Diğer Yöntemler (Videoürodinami, Ambulatuvar Ürodinami, Üretral Basınç Profili)
Özet
Bu bölüm, invaziv ürodinamik incelemelerde kullanılan ileri yöntemler olan videoürodinami, ambulatuvar ürodinami ve üretral basınç profilometrisini kapsamaktadır. Videoürodinami, standart ürodinamiye floroskopik görüntüleme eklenmesiyle hem anatomik hem de fonksiyonel değerlendirmeyi mümkün kılar. Nörojenik alt üriner sistem işlev bozuklukları, konjenital anomaliler, mesane çıkış obstrüksiyonu ve radikal pelvik cerrahiler sonrası değerlendirmelerde altın standart yöntemlerden biridir. Ambulatuvar ürodinami ise mesane fonksiyonlarını gerçek yaşam koşullarında ve fizyolojik dolum sırasında inceleyerek daha güvenilir tanısal veriler sağlar. Bu yöntem, aşırı aktif mesane, idrar kaçırma, işeme bozuklukları ve nörojenik disfonksiyon gibi durumlarda klasik ürodinamiye üstünlük gösterebilir. Günümüzde kablosuz telemetrik sistemler sayesinde daha konforlu ve doğru ölçümler elde edilmektedir. Üretral basınç profilometrisi ise üretranın fonksiyonel kapasitesini değerlendirerek kontinans mekanizmalarını ortaya koymaktadır. İstirahat halindeki ve stres sırasındaki üretra fonksiyonu hakkında bilgi sağlayan bu yöntem stres tipi idrar kaçırma başta olmak üzere pelvik organ prolapsusu ve nörolojik alt üriner sistem bozukluklarının tanı ve prognozunda kullanılmaktadır. Bu yöntemlerin tümü, alt üriner sistemin kompleks patolojilerinde doğru tanı, etkin tedavi planlaması ve kanıta dayalı klinik uygulamalar için kritik katkılar sunmaktadır.
Referanslar
Bates CP, Corney CE. Synchronous cine-pressure-flow cystography: a method of routine urodynamic investigation. Br J Radiol. 1971;44(517):44–50.
Whiteside G, Bates P. Synchronous video pressure-flow cystourethrography. Urol Clin North Am. 1979;6(1):93–102.
Marks BK, Goldman HB. Videourodynamics: indications and technique. Urol Clin North Am. 2014;41(3):383-91, vii-viii. doi: 10.1016/j.ucl.2014.04.008. Epub 2014 Jun 13. PMID: 25063594.
Lee T, Kang E, Lee HY. Video urodynamics in the digital age: what have we overlooked? Int Neurourol J. 2023;27(1):1-2. doi: 10.5213/inj.2323edi01. Epub 2023 Mar 31. PMID: 37015719; PMCID: PMC10073003.
Groen J, Pannek J, Castro Diaz D, et al. Summary of European Association of Urology (EAU) guidelines on neuro-urology. Eur Urol. 2016;69:324–333.
Winters JC, Dmochowski RR, Goldman HB, et al. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012;188:2464–2472
Kaplan SA, Chancellor MB, Blaivas JG. Bladder and sphincter behavior in patients with spinal cord lesions. J Urol. 1991;146:113–117.
Schafer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21:261–274.
Gammie A, Clarkson B, Constantinou C, et al. International Continence Society guidelines on urodynamic equipment performance. Neurourol Urodyn. 2014;33:370–379.
Jiang YH, Chen SF, Kuo HC. Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction. Tzu Chi Med J. 2019;32(2):121-130. doi: 10.4103/tcmj.tcmj_178_19. PMID: 32269943; PMCID: PMC7137365.
Ong HL, Lee CL, Kuo HC. Female bladder neck dysfunction—A video-urodynamic diagnosis among women with voiding dysfunction. Low Urin Tract Symptoms. 2020;12(3):278-284. doi: 10.1111/luts.12318. Epub 2020 Jun 8. PMID: 32510853.
Winters JC, Dmochowski RR, Goldman HB, et al. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012;188(Suppl 6):2464–2472.
Rovner ES, Banner MP, Ramchandani P, et al. Clinical videourodynamics. AUA Update Series. 2003;22(35):278.
M. Patel, A.A. Bhide, G.A. Digesu et al. Best practice for Videourodynamics: A teaching module of the International Continence Society Urodynamics Committee. Continence. 2024;9:
Abelson B, Majerus S, Sun D, et al. Ambulatory urodynamic monitoring: state of the art and future directions. Nat Rev Urol. 2019;16(5):291–301.
Warrell DW, Watson BW, Shelley T. Intravesical pressure measurement in women during movement using a Radiopill and Airprobe. J Obstet Gynaecol Br Comm. 1963;70:959–967.
Griffiths CJ, Assi MS, Styles RA, et al. Ambulatory monitoring of bladder and detrusor pressure during natural filling. J Urol. 1989;142(3):780–784.
Digesu GA, Gargasole C, Hendricken C, et al. ICS teaching module: ambulatory urodynamic monitoring. Neurourol Urodyn. 2015;36:364–367.
Rantell A, Lu Y, Averbeck MA, et al. What is the utility of urodynamics, including ambulatory, and 24 h monitoring, in predicting upper urinary tract damage in neuro-urological patients and other lower urinary tract dysfunction? ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S25–S31.
Seval MM, Çetinkaya ŞE, Kalafat E, et al. A prediction model for detrusor overactivity at ambulatory urodynamics in women with urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2020;251:156–161.
Kocher NJ, Damaser MS, Gill BC. Advances in ambulatory urodynamics. Curr Urol Rep. 2020;21(10):41.
Frainey BT, Majerus SJA, Derisavifard S, et al. First in human subjects testing of the UroMonitor: A catheter-free wireless ambulatory bladder pressure monitor. J Urol. 2023;210(1):186–195.
Brown M, Wickham JE. The urethral pressure profile. Br J Urol. 1969;41:211–217.
Kenton K, Mueller E, Brubaker L. Continent women have better urethral neuromuscular function than those with stress incontinence. Int Urogynecol J. 2011;22(12):1479–1484.
Robinson D, Thiagamoorthy G, Ford A, et al. Does assessing urethral function allow the selection of the optimal therapy for recurrent SUI? Report from the ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S69–S74.
Geynisman-Tan J, Mou T, Mueller MG, et al. How does the urethra respond to bladder filling in continent and incontinent women? Female Pelvic Med Reconstr Surg. 2022;28(5):321–324.
Dompeyre P, Pizzoferrato AC, Le Normand L, et al. Valsalva urethral profile (VUP): A urodynamic measure to assess stress urinary incontinence in women. Neurourol Urodyn. 2020;39(5):1515–1522.
Sand PK, Bowen LW, Panganiban R, et al. The low pressure urethra as a factor in failed retropubic urethropexy. Obstet Gynaecol. 1987;69:399–402.
Szepieniec WK, Szweda H, Wróblewski M, et al. Three-dimensional urethral profilometry—A global urethral pressure assessment method. Diagnostics (Basel). 2021;11(4):687.
Referanslar
Bates CP, Corney CE. Synchronous cine-pressure-flow cystography: a method of routine urodynamic investigation. Br J Radiol. 1971;44(517):44–50.
Whiteside G, Bates P. Synchronous video pressure-flow cystourethrography. Urol Clin North Am. 1979;6(1):93–102.
Marks BK, Goldman HB. Videourodynamics: indications and technique. Urol Clin North Am. 2014;41(3):383-91, vii-viii. doi: 10.1016/j.ucl.2014.04.008. Epub 2014 Jun 13. PMID: 25063594.
Lee T, Kang E, Lee HY. Video urodynamics in the digital age: what have we overlooked? Int Neurourol J. 2023;27(1):1-2. doi: 10.5213/inj.2323edi01. Epub 2023 Mar 31. PMID: 37015719; PMCID: PMC10073003.
Groen J, Pannek J, Castro Diaz D, et al. Summary of European Association of Urology (EAU) guidelines on neuro-urology. Eur Urol. 2016;69:324–333.
Winters JC, Dmochowski RR, Goldman HB, et al. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012;188:2464–2472
Kaplan SA, Chancellor MB, Blaivas JG. Bladder and sphincter behavior in patients with spinal cord lesions. J Urol. 1991;146:113–117.
Schafer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21:261–274.
Gammie A, Clarkson B, Constantinou C, et al. International Continence Society guidelines on urodynamic equipment performance. Neurourol Urodyn. 2014;33:370–379.
Jiang YH, Chen SF, Kuo HC. Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction. Tzu Chi Med J. 2019;32(2):121-130. doi: 10.4103/tcmj.tcmj_178_19. PMID: 32269943; PMCID: PMC7137365.
Ong HL, Lee CL, Kuo HC. Female bladder neck dysfunction—A video-urodynamic diagnosis among women with voiding dysfunction. Low Urin Tract Symptoms. 2020;12(3):278-284. doi: 10.1111/luts.12318. Epub 2020 Jun 8. PMID: 32510853.
Winters JC, Dmochowski RR, Goldman HB, et al. Urodynamic studies in adults: AUA/SUFU guideline. J Urol. 2012;188(Suppl 6):2464–2472.
Rovner ES, Banner MP, Ramchandani P, et al. Clinical videourodynamics. AUA Update Series. 2003;22(35):278.
M. Patel, A.A. Bhide, G.A. Digesu et al. Best practice for Videourodynamics: A teaching module of the International Continence Society Urodynamics Committee. Continence. 2024;9:
Abelson B, Majerus S, Sun D, et al. Ambulatory urodynamic monitoring: state of the art and future directions. Nat Rev Urol. 2019;16(5):291–301.
Warrell DW, Watson BW, Shelley T. Intravesical pressure measurement in women during movement using a Radiopill and Airprobe. J Obstet Gynaecol Br Comm. 1963;70:959–967.
Griffiths CJ, Assi MS, Styles RA, et al. Ambulatory monitoring of bladder and detrusor pressure during natural filling. J Urol. 1989;142(3):780–784.
Digesu GA, Gargasole C, Hendricken C, et al. ICS teaching module: ambulatory urodynamic monitoring. Neurourol Urodyn. 2015;36:364–367.
Rantell A, Lu Y, Averbeck MA, et al. What is the utility of urodynamics, including ambulatory, and 24 h monitoring, in predicting upper urinary tract damage in neuro-urological patients and other lower urinary tract dysfunction? ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S25–S31.
Seval MM, Çetinkaya ŞE, Kalafat E, et al. A prediction model for detrusor overactivity at ambulatory urodynamics in women with urinary incontinence. Eur J Obstet Gynecol Reprod Biol. 2020;251:156–161.
Kocher NJ, Damaser MS, Gill BC. Advances in ambulatory urodynamics. Curr Urol Rep. 2020;21(10):41.
Frainey BT, Majerus SJA, Derisavifard S, et al. First in human subjects testing of the UroMonitor: A catheter-free wireless ambulatory bladder pressure monitor. J Urol. 2023;210(1):186–195.
Brown M, Wickham JE. The urethral pressure profile. Br J Urol. 1969;41:211–217.
Kenton K, Mueller E, Brubaker L. Continent women have better urethral neuromuscular function than those with stress incontinence. Int Urogynecol J. 2011;22(12):1479–1484.
Robinson D, Thiagamoorthy G, Ford A, et al. Does assessing urethral function allow the selection of the optimal therapy for recurrent SUI? Report from the ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S69–S74.
Geynisman-Tan J, Mou T, Mueller MG, et al. How does the urethra respond to bladder filling in continent and incontinent women? Female Pelvic Med Reconstr Surg. 2022;28(5):321–324.
Dompeyre P, Pizzoferrato AC, Le Normand L, et al. Valsalva urethral profile (VUP): A urodynamic measure to assess stress urinary incontinence in women. Neurourol Urodyn. 2020;39(5):1515–1522.
Sand PK, Bowen LW, Panganiban R, et al. The low pressure urethra as a factor in failed retropubic urethropexy. Obstet Gynaecol. 1987;69:399–402.
Szepieniec WK, Szweda H, Wróblewski M, et al. Three-dimensional urethral profilometry—A global urethral pressure assessment method. Diagnostics (Basel). 2021;11(4):687.
