Abstract
The role of urodynamics in the evaluation and treatment of men with lower urinary tract symptoms is not well defined. Often, symptoms do not correlate very well with urodynamic findings; however, patients with urodynamically-confirmed prostatic obstruction fare better after ablative prostatic surgery than those with impaired detrusor contractility. The only proven method for distinguishing between bladder outlet obstruction and impaired detrusor contractility is urodynamics; the detrusor pressure-uroflow flow study. This chapter reviews urodynamic techniques, the literature pertaining to urodynamics, and their clinical utility in benign prostatic hyperplasia as well as postprostatectomy sphincteric incontinence.
| Original language | English |
|---|---|
| Title of host publication | Smith's Textbook of Endourology |
| Subtitle of host publication | 3rd Edition |
| Publisher | Wiley-Blackwell |
| Pages | 1449-1462 |
| Number of pages | 14 |
| Volume | 2 |
| ISBN (Print) | 1444335545, 9781444335545 |
| DOIs | |
| State | Published - 5 Jan 2012 |
| Externally published | Yes |
Keywords
- American urological association symptom score
- Benign prostatic enlargement
- Benign prostatic hyperplasia
- Benign prostatic obstruction
- Bladder outlet obstruction
- Bladder outlet obstruction index
- Detrusor overactivity
- Detrusor pressure at maximum flow
- Electromyelogram
- International prostate symptom score
- Lower urinary tract symptoms
- Maximum or peak flow
- Postvoid residual volume
- Pressure-flow study
- Transurethral resection of the prostate