Document Detail


Abnormal detrusor function precipitating hydronephrosis identified by extended voiding cystometry.
MedLine Citation:
PMID:  8201697     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Extended voiding cystometry was performed to elucidate the true detrusor function in a patient originally misdiagnosed during standard fill cystometry. This methodology allows for observation of an extended period of bladder activity and eliminates the artifacts of classical fill cystometry, which are detrusor instability and noncompliance. A chronically elevated intravesical pressure between contractions (inter-contraction pressure) representing high pressure residual urine, as well as frequent, high amplitude, long duration detrusor contractions during the storage phase and a large post-void residual urine volume were documented. These urodynamic abnormalities are known to precipitate hydroureteronephrosis in the absence of vesicoureteral reflux.
Authors:
L A Kerr; S B Bauer; D R Staskin
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  152     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1994 Jul 
Date Detail:
Created Date:  1994-07-01     Completed Date:  1994-07-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  89-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Urology, George Washington University Medical Center, Washington, D.C. 20037.
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MeSH Terms
Descriptor/Qualifier:
Adult
Artifacts
Cystitis / diagnosis
Diagnostic Errors
Female
Humans
Hydronephrosis / etiology*
Pressure
Time Factors
Urinary Bladder / physiopathology*
Urinary Bladder, Neurogenic / complications,  diagnosis*,  physiopathology
Urodynamics / physiology*
Comments/Corrections
Comment In:
J Urol. 1994 Jul;152(1):103-4   [PMID:  8201638 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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