Document Detail


Use of the uroflow study in the diagnosis of bladder outlet obstruction in elderly men.
MedLine Citation:
PMID:  10968155     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The uroflow and pressure-flow data of 67 men aged 65 years or more were compared. At best, the uroflow study applying the Liverpool nomogram (25th percentile) and Bristol nomogram (OSD) diagnosed bladder outlet obstruction with sensitivity of 62.5% and 62.5% and specificity of 48.8% and 74.4% respectively. Using the 50th percentile of the Liverpool nomogram as the cut-off resulted in a negative predictive value of 100.0% allowing about 10% of men to have this diagnosis ruled out. We conclude that the uroflow study is inaccurate in diagnosing bladder outlet obstruction in elderly men. However, it can be used to rule out this condition in the small subset of men with maximum flow rates above the 50th percentile of the Liverpool nomogram.
Authors:
Y Y Ding; P K Lieu; P W Choo
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  53     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  1998 Sep 
Date Detail:
Created Date:  2000-09-20     Completed Date:  2000-09-20     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  MALAYSIA    
Other Details:
Languages:  eng     Pagination:  209-16     Citation Subset:  IM    
Affiliation:
Department of Geriatric Medicine, Tan Tock Seng Hospital, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Diagnostic Techniques, Urological*
Humans
Male
Predictive Value of Tests
Sensitivity and Specificity
Urinary Bladder Neck Obstruction / diagnosis*
Urodynamics*

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