Is pressure transmission quality during cystometry dependent on the type of effort?
Copyright © 2022 Elsevier Masson SAS. All rights reserved..
INTRODUCTION: The International Continence Society (ICS) recommends a control of the good pressure transmission by a coughing effort during cystometry. While poor transmission is sometimes observed in routine practice, other maneuvers can also be proposed. The main objective of this study was to determine if there is a better maneuver to evaluate the pressure transmission ratio between the abdominal cavity and the bladder.
METHODS: We performed a prospective, consecutive, single-center study in a tertiary neuro-urology department in 31 subjects. During a cystometry, each patient was asked to perform at 0ml and 100ml of bladder filling, a cough effort, an abdominal push and a Valsalva maneuver controlled by a manometer. The value of the bladder pressure to abdominal pressure ratio was collected manually. The average variations were compared between each maneuver for the same volume of replenishment and between the 2 volumes of replenishment studied.
RESULTS: At 0ml of filling, the difference in pressure variation between the Pves and the Pabd is significantly higher during the cough maneuver compared to the Valsalva (P=0.015), which is not found at 100ml of filling.
CONCLUSION: During bladder filling, the pressure transmission ratios during the 3 maneuvers are equivalent. Coughing or abdominal thrusting, which are easier to perform than the Valsalva maneuver, should be recommended to check the quality of the recording during cystomanometry.
LEVEL OF EVIDENCE: 4:.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:32 |
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| Enthalten in: |
Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie - 32(2022), 11 vom: 04. Sept., Seite 763-768 |
| Sprache: |
Französisch |
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| Weiterer Titel: |
La qualité de transmission des pressions pendant la cystomanométrie est-elle dépendante du type d’effort ? |
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| Beteiligte Personen: |
Jolu, A [VerfasserIn] |
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| Links: |
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| Themen: |
Abdominal push |
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| Anmerkungen: |
Date Completed 30.08.2022 Date Revised 30.08.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.purol.2022.07.001 |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Is pressure transmission quality during cystometry dependent on the type of effort? |
| 246 | 3 | 3 | |a La qualité de transmission des pressions pendant la cystomanométrie est-elle dépendante du type d’effort ? |
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| 500 | |a Date Revised 30.08.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2022 Elsevier Masson SAS. All rights reserved. | ||
| 520 | |a INTRODUCTION: The International Continence Society (ICS) recommends a control of the good pressure transmission by a coughing effort during cystometry. While poor transmission is sometimes observed in routine practice, other maneuvers can also be proposed. The main objective of this study was to determine if there is a better maneuver to evaluate the pressure transmission ratio between the abdominal cavity and the bladder | ||
| 520 | |a METHODS: We performed a prospective, consecutive, single-center study in a tertiary neuro-urology department in 31 subjects. During a cystometry, each patient was asked to perform at 0ml and 100ml of bladder filling, a cough effort, an abdominal push and a Valsalva maneuver controlled by a manometer. The value of the bladder pressure to abdominal pressure ratio was collected manually. The average variations were compared between each maneuver for the same volume of replenishment and between the 2 volumes of replenishment studied | ||
| 520 | |a RESULTS: At 0ml of filling, the difference in pressure variation between the Pves and the Pabd is significantly higher during the cough maneuver compared to the Valsalva (P=0.015), which is not found at 100ml of filling | ||
| 520 | |a CONCLUSION: During bladder filling, the pressure transmission ratios during the 3 maneuvers are equivalent. Coughing or abdominal thrusting, which are easier to perform than the Valsalva maneuver, should be recommended to check the quality of the recording during cystomanometry | ||
| 520 | |a LEVEL OF EVIDENCE: 4: | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Abdominal push | |
| 650 | 4 | |a Bilan urodynamique | |
| 650 | 4 | |a Cough | |
| 650 | 4 | |a Cystometry | |
| 650 | 4 | |a Manœuvre de Valsalva | |
| 650 | 4 | |a Poussée abdominale | |
| 650 | 4 | |a Quality | |
| 650 | 4 | |a Qualité | |
| 650 | 4 | |a Toux | |
| 650 | 4 | |a Transmission de pression | |
| 650 | 4 | |a Transmission ratio | |
| 650 | 4 | |a Urodynamics | |
| 650 | 4 | |a Valsalva maneuver | |
| 700 | 1 | |a Miget, G |e verfasserin |4 aut | |
| 700 | 1 | |a Essid, D |e verfasserin |4 aut | |
| 700 | 1 | |a Dekimeche, I |e verfasserin |4 aut | |
| 700 | 1 | |a Chesnel, C |e verfasserin |4 aut | |
| 700 | 1 | |a Haddad, R |e verfasserin |4 aut | |
| 700 | 1 | |a Le Breton, F |e verfasserin |4 aut | |
| 700 | 1 | |a Grasland, M |e verfasserin |4 aut | |
| 700 | 1 | |a Amarenco, G |e verfasserin |4 aut | |
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