ICS-SUFU standard: Theory, terms, and recommendations for pressure-flow studies performance, analysis, and reporting. Part 2: Analysis of PFS, reporting, and diagnosis.
bladder outflow obstruction
clinical practice guideline
detrusor voiding contraction
expert consensus
health care quality
lower urinary tract dysfunction
pressure flow study
standardisation
underactive detrusor contraction
urodynamic
voiding dysfunction
Journal
Neurourology and urodynamics
ISSN: 1520-6777
Titre abrégé: Neurourol Urodyn
Pays: United States
ID NLM: 8303326
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
22
03
2023
accepted:
04
04
2023
medline:
31
10
2023
pubmed:
4
5
2023
entrez:
4
5
2023
Statut:
ppublish
Résumé
The Working Group (WG), initiated by the International Continence Society (ICS) Standardisation Steering Committee and supported by the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, has revised the ICS Standard for pressure-flow studies of 1997. Based on the ICS standard for developing evidence-based standards, the WG developed this new ICS standard in the period from May 2020 to December 2022. A draft was posted on the ICS website in December 2022 to facilitate public discussion and the comments received have been incorporated into this final release. The WG has recommended analysis principles for the diagnosis of voiding dysfunction for adult men and women without relevant neurological abnormalities. New standard terms and parameters for objective and continuous grading of urethral resistance (UR), bladder outflow obstruction (BOO) and detrusor voiding contraction (DVC) are introduced in this part 2 of the standard. The WG has summarized the theory and recommendations for the practice of pressure-flow study (PFS) for patients in part 1. A pressure-flow plot is recommended for the diagnosis of every patient, in addition to time-based graphs. Voided percentage and post void residual volume should always be included in PFS analysis and diagnosis. Only parameters that represent the ratio or subtraction of pressure and synchronous flow are recommended to quantify UR and only parameters that combine pressure and flow in a product or sum are recommended to quantify DVC. The ICS BOO index and the ICS detrusor contraction index are introduced in this part 2 as the standard. The WG has suggested clinical PFS dysfunction classes for male and female patients. A pressure-flow scatter graph including every patient's p PFS is the gold standard used to objectively assess voiding function. Quantifying the dysfunction and grading of abnormalities are standardized for adult males and females.
Substances chimiques
SUFU protein, human
0
Repressor Proteins
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1603-1627Informations de copyright
© 2023 The Author(s). Published by Elsevier B.V on behalf of International Continence Society and Wiley Periodicals, LLC.
Références
Griffiths D, Höfner K, van Mastrigt R, Rollema HJ, Spångberg A, Gleason D. Standardization of terminology of lower urinary tract function: pressure-flow studies of voiding, urethral resistance, and urethral obstruction. Neurourol Urodyn. 1997;16(1):1-18.
Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49. doi:10.1016/s0090-4295(02)02243-4.
Rosier PFWM. Critical steps in developing professional standards for the International Continence Society. Neurourol Urodyn. 2018;37(S6):S69-S74. doi:10.1002/nau.23779.
Rosier PFWM, Schaefer W, Lose G, et al. International Continence Society Good Urodynamic Practices and Terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn. 2017;36(5):1243-1260. doi:10.1002/nau.23124.
Hill AV. The heat of shortening and the dynamic constants of muscle. Proc R Soc London (Biol). 1938;126:136-193.
Griffiths DJ. Assessment of detrusor contraction strength or contractility. Neurourol Urodyn. 1991;10:1-18.
Griffiths D. Basics of pressure-flow studies. World J Urol. 1995;13:30-33.
Schäfer W. Detrusor as the Energy Source of Micturition. In: Hinman F, Boyarsky S, (eds). Benign Prostatic Hypertrophy. Springer; 1983. doi:10.1007/978-1-4612-5476-8_43
Rosier PFWM, de Wildt MJAM, de la Rosette JJMCH, Debruyne FMJ, Wijkstra H. Analysis of maximum detrusor contraction power in relation to bladder emptying in patients with lower urinary tract symptoms and benign prostatic enlargement. J Urol. 1995;154(6):2137-2142.
Lecamwasam HS, Yalla SV, Cravalho EG, Sullivan MP. The maximum watts factor as a measure of detrusor contractility independent of outlet resistance. Neurourol Urodyn. 1998;17(6):621-635. doi:10.1002/(sici)1520-6777(1998)17:6<621::aid-nau6>3.0.co;2-4.
Bosch R, Abrams P, Averbeck MA, et al. Do functional changes occur in the bladder due to bladder outlet obstruction? - ICI-RS 2018. Neurourol Urodyn. 2019;38(suppl 5):S56-S65. doi:10.1002/nau.24076.
Chapple CR, Osman NI, Birder L, et al. Terminology report from the International Continence Society (ICS) working group on underactive bladder (UAB). Neurourol Urodyn. 2018;37(8):2928-2931. doi:10.1002/nau.23701.
Abouassaly R, Steinberg JR, Lemieux M, et al. Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int. 2004;94(1):110-113. doi:10.1111/j.1464-410X.2004.04910.x.
Schäfer W. Urethral resistance? Urodynamic concepts of physiological and pathological bladder outlet function during voiding. Neurourol Urodyn. 1985;4:161-201. doi:10.1002/nau.1930040304
D'Ancona C, Haylen B, Oelke M, et al. Standardisation Steering Committee ICS and the ICS Working Group on Terminology for Male Lower Urinary Tract & Pelvic Floor Symptoms and Dysfunction The International Continence Society (ICS) report on the terminology for adult male lower urinary tract and pelvic floor symptoms and dysfunction. Neurourol Urodyn. 2019;38(2):433-477. doi:10.1002/nau.23897.
Martin S, Griffiths DJ. Model of the female urethra: part 1-Static measurements of pressure and distensibility. Med Biol Eng. 1976;14(5):512-518. doi:10.1007/BF02478048.
Martin S, Griffiths DJ. Model of the female urethra: part 2-Flow properties. Med Biol Eng. 1976;14(5):519-523. doi:10.1007/BF02478049.
Griffiths DJ. Urethral elasticity and micturition hydrodynamics in females. Med Biol Eng. 1969;7(2):201-215. doi:10.1007/BF02474176.
Griffiths DJ. Hydrodynamics of male micturition. I. Theory of steady flow through elastic-walled tubes. Med Biol Eng. 1971;9(6):581-588. doi:10.1007/BF02474637.
Abrams P, Blaivas JG, Stanton SL, Andersen JT. The standardisation of terminology of lower urinary tract function. World J Urol. 1989;6:233-245. doi:10.1007/BF00328107
Höfner K, Kramer AEJL, Tan HK, Krah H, Jonas U. CHESS classification of bladder-outflow obstruction. A consequence in the discussion of current concepts. World J Urol. 1995;13(1):59-64. doi:10.1007/BF00182667.
Schäfer W. The contribution of the bladder outlet to the relation between pressure and flow rate during micturition. In: Hinman F, editor. Benign prostatic hypertrophy. Springer Verlag; 1983:450-469.
Griffiths DJ. Hydrodynamics of male micturition-II measurements of stream parameters and urethral elasticity. Med. & biol. Engng. 1971;9:589-596. doi:10.1007/BF02474638
Spångberg A. Estimation of urethral resistance by curve fitting in the pressure-flow plot. Theory and experience in normal men and men with benign prostatic hypertrophy. World J Urol. 1995;13(1):65-69. doi:10.1007/BF00182668.
Schäfer W. Principles and clinical application of advanced urodynamic analysis of voiding function. Urol Clin North Am. 1990;17(3):553-566.
Schäfer W. Analysis of bladder-outlet function with the linearized passive urethral resistance relation, linPURR, and a disease-specific approach for grading obstruction: from complex to simple. World J Urol. 1995;13(1):47-58. doi:10.1007/BF00182666.
https://www.ics.org/glossary?q=dysfunctional
Nitti VictorW, Urodynamic and Video- Urodynamic Evaluation of the Lower Urinary Tract. Ch 63 1862 In: Campbell-Walsh Urology 10th Ed: Wein A. et al. ISBN 978-1-4160-6911-9.
Cohn JA, Brown ET, Reynolds WS, Kaufman MR, Dmochowski RR. Pharmacologic management of non-neurogenic functional obstruction in women. Expert Opin Drug Metab Toxicol. 2016;12(6):657-667. doi:10.1080/17425255.2016.1178239.
Nitti VictorW, Urodynamic and Video- Urodynamic Evaluation of the Lower Urinary Tract. Ch 63 1862 In: Campbell-Walsh Urology 10th Ed: Wein A. et al. ISBN 978-1-4160-6911-9.
Cohn JA, Brown ET, Reynolds WS, Kaufman MR, Dmochowski RR. Pharmacologic management of non-neurogenic functional obstruction in women. Expert Opin Drug Metab Toxicol. 2016;12(6):657-667. doi:10.1080/17425255.2016.1178239.
Carlson KV, Rome S, Nitti VW. Dysfunctional voiding in women. J Urol. 2001;165(1):143-148. doi:10.1097/00005392-200101000-00035.
Griffiths D. Detrusor contractility. Scand J Urol Nephrol. 2004;38(215):93-100. doi:10.1080/03008880410015426.
Mastrigt RV, Rollema HJ. The prognostic value of bladder contractility in transurethral resection of the prostate. J Urol. 1992;148(6):1856-1860. doi:10.1016/s0022-5347(17)37049-0.
Resnick NM, Yalla SV. Management of urinary incontinence in the elderly. N Engl J Med. 1985;313(13):800-805. doi:10.1056/NEJM198509263131307.
Hoeritzauer I, Stone J, Fowler C, Elneil-Coker S, Carson A, Panicker J. Fowler's syndrome of urinary retention: a retrospective study of co-morbidity: Fowler's Syndrome Comorbidity. Neurourol Urodyn. 2016;35(5):601-603. doi:10.1002/nau.22758.
Kuoch KLJ, Meyer D, Austin DW, Knowles SR. A systematic review of paruresis: clinical implications and future directions. J Psychosom Res. 2017;98:122-129. doi:10.1016/j.jpsychores.2017.05.015.
Drossaerts J, Rademakers KLJ, Rahnama'i SM, Marcelissen T, Van Kerrebroeck P, van Koeveringe G. The value of ambulatory urodynamics in the evaluation of treatment effect of sacral neuromodulation. Urol Int. 2019;102(3):299-305. doi:10.1159/000493988.
Panicker JN, Anding R, Arlandis S, et al. Do we understand voiding dysfunction in women? Current understanding and future perspectives: ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S75-S85. doi:10.1002/nau.23709.
Hasegawa N, Kitagawa Y, Takasaki N, Miyazaki S. The effect of abdominal pressure on urinary flow rate. J Urol. 1983;130(1):107-110. doi:10.1016/s0022-5347(17)50982-9.
Gajewski JB, Schurch B, Hamid R, et al. An International Continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD). Neurourol Urodyn. 2018;37(3):1152-1161. doi:10.1002/nau.23397.
Fry CH, Gammie A, Drake MJ, Abrams P, Kitney DG, Vahabi B. Estimation of bladder contractility from intravesical pressure-volume measurements. Neurourol Urodyn. 2017;36(4):1009-1014. doi:10.1002/nau.23047.
Sekido N. Bladder contractility and urethral resistance relation: what does a pressure flow study tell us? Int J Urol. 2012;19(3):216-228. doi:10.1111/j.1442-2042.2011.02947.x.
Abrams P, Schäfer W. Urodynamic aspects of detrusor mechanics and contractility. World J Urol. 1984;2:174-180. doi:10.1007/BF00326997
Krhut J, Zachoval R, Rosier PFWM, Shelly B, Zvara P. ICS educational module: electromyography in the assessment and therapy of lower urinary tract dysfunction in adults. Neurourol Urodyn. 2018;37(1):27-32. doi:10.1002/nau.23278.
Gammie A, D'Ancona C, Kuo HC, Rosier PFW. ICS teaching module: artefacts in urodynamic pressure traces (basic module): artefacts in Urodynamics-Basic (ICS). Neurourol Urodyn. 2017;36(1):35-36. doi:10.1002/nau.22881.
Aiello M, Jelski J, Lewis A, et al. Quality control of uroflowmetry and urodynamic data from two large multicenter studies of male lower urinary tract symptoms. Neurourol Urodyn. 2020;39(4):1170-1177. doi:10.1002/nau.24337.
Gammie A, Hashim H, Abrams P. Bristol UTraQ: a proposed system for scoring the technical quality of urodynamic traces. Neurourol Urodyn. 2022;41(2):672-678. doi:10.1002/nau.24872.
Schäfer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies**: good urodynamic practices guidelines. Neurourol Urodyn. 2002;21(3):261-274. doi:10.1002/nau.10066.
Kranse R, van Mastrigt R, Bosch R. Estimation of the lag time between detrusor pressure- and flow rate-signals. Neurourol Urodyn. 1995;14(3):217-229. doi:10.1002/nau.1930140303.
https://en.wikipedia.org/wiki/Free_fall#/media/File:Drop_time.jpg
Rodrigues P, Hering F, Campagnari JC. Urodynamic after-contraction waves: a large observational study in an adult female population and correlation with bladder and ureter emptying functions in women. Urol Int. 2014;93(4):431-436. doi:10.1159/000360139.
Valentini FA, Marti BG, Robain G, Nelson PP. Detrusor after-contraction: a new insight. International braz j urol. 2015;41(3):527-534. doi:10.1590/S1677-5538.IBJU.2014.0152.
Rosier PFWM, de la Rosette JJMCH, Koldewijn EL, Debruyne FMJ, Wijkstra H. Variability of pressure-flow analysis parameters in repeated cystometry in patients with benign prostatic hyperplasia. J Urol. 1995;153(5):1520-1525.
Neal DE, Rao CVS, Styles RA, Ng T, Ramsden PD. Effects of catheter size on urodynamic measurements in men undergoing elective prostatectomy. Br J Urol. 1987;60(1):64-68. doi:10.1111/j.1464-410x.1987.tb09136.x.
Griffiths D, van Mastrigt R, Bosch R. Quantification of urethral resistance and bladder function during voiding, with special reference to the effects of prostate size reduction on urethral obstruction due to benign prostatic hyperplasia. Neurourol Urodyn. 1989;8:17-27.
Abrams P. Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU Int. 1999;84:14-15.
Nitti VW. Pressure flow urodynamic studies: the gold standard for diagnosing bladder outlet obstruction. Rev Urol. 2005;7 Suppl 6(suppl 6):14-21.
Eckhardt MD, van Venrooij GEPM, Boon TA. Urethral resistance factor (URA) versus Schäfer's obstruction grade and Abrams-Griffiths (AG) number in the diagnosis of obstructive benign prostatic hyperplasia. Neurourol Urodyn. 2001;20(2):175-185. doi:10.1002/1520-6777(2001)20:2<175::aid-nau20>3.0.co;2-t.
Ding YY, Lieu PK. Comparison of three methods of quantifying urethral resistance in men. Urology. 1998;52(5):858-862. doi:10.1016/s0090-4295(98)00298-2.
Rosier PFWM, de la Rosette JJMCH, de Wildt MJAM, Debruyne FMJ, Wijkstra H. Comparison of passive urethral resistance relation and urethral resistance factor in analysis of bladder outlet obstruction in patients with benign prostatic enlargement. Neurourol Urodyn. 1996;15(1):1-15. doi:10.1002/(SICI)1520-6777(1996)15:1<1::AID-NAU1>3.0.CO;2-J.
Kranse R, van Mastrigt R. A critical comparison of methods proposed for quantification of bladder outlet obstruction. Neurourol Urodyn. 1993;12(3):267-272. doi:10.1002/nau.1930120310.
Tan TL, Bergmann MA, Griffiths D, Resnick NM. Stop test or pressure-flow study? Measuring detrusor contractility in older females. Neurourol Urodyn. 2004;23:184-189.
McIntosh SL, Griffiths CJ, Drinnan MJ, Robson WA, Ramsden PD, Pickard RS. Noninvasive measurement of bladder pressure. Does mechanical interruption of the urinary stream inhibit detrusor contraction? J Urol. 2003;169(3):1003-1006. doi:10.1097/01.ju.0000049031.40088.45.
Donkelaar S C, Rosier P, de Kort L. Comparison of three methods to analyze detrusor contraction during micturition in men over 50 years of age. Neurourol Urodyn. 2017;36(8):2153-2159. doi:10.1002/nau.23260.
Heesakkers JPFA, Vandoninck V, van Balken MR, Bemelmans BLH. Bladder filling by autologous urine production during cystometry: a urodynamic pitfall! Neurourol Urodyn. 2003;22(3):243-245. doi:10.1002/nau.10108.
Rosier PFWM, Ten Donkelaar CS, de Kort LMO. Clinical epidemiology: detrusor voiding contraction maximum power, related to ageing. Urology. 2019124:72-77. doi:10.1016/j.urology.2018.10.038.
Griffiths DJ, Constantinou CE, van Mastrigt R. Urinary bladder function and its control in healthy females. Am J Physiol. 1986;251(2 Pt 2):R225-R230. doi:10.1152/ajpregu.1986.251.2.R225.
Seow CY. Hill's equation of muscle performance and its hidden insight on molecular mechanisms. J Gen Physiol. 2013;142(6):561-573. doi:10.1085/jgp.201311107
Schäfer W. Analysis of active detrusor function during voiding with the bladder working function. Neurourol Urodyn. 1991;10(1):19-35.
Sullivan JG, Swithinbank L, Abrams P. Defining achievable standards in urodynamics-a prospective study of initial resting pressures. Neurourol Urodyn. 2012;31(4):535-540. doi:10.1002/nau.21229.
Valdevenito JP, Mercado-Campero A, Naser M, Castro D, Ledesma M, Arribillaga L. Voiding dynamics in women with urinary incontinence but without voiding symptoms. Neurourol Urodyn. 2020;39(8):2223-2229. doi:10.1002/nau.24475.
Devreese AM, Nuyens G, Staes F, Vereecken RL, De Weerdt W, Stappaerts K. Do posture and straining influence urinary-flow parameters in normal women? Neurourol Urodyn. 2000;19(1):3-8. doi:10.1002/(sici)1520-6777(2000)19:1<3::aid-nau2>3.0.co;2-6.
Lindsay J, Solomon E, Nadeem M, et al. Treatment validation of the Solomon-Greenwell nomogram for female bladder outlet obstruction. Neurourol Urodyn. 2020;39(5):1371-1377. doi:10.1002/nau.24347.
Solomon E, Yasmin H, Duffy M, Rashid T, Akinluyi E, Greenwell TJ. Developing and validating a new nomogram for diagnosing bladder outlet obstruction in women. Neurourol Urodyn. 2018;37(1):368-378. doi:10.1002/nau.23307.
Fleischmann N, Hartanto V, Rosenblum N, Kelly C, Nitti VW. 1703: comparison of diagnostic criteria for female bladder outlet obstruction. J Urol. 2004;171(suppl):450.
Schaefer W, Chen Y, Tadic S, Griffiths D, Resnick N Urodynamic grading of bladder outflow conditions in females. Abstract 228 presented ICS annual meeting https://www.ics.org/Abstracts/Publish/47/000228.pdf
Pang KH, Campi R, Arlandis S, et al. Diagnostic tests for female bladder outlet obstruction: A systematic review from the European Association of Urology Non-neurogenic Female LUTS guidelines panel. Eur Urol Focus. 2022; 8(4):1015-1030 doi:10.1016/j.euf.2021.09.003
Blaivas JG, Groutz A. Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn. 2000;19(5):553-564. doi:10.1002/1520-6777(2000)19:5<553::aid-nau2>3.0.co;2-b.
Valentini FA, Marti BG, Robain G, Zimern PE, Nelson PP. Comparison of indices allowing an evaluation of detrusor contractility in women. Progrès en Urologie. 2020;30(7):396-401. doi:10.1016/j.purol.2019.11.004.
Smith PP, Valentini F, Mytilekas KV, et al. Can we improve our diagnosis of impaired detrusor contractility in women? An ICI-RS 2019 proposal. Neurourol Urodyn. 2020;39(suppl 3):S43-S49. doi:10.1002/nau.24260.
Groen J, Bosch JLHR. Bladder contraction strength parameters poorly predict the necessity of long-term catheterization after a pubovaginal rectus fascial sling procedure. J Urol. 2004;172(3):1006-1009. doi:10.1097/01.ju.0000135339.90689.e8.
Walter JS, Wheeler Jr. JS, Zaszczurynski P, Plishka M Urodynamic measure of urethral cross-sectional area: application for obstructive uropathy. Neurourol Urodyn 1994;13(5):571-582. doi:10.1002/nau.1930130511.