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Urodynamic examination evaluates storage and empting phases of the urinary bladder. It enables the clinician to correlate physiologic findings to patients' complains. The data gathered during the examination divided to storage and empting.
During the storage phase, bladder sensation is measured while the bladder is filled with sterile water. During years of practice, we noticed that early sensation (bladder over-sensitivity) is occasionally associated with bladder outlet obstruction (as demonstrated in the emptying phase of the examination.
The study includes patients who were referred to Urodynamics examination due to lower urinary tract symptoms. There is no actual intervention during the examination. Though, patients are asked to fill an International prostate symptom score (IPSS-questionnaires).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients undergoing urodynamic | All patients older than 18 who are refered for Urodynamics examination |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| IPSS questionnaire | Other | IPSS is an 8 question (7 symptom questions + 1 quality of life question) written screening tool used to screen for, rapidly diagnose, track the symptoms of, and suggest management of patients with lower urinary tract symptoms. It was validated for both genders. |
| Measure | Description | Time Frame |
|---|---|---|
| Early sensation during the filling phase | Bladder oversensitivity (early sensation), a diagnosis made by symptoms and urodynamic investigations. Defined as an increased perceived bladder sensation during bladder filling with specific cystometric findings of: (i) an early first desire to void; (ii) an early strong desire to void, which occurs at low bladder volume; (iii) a low maximum cystometric bladder capacity; no abnormal increases in detrusor pressure. | During the urodynamic examination |
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Inclusion Criteria:
Exclusion Criteria:
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All patients reffered to Asaf HaRofeh Medical Center for Urodynamic examination
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guy Verhovsky, MD | Contact | 972-8-9779409 | guy.verchovsky@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Kobi Stav, MD | Assaf-Harofeh Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assaf Harofe Medical Center | Recruiting | Be’er Ya‘aqov | 73000 | Israel |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Campbell Walsh Urology chapter 73 | ||
| 19013605 | Background | Lee WC, Wu HP, Tai TY, Yu HJ, Chiang PH. Investigation of urodynamic characteristics and bladder sensory function in the early stages of diabetic bladder dysfunction in women with type 2 diabetes. J Urol. 2009 Jan;181(1):198-203. doi: 10.1016/j.juro.2008.09.021. Epub 2008 Nov 14. | |
| 12589626 |
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No plans of sharing participants data
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| ID | Term |
|---|---|
| D001748 | Urinary Bladder Neck Obstruction |
| D011470 | Prostatic Hyperplasia |
| D014550 | Urinary Incontinence, Stress |
| D001745 | Urinary Bladder Diseases |
| ID | Term |
|---|---|
| D014524 | Urethral Obstruction |
| D014522 | Urethral Diseases |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
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|
| Background |
| Schurch B, Schmid DM, Kaegi K. Value of sensory examination in predicting bladder function in patients with T12-L1 fractures and spinal cord injury. Arch Phys Med Rehabil. 2003 Jan;84(1):83-9. doi: 10.1053/apmr.2003.50007. |
| 27535043 | Background | El-Zawahry A, Alanee S, Malan-Elzawahry A. The Use of Urodynamics Assessment Before the Surgical Treatment of BPH. Curr Urol Rep. 2016 Oct;17(10):73. doi: 10.1007/s11934-016-0626-y. |
| D005261 |
| Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D005832 | Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |