PMID: 7539680Jan 1, 1995Paper

CHESS classification of bladder-outflow obstruction. A consequence in the discussion of current concepts

World Journal of Urology
K HöfnerU Jonas

Abstract

The present discussion on the natural history, growth rate pathophysiology, morbidity, and possible treatment of benign prostatic hyperplasia (BPH) reinforces the need to objectify mechanical BPH-induced obstruction with pressure-flow study. Different methods for the quantification of BPH-induced obstruction exist and the grade of simplification depends on their working mechanism. To review the limitations of the current concepts, 118 BPH patients were selected for computerized pressure-flow data analysis according to quadratic passive urethral resistance relation (PURR) function. The CHESS classification differs from all other concepts due to its two-dimensional character and was developed as a result of the following way of thinking: (1) the whole individual pressure-flow plot is the most accurate basis for further analysis; (2) PURR as the true low-pressure flank of the individual plot is the most favorable definition for mechanical obstruction; (3) PURR quantification requires at least two parameters, footpoint and curvature/slope, with regard to the documented missing significant correlation of both; and (4) a two-parameter-based classification is two-dimensional (CHESS classification).

Citations

Sep 1, 2004·Der Urologe. Ausg. A·K Höfner, UNKNOWN Deutschen Gesellschaft für Urologie
Nov 4, 2000·Computers in Biology and Medicine·O Barnea, G Gillon
Jan 12, 2012·International Journal of Urology : Official Journal of the Japanese Urological Association·Noritoshi Sekido
Apr 26, 2003·Der Urologe. Ausg. A·R BergesUNKNOWN DGU-Leitlinienkommission
Feb 1, 1997·The Journal of Urology·J J de la RosetteF M Debruyne
Jan 27, 2019·Neurourology and Urodynamics·Carlos D'AnconaUNKNOWN Standardisation Steering Committee ICS and the ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor

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