| Storage detrusor pressure in bilateral hydroureteronephrosis. | |
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MedLine Citation:
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PMID: 11464039 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the detrusor pressure (P(det)) during the storage phase associated with upper urinary tract (UUT) dilatation. SUBJECTS AND METHODS: Twenty-seven patients with bilateral hydroureteronephrosis, neither due to organic obstruction nor vesicoureteral reflux, were included. Water cystometry was done according to the recommendations of the International Continence Society [Abrams P., et al.: Scand J Urol Nephrol 1988(suppl 114):5-19]. P(det) at 25, 50, 75 and 100% of bladder capacity was determined using the tag function of a computerized urodynamic system. RESULTS: The age of the patients ranged from 16 to 81 years; 3 were females and 6 had renal insufficiency. In these 27 patients, high P(det) >15 cm H2O was sustained throughout the storage phase in only 11% of patients, and at 50 and 75% of bladder capacity in 44 and 88% of patients. About half (13/27) of the patients had a P(det) <40 cm H(2)O at capacity. Patients with renal insufficiency had a mean P(det) higher and more sustained over the storage phase compared to patients with normal renal function. The mean P(det) at all measured bladder volumes was significantly higher than in a control group of patients without hydroureteronephrosis. CONCLUSION: A P(det) >15 cm H(2)O but not necessarily 40 cm H2O, sustained for part of the storage phase but not necessarily throughout the whole storage phase, was associated with UUT deterioration. A higher and more sustained P(det) during the storage phase was associated with renal insufficiency. |
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Authors:
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A G Ghobish |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: European urology Volume: 39 ISSN: 0302-2838 ISO Abbreviation: Eur. Urol. Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-07-20 Completed Date: 2001-10-11 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7512719 Medline TA: Eur Urol Country: Switzerland |
Other Details:
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Languages: eng Pagination: 571-4 Citation Subset: IM |
Affiliation:
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Faculty of Medicine, Suez Canal University, Ismailia City, Egypt. |
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Female Humans Hydronephrosis / complications, physiopathology* Male Manometry Middle Aged Muscle, Smooth / physiology* Pressure Prostatic Hyperplasia / complications Reference Values Urinary Bladder / physiology* Urinary Bladder, Neurogenic / complications Urination / physiology Urodynamics |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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