Monitoring bladder compliance using end filling detrusor pressure: Clinical results and related factors

作者：Liao Jin Yi; Lin Yi Hao; Liang Ching Chung; Hsieh Wu Chiao; Lee She Jane; Tseng Ling Hong^*

来源：Taiwanese Journal of Obstetrics & Gynecology, 2015, 54(6): 709-715.

DOI：10.1016/j.tjog.2015.10.003

• low compliance bladder
• lower urinary tract symptoms
• urinary bladder
• urodynamics

Objective: To assess the clinical significance of low compliance bladder (LCB) in women with lower urinary tract symptoms.
Materials and Methods: Medical records of 1490 women undergoing videourodynamic studies (VUSs) were reviewed. Comprehensive medical histories, physical examinations, bladder diaries, and results of multichannel VUS were analyzed. This study adopted an end filling detrusor pressure (EFP) greater than 20 cmH(2)O to define LCB.
Results: Among the study patients (n = 1490), 9.1% were diagnosed with LCB using a cutoff value of 17.5 cmH(2)O, which had a sensitivity and specificity of 89% and 92.7%, respectively. Results of multivariate analysis indicated that age (p = 0.005), maximum cystometric capacity (MCC; p = 0.002), detrusor overactivity (DO; p = 0.001), pelvic organ prolapse (POP; p = 0.018), recurrent urinary tract infection (p = 0.001), and radical abdominal hysterectomy (RAH; p < 0.001) as independent prognostic factors. Furthermore, our study results indicate that the MCC, urinary tract infection, and a history of RAH have a positive correlation with LCB, whereas, age, POP, and DO have a negative correlation with LCB.
Conclusion: Our idea using EFP (>= 17.5 cmH(2)O) for screening women with LCB is feasible for clinical use.

• 出版日期2015-12