Document Detail

How do you stretch a bladder? A survey of UK practice, a literature review, and a recommendation of a standard approach.
MedLine Citation:
PMID:  15486948     Owner:  NLM     Status:  MEDLINE    
AIMS: To assess how and why hydrodistension of the bladder is performed by UK urologists and to compare this practise with the published literature on distension. To suggest a standardised technique for hydrodistension to allow comparison of diagnostic and therapeutic studies. METHODS: A questionnaire was sent to all UK consultant urologists. Questions addressed the indications for short bladder distension (SBD), details of technique, evaluation of outcome, and awareness of evidence base. The literature on bladder distension was reviewed. RESULTS: The majority of respondents perform SBD, principally in the diagnosis and therapy of interstitial cystitis (IC). There was considerable variation in the duration of distension, repetition of distension, the pressure used for distension, and the measurement of bladder capacity. The literature on the technique of hydrodistension is imprecise and no respondent was able to cite literature to support his or her practice. We suggest a simple, more objective technique for performing hydrodistension. CONCLUSIONS: SBD is widely used. There is marked variability in technique and little more than anecdotal evidence to support any particular approach. Research into the evaluation and treatment of painful bladder syndrome in general and IC in particular would be facilitated by the adoption of a standardised technique.
Kevin J Turner; Laurence H Stewart
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Neurourology and urodynamics     Volume:  24     ISSN:  0733-2467     ISO Abbreviation:  Neurourol. Urodyn.     Publication Date:  2005  
Date Detail:
Created Date:  2004-12-15     Completed Date:  2005-02-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8303326     Medline TA:  Neurourol Urodyn     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74-6     Citation Subset:  IM    
Department of Urology, Western General Hospital, Crewe Road, Edinburgh, United Kingdom.
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MeSH Terms
Cystitis, Interstitial / diagnosis*,  therapy*
Data Collection
Dilatation / methods*
Professional Practice*
Urinary Bladder
Urology / methods*

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

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