin H. Duffy M. Rashid T. Akinluyi E. Greenwell T.J. Developing and validating a new nomogram for diagnosing bladder outlet obstruction in women. Neurourol Urodyn. 2018; 37: 368-378 Crossref PubMed Scopus (9) Google Scholar , 26 Vírseda Chamorro M. Salinas Casado J. Adot Zurbano J.M. Martín García C. May the Blaivas and Groutz nomogram substitute videourodynamic studies in the diagnosis of female lower urinary tract obstruction?. Arch Esp Urol. 2006; 59: 601-606 PubMed Google Scholar , 27 Yenilmez A. Turgut M. Colak E. Erkul A. Cut-off values of pressure-flow study for the design of bladder outlet obstruction in women. Turk J Urol. 2005; 31: 405-410 Google Scholar ], but we return later to another study that was excluded from this analysis [ [28] Chassagne S. Bernier P.A. Haab F. Roehrborn C.G. Reisch J.S. Zimmern P.E. Proposed cutoff values to define bladder outlet obstruction in women. Urology. 1998; 51: 408-411 Abstract Full Text PDF PubMed Scopus (222) Google Scholar ]. The objective of the report was “to identify and compare different tests to diagnose fBOO through a systematic review process”, and the first eligibility criterion was to include “all types of studies (including at least ten participants) assessing diagnostic accuracy of tests for fBOO” [ [1] Pang K.H. Campi R. Arlandis S. et al. Diagnostic tests for female bladder outlet obstruction: a systematic review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus. 2022; 8: 1015-1030 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar ]." @default.
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• W4318932908 title "Re: Karl H. Pang, Riccardo Campi, Salvador Arlandis, et al. Diagnostic Tests for Female Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus 2022;8:1015–30" @default.
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