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Can Female Voiding Dysfunction Be Predicted Using a Questionnaire?
Urology
November 2024
St. Vincent's Hospital Sydney, Darlinghurst, New South Wales, Australia.
Objective: To evaluate symptoms using the modified International Prostate Symptoms Score (wIPSS) questionnaire and clinical factors that could indicate objective voiding dysfunction (VD) in women.
Methods: One thousand eighty-three women who underwent urodynamic assessment were retrospectively analyzed. The primary outcome was objective VD.
Self-adjusted Nitrous Oxide During Urodynamic Studies Reduces Patient Pain Without Compromising Study Quality: A Randomized Controlled Trial.
Eur Urol Open Sci
October 2024
Department of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Background And Objective: A urodynamic study (UDS) is a routine clinic procedure that can cause significant discomfort for certain patients, with no satisfactory analgesic alternatives currently available. Our aim was to evaluate the effectiveness of low-dose self-adjusted nitrous oxide (SANO), titrated to the patient's desired effect, on standard metrics for bladder function and on patient-reported pain and anxiety.
Methods: We conducted a single-institution, double-blind, randomized crossover trial in adults undergoing UDS.
Intravesical Botulin Toxin-A Injections for Neurogenic Bladder Dysfunction in Children: Summary Update on Last 10 Years of Research.
Toxins (Basel)
August 2024
Department of Surgical Sciences, Dentistry, Gynecology and Pediatrics, University of Verona, 37134 Verona, Italy.
Neurogenic bladder dysfunction (NB) represents a challenge in pediatric urology. Intravesical botulin toxin-A (BTX-A) bladder injection is part of the armamentarium for the treatment of this condition, usually after failed first-line medical strategies and before the escalation to more invasive options such as neuromodulation or augmented cystoplasty in severe cases. However, there is still a lack of consensus about the appropriate treatment modality for the pediatric population.
View Article and Find Full Text PDFUltrasound Urodynamics: A Review of Ultrasound Imaging Techniques for Enhanced Bladder Functional Diagnostics.
Curr Bladder Dysfunct Rep
July 2024
Department of Surgery/Division of Urology, Virginia Commonwealth University School of Medicine, Richmond, VA USA.
Purpose Of Review: Invasive urodynamics are currently used to diagnose disorders of bladder function. However, due to patient discomfort as well as artifacts induced by catheters and non-physiologic filling, less invasive screening tools that can improve diagnostic information, such as ultrasound are required. The purpose of this review is to assess different modalities of ultrasound as applied to functional bladder imaging.
View Article and Find Full Text PDFUrodynamic Risk Factors for Urinary Infection.
Eur Urol Focus
September 2024
Department of Urology and Pediatric Urology, RWTH Aachen University, Aachen, Germany; Department of Urology and Kidney Transplantation, Martin-Luther-University, Halle, Germany.
Urinary tract infections (UTIs) are frequently associated with lower urinary tract dysfunction (LUTD). Urodynamic investigation (UDI) is the gold standard for assessing LUTD, but its value in identifying UTI risk factors remains underexplored. Studies have shown high rates of storage and voiding dysfunction in patients with recurrent UTIs, suggesting a causal link between LUTD and UTIs.
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