How Should the BCI and BOOI Index be Correctly Applied in Patients With Low-Compliance Bladder?

Neurourol Urodyn

Department of Urology, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.

Published: January 2025

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http://dx.doi.org/10.1002/nau.25663DOI Listing

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Article Synopsis
  • - The study investigates the creation of a new nomogram for assessing bladder outlet obstruction (BOO) and detrusor underactivity (DU) in women with lower urinary tract symptoms (LUTS), as existing models were based on male data and did not include DU.
  • - A total of 183 women participated in the initial analysis, and findings were validated using a second cohort of 142 patients, with logistic regression identifying specific urodynamic parameters as predictors for DU and BOO.
  • - The research successfully created and validated the Barco-Castillo nomogram, which can potentially provide better diagnostic insights for nonneurogenic women experiencing LUTS.
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Efficiency of HoLEP in patients with detrusor underactivity and renal dysfunction secondary to BPO.

World J Urol

September 2024

Department of Urology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, No. 1111 Xianxia Rd, Shanghai, China.

Purpose: The purpose of this study was to assess the bladder and renal functional outcomes of holmium laser enucleation of the prostate (HoLEP) in patients with benign prostatic obstruction (BPO) complicated by detrusor underactivity (DU) and secondary renal dysfunction.

Methods: Thirty-one patients were included in this prospective study. Eligible patients had urinary retention, a bladder outlet obstruction index (BOOI) greater than 40, a bladder contractility index (BCI) less than 100, abnormal renal function at the initial diagnosis (serum creatinine > 132 µmol/L) and a renal pelvis anteroposterior diameter (PRAPD) > 1.

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Objective: Primary bladder neck obstruction (PBNO) is a condition primarily affecting young men, characterized by obstruction at the bladder neck, leading to lower urinary tract symptoms. The aim of this study was to identify a correlation between the severity of bladder neck opening impairment and urinary symptoms by means of urodynamic studies.

Materials And Methods: A retrospective analysis was conducted in adult males diagnosed with PBNO at a university neurourology department between 2015 and 2022 who underwent voiding cystourethrography (VCUG) and pressure-flow studies.

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Purpose: To identify the urodynamic parameters affecting the clinical outcomes of transurethral resection of the prostate(TURP) surgery for patients with benign prostatic hyperplasia(BPH) by multifactor analysis and establish a regression model with diagnostic values.

Methods: The medical records of patients who underwent TURP surgery for BPH between December 2018 and September 2021 were collected from the urology department of the Second Affiliated Hospital of Kunming Medical University, Kunming, China. The patients' clinical data and urodynamic parameters were collected before surgery.

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