nach oben

Current Bladder Dysfunction Reports

Erschienen in:

11.08.2022 | Voiding Dysfunction Evaluation (B Brucker and B Peyronnet, Section Editors)

Defining Bladder Outlet Obstruction in Women

verfasst von: Christina Escobar, Dora Jericevic, Benjamin M. Brucker

Erschienen in: Current Bladder Dysfunction Reports | Ausgabe 3/2022

Einloggen, um Zugang zu erhalten

Abstract

Purpose of Review

The goal of this paper is to provide the reader with an understanding of the definition of bladder outlet obstruction (BOO) in females and guidance on the diagnostic work-up of this condition.

Recent Findings

Our understanding of female BOO is continuing to evolve. Urodynamics and fluoroscopy can aid in the diagnosis of this condition. Several new definitions of BOO in females have been studied and provide more clarity for female BOO. However, no one definition has proved to be superior. Therefore, there is no replacement for looking at the entire clinical picture including patient history, examination and urodynamic data if available.

Summary

Recent studies have further contributed to the body of literature on how to define bladder outlet obstruction in women, but no current consensus exists on the best way to define this condition.

Haylen BT, et al. “An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction,” (in eng). Neurourol Urodyn. 2010;29(1):4–20. https://doi.org/10.1002/nau.20798.CrossRefPubMed

Abrams P, Griffiths D. The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol. 1979;51(2):129–34.CrossRef

J. G. Blaivas, A. J. N. Groutz, and U. O. J. o. t. I. C. Society, "Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology," vol. 19, no. 5, pp. 553–564, 2000.

Farrar D, et al. A urodynamic view of bladder outflow obstruction in the female: factors influencing the results of treatment. Br J Urol. 1975;47(7):815–22.CrossRef

Massey J, Abrams P. Obstructed voiding in the female. Br J Urol. 1988;61(1):36–9.CrossRef

Rees D, Whitfield H, Islam A, Doyle P, Mayo M, Wickham J. Urodynamic findings in adult females with frequency and dysuria. Br J Urol. 1975;47(7):853–60.CrossRef

M. Haifler and K. J. I. Stav, "Dysfunctional voiding in adults," vol. 15, no. 5, pp. 315–319, 2013.

C. J. Fowler, T. J. Christmas, C. R. Chapple, H. F. Parkhouse, R. S. Kirby, and H. S. J. B. M. J. Jacobs, "Abnormal electromyographic activity of the urethral sphincter, voiding dysfunction, and polycystic ovaries: a new syndrome?," vol. 297, no. 6661, pp. 1436–1438, 1988.

Nitti VW, Tu LM, Gitlin J. Diagnosing bladder outlet obstruction in women, (in eng). J Urol. 1999;161(5):1535–40.CrossRef

10.

H.-C. J. U. Kuo, "Videourodynamic characteristics and lower urinary tract symptoms of female bladder outlet obstruction," vol. 66, no. 5, pp. 1005–1009, 2005.

11.••

R. D. Sussman, A. Drain, and B. M. Brucker, "Primary Bladder Neck Obstruction," (in eng), Reviews in urology, vol. 21, no. 2–3, pp. 53–62, 2019. Comprehensive review the etiology, presentation, diagnosis, and treatment of PBNO in men, women, and children.

12.

Gajewski JB, et al. An International Continence Society (ICS) report on the terminology for adult neurogenic lower urinary tract dysfunction (ANLUTD). Neurourol Urodyn. 2018;37(3):1152–61.CrossRef

13.•

S. Malde et al., "Female bladder outlet obstruction: Common symptoms masking an uncommon cause," LUTS: Lower Urinary Tract Symptoms, vol. 11, no. 1, pp. 72–77, 2019. Retrospective review of a prospectively acquired videourodynamic database found that BOO was present in 19% of women with LUTS. Functional sphincteric obstruction was the most common cause (36%), followed by obstruction after anti-incontinence surgery (21%).

14.

H. P. Dietz and B. T. J. I. U. J. Haylen, "Symptoms of voiding dysfunction: what do they really mean?," journal article vol. 16, no. 1, pp. 52–55, February 01 2005, https://doi.org/10.1007/s00192-004-1213-1.

15.

L. J. Romanzi, D. C. CHAIKIN, and J. G. J. T. J. o. u. Blaivas, "The effect of genital prolapse on voiding," vol. 161, no. 2, pp. 581–586, 1999.

16.

Sweeney DD, Leng WW. “Treatment of postoperative voiding dysfunction following incontinence surgery,” (in eng). Curr Urol Rep. 2005;6(5):365–70. https://doi.org/10.1007/s11934-005-0055-9.CrossRefPubMed

17.

J. D. McConnell, Benign prostatic hyperplasia: diagnosis and treatment (no. 94). US Department of Health and Human Services, Public Health Service, Agency or Health Care Policy and Research, 1994.

18.

L. L. Wall, P. A. Norton, and J. O. DeLancey, Practical urogynecology. Williams & Wilkins, 1993.

19.

Haylen BT, Yang V, Logan V. Uroflowmetry: its current clinical utility for women. Int Urogynecol J. 2008;19(7):899–903.CrossRef

20.

C. D. LIN, H. C. KUO, and S. S. D. J. L. L. U. T. S. YANG, "Diagnosis and management of bladder outlet obstruction in women," vol. 8, no. 1, pp. 30–37, 2016.

21.

Tanagho EA, Miller ER, Meyers FH, Corbett RK. OBSERVATIONS ON THE DYNAMICS OF THE BLADDER NECK 1. Br J Urol. 1966;38(1):72–84.CrossRef

22.

Schaefer W, Clarkson B, Griffiths D, Tadic S, Resnick N. 1697 THE URODYNAMICS OF VOIDING FUNCTION IN FEMALES: GRADING OF BLADDER OUTFLOW CONDITIONS ON A CONTINUOUS SCALE. J Urol. 2011;185(4S):e682–3.

23.•

J. Zhang, M. Cao, Y. Chen, W. Liang, and Y. J. U. j. Liang, "Hypersensitive or Detrusor Overactivity: Which is Associated with Filling Symptoms in Female Bladder Outlet Obstructed Patients?," vol. 16, no. 3, pp. 285–288, 2019. Investigated and compared detrusor overactivity and bladder filling sensation characteristics in female bladder outlet obstruction patients with or without overactive bladder symptoms. The study found that female bladder outlet obstruction patients had a high incidence of overactive bladder.

24.

Aponte MM, Shah SR, Hickling D, Brucker BM, Rosenblum N, Nitti VW. “Urodynamics for clinically suspected obstruction after anti-incontinence surgery in women,” (in eng). J Urol. 2013;190(2):598–602. https://doi.org/10.1016/j.juro.2013.03.113.CrossRefPubMed

25.

Mahfouz W, Al Afraa T, Campeau L, Corcos J. Normal urodynamic parameters in women. Int Urogynecol J. 2012;23(3):269–77.CrossRef

26.

D. R. Ostergard, Ostergard's urogynecology and pelvic floor dysfunction. Lippincott Williams & Wilkins, 2008.

27.

Defreitas GA, Zimmern, PE, Lemack GE, Shariat SFJU. Refining diagnosis of anatomic female bladder outlet obstruction: comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls. 2004;64(4):675-679

28.

B. M. Brucker et al., "Comparison of urodynamic findings in women with anatomical versus functional bladder outlet obstruction," (in eng), Female Pelvic Med Reconstr Surg, vol. 19, no. 1, pp. 46–50, Jan-Feb 2013, https://doi.org/10.1097/SPV.0b013e31827d87cc.

29.

Blaivas JG, Groutz A. “Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology,” (in eng). Neurourol Urodyn. 2000;19(5):553–64. https://doi.org/10.1002/1520-6777(2000)19:5%3c553::aid-nau2%3e3.0.co;2-b.CrossRefPubMed

30.

Collins CW, Winters JC. AUA/SUFU adult urodynamics guideline: a clinical review. Urol Clin. 2014;41(3):353–62.CrossRef

31.

Carlson KV, Rome S, Nitti VW. Dysfunctional voiding in women. J Urol. 2001;165(1):143–8.CrossRef

32.

C. E. Kelly and V. W. Nitti, "Evaluation of neurogenic bladder dysfunction: basic urodynamics," in Textbook of the Neurogenic Bladder: CRC Press, 2008, pp. 469–477.

33.

Schäfer W, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourology and Urodynamics: Official Journal of the International Continence Society. 2002;21(3):261–74.CrossRef

34.

Drake MJ, Abrams P. A commentary on expectations of healthcare professionals when applying the international continence society standards to basic assessment of lower urinary tract function. Neurourol Urodyn. 2018;37(S6):S7–12.CrossRef

35.

A. Gammie, R. Kirschner-Hermanns, and K. Rademakers, "Evaluation of obstructed voiding in the female: how close are we to a definition?," vol. 25, no. 4, pp. 292–295, 2015, https://doi.org/10.1097/mou.0000000000000182.

36.

Chassagne S, Bernier PA, Haab F, Roehrborn CG, Reisch JS, Zimmern PE. “Proposed cutoff values to define bladder outlet obstruction in women,” (in eng). Urology. 1998;51(3):408–11. https://doi.org/10.1016/s0090-4295(97)00634-1.CrossRefPubMed

37.

Lemack GE, Zimmern PE. “Pressure flow analysis may aid in identifying women with outflow obstruction,” (in eng). J Urol. 2000;163(6):1823–8.CrossRef

38.

E. Solomon et al., "Developing and validating a new nomogram for diagnosing bladder outlet obstruction in women," vol. 37, no. 1, pp. 368–378, 2018.

39.

Akikwala TV, Fleischman N, Nitti VW. “Comparison of diagnostic criteria for female bladder outlet obstruction,” (in eng). J Urol. 2006;176(5):2093–7. https://doi.org/10.1016/j.juro.2006.07.031.CrossRefPubMed

40.

Massolt ET, Groen J, Vierhout ME. “Application of the Blaivas-Groutz bladder outlet obstruction nomogram in women with urinary incontinence,” (in eng). Neurourol Urodyn. 2005;24(3):237–42. https://doi.org/10.1002/nau.20107.CrossRefPubMed

41.••

J. Lindsay et al., "Treatment validation of the Solomon‐Greenwell nomogram for female bladder outlet obstruction," Neurourology and urodynamics, vol. 39, no. 5, pp. 1371–1377, 2020. Validitated the Solomon-Greenwell female BOO nomogram for diagnosing and monitoring BOO in women.

42.

Chan R, Munoz A, Wenker EP, Stewart J, Boone T, Khavari R. The association of urinary nerve growth factor levels with bladder outlet obstruction in women. Female Pelvic Med Reconstr Surg. 2015;21(2):111.CrossRef

43.

C. Manieri, S. S. C. Carter, G. Romano, A. TRUCCHI, M. VALENTI, and A. Tubaro, "The diagnosis of bladder outlet obstruction in men by ultrasound measurement of bladder wall thickness," The Journal of urology, vol. 159, no. 3, pp. 761–765, 1998.

44.

Blatt AH, Titus J, Chan L. Ultrasound measurement of bladder wall thickness in the assessment of voiding dysfunction. J Urol. 2008;179(6):2275–9.CrossRef

Titel: Defining Bladder Outlet Obstruction in Women
verfasst von: Christina Escobar
Dora Jericevic
Benjamin M. Brucker
Publikationsdatum: 11.08.2022
Verlag: Springer US
Erschienen in: Current Bladder Dysfunction Reports / Ausgabe 3/2022
Print ISSN: 1931-7212
Elektronische ISSN: 1931-7220
DOI: https://doi.org/10.1007/s11884-022-00654-7

Neu im Fachgebiet Urologie

Alphablocker schützt vor Miktionsproblemen nach der Biopsie

16.05.2024 alpha-1-Rezeptorantagonisten Nachrichten

Nach einer Prostatabiopsie treten häufig Probleme beim Wasserlassen auf. Ob sich das durch den periinterventionellen Einsatz von Alphablockern verhindern lässt, haben australische Mediziner im Zuge einer Metaanalyse untersucht.

Neue S3-Leitlinie zur unkomplizierten Zystitis: Auf Antibiotika verzichten?

15.05.2024 Harnwegsinfektionen Nachrichten

Welche Antibiotika darf man bei unkomplizierter Zystitis verwenden und wovon sollte man die Finger lassen? Welche pflanzlichen Präparate können helfen? Was taugt der zugelassene Impfstoff? Antworten vom Koordinator der frisch überarbeiteten S3-Leitlinie, Prof. Florian Wagenlehner.

Viel pflanzliche Nahrung, seltener Prostata-Ca.-Progression

12.05.2024 Prostatakarzinom Nachrichten

Ein hoher Anteil pflanzlicher Nahrung trägt möglicherweise dazu bei, das Progressionsrisiko von Männern mit Prostatakarzinomen zu senken. In einer US-Studie war das Risiko bei ausgeprägter pflanzlicher Ernährung in etwa halbiert.

Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Update Urologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose of Review

Recent Findings

Summary

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2022

Recently Described Innovative Reconstruction in Neurogenic Bladder: a Review

Sphincteric Injection of Botulinum Toxin for Urinary Retention due to Neurogenic Bladder

Updates on Sexually Transmitted Urethro-cystitis