Document Detail


Defining achievable standards in urodynamics-a prospective study of initial resting pressures.
MedLine Citation:
PMID:  22267155     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
AIMS: Establishing accurate initial resting pressures is an important step in quality control at the start of a urodynamics test. We therefore carried out a prospective study to establish the initial resting pressures achievable with careful quality control. METHODS: Consecutive patients undergoing urodynamics were recruited. Initial resting pressures were recorded in lying, sitting, and standing positions for each patient. The detrusor pressure values obtained before filling were then compared with the pressures obtained during filling. RESULTS: Initial resting abdominal and intravesical pressures were similar and at least 95% lay in the following ranges: lying 0-18 cmH(2) O, sitting 15-40 cmH(2) O, standing 20-50 cmH(2) O: these data gave initial resting detrusor pressure readings between -5 and +5 cmH(2) O in 97%, 97%, and 96%, respectively. Comparison of initial resting pressure readings with those obtained during filling showed that the narrow range of pressures was maintained during the urodynamic test. CONCLUSIONS: This study provides detailed prospective data on achievable initial resting pressures in urodynamics. In this study, p(det) was normally at or close to zero, and distributed more or less evenly either side. This suggests a range that differs from existing ICS GUP guidelines, and could be incorporated in future ICS guidelines. Neurourol. Urodynam. © 2011 Wiley Periodicals, Inc.
Authors:
Jonathan G Sullivan; Lucy Swithinbank; Paul Abrams
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-20
Journal Detail:
Title:  Neurourology and urodynamics     Volume:  -     ISSN:  1520-6777     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-23     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8303326     Medline TA:  Neurourol Urodyn     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Wiley Periodicals, Inc.
Affiliation:
Worcestershire Acute Hospitals NHS Trust, Worcestershire, United Kingdom; Bristol Urological Institute, Bristol, United Kingdom.
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