Perineal ultrasound evaluation of dysfunctional voiding in women with recurrent urinary tract infections

The Journal of Urology
Daniele MinardiGiovanni Muzzonigro

Abstract

We used urodynamics and perineal ultrasound to assess the function and morphology of the urethral sphincter and detrusor muscle in the evaluation of dysfunctional voiding in female patients with recurrent urinary tract infections. Patients selected for study purposes completed the American Urological Association Symptom Index and underwent multichannel video urodynamics and perineal ultrasound to evaluate urethral sphincter volume and detrusor thickness. Of the 337 patients referred to our institution for recurrent urinary tract infections 166 were finally evaluated, including group 1-65 women with recurrent urinary tract infections and dysfunctional voiding, group 2-77 with recurrent urinary tract infections without dysfunctional voiding and group 3-24 healthy controls. Storage and emptying symptoms were recorded in 87.6% and 84.6% of group 1 patients, respectively. Opening and maximum flow detrusor pressure significantly correlated with urethral sphincter volume, and mean and maximum urethral closure pressure and detrusor thickness correlated with urethral sphincter volume. Dysfunctional voiding could be diagnosed by ultrasound when an increase in detrusor thickness and striated sphincter volume were observed. A threshold sph...Continue Reading

References

Jan 12, 1999·British Journal of Urology·F M DeindlR Hartung
Sep 26, 2000·Neurourology and Urodynamics·J G Blaivas, A Groutz
Dec 23, 2000·The Journal of Urology·K V CarlsonV W Nitti
Jun 1, 2001·Neurourology and Urodynamics·A GroutzA M Sassone
Jan 5, 2002·Obstetrics and Gynecology·Heather MajorMichael Heit
Feb 8, 2002·The Journal of Urology·Oliver J WisemanClare J Fowler
Apr 12, 2002·Neurourology and Urodynamics·Werner SchäferUNKNOWN International Continence Society
Sep 29, 2004·The Lancet Infectious Diseases·Gal Finer, Daniel Landau
Aug 25, 2006·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Fernando R OliveiraSergio Martins-Costa

❮ Previous
Next ❯

Citations

Mar 15, 2011·World Journal of Urology·Daniele Minardi, Giovanni Muzzonigro
Jan 8, 2011·Current Urology Reports·Joel F Koenig, Patrick H McKenna
Jun 16, 2011·International Journal of General Medicine·Daniele MinardiGiovanni Muzzonigro
Jul 26, 2014·Current Urology Reports·Ashley B King, Howard B Goldman
Mar 23, 2011·Obstetrics and Gynecology Clinics of North America·Cecile A UngerDolores H Pretorius
Nov 17, 2009·BJU International·Cees van NieuwkoopJaap T van Dissel
Aug 22, 2014·International Journal of Urology : Official Journal of the Japanese Urological Association·Daniele MinardiGiovanni Muzzonigro
Nov 15, 2017·Female Pelvic Medicine & Reconstructive Surgery·Rena D MalikPhilippe E Zimmern
Feb 11, 2014·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Maria Lúcia Campos GonçalvesJoão Batista de Sousa

❮ Previous
Next ❯

Related Concepts

Related Feeds

Bladder Carcinoma In Situ

Bladder Carcinoma In Situ is a superficial bladder cancer that occurs on the surface layer of the bladder. Discover the latest research on this precancerous condition in this feed.