Objective
To take the first step toward standardization of UDS with air-filled catheters, we present a video documenting a procedure for performing video UDS with air-filled catheters in female adults. According to The International Consultation on Incontinence (ICS), the aim of urodynamic studies (UDS) in clinical practice is to evaluate a patient's lower urinary tract function with at least 1 complete and representative filling-voiding-post-voiding cycle by testing with relevant pressures and flowmetry.
1
International guidelines state that UDS is preferably performed with fluid-filled catheters.2
, 3
However, although air-filled catheters are widely used, further research is needed before these catheters can be recommended for routine clinical use.- Rosier P.F.W.M.
- Schaefer W.
- Lose G.
- et al.
International Continence Society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study.
Neurourol Urodyn. 2016; https://doi.org/10.1002/nau.23124
4
To our knowledge, no guide on how to perform UDS with air-filled catheters has been published.- Abrams P.
- Damaser M.S.
- Niblett P.
- et al.
Air filled, including “air-charged,” catheters in urodynamic studies: does the evidence justify their use?.
Neurourol Urodyn. 2016; https://doi.org/10.1002/nau.23108
Methods
The UDS was conducted according to local protocol. The ICS recommendations mentioned above were used as a template for this protocol. Intravesical, intraurethral, and abdominal pressure were measured. The cysto-urethrometry filling cycle and pressure-flow study were performed in sitting position. Fluoroscopy was performed during filling and voiding phase at fixed points. Before starting the filling cycle, the patient was verbally instructed with visual aids (Fig. 1) to report bladder sensation. Filling rate was 10% of the largest voiding flow rate reported on the frequency volume chart. Initial baseline pressure was measured, and a cough pressure response test was performed.
Results
Our procedure for video UDS with air-filled catheters in a female adult was demonstrated in an instruction video.
Conclusion
An instruction video on a standardized UDS with air-filled catheters in female adults is presented to take the first step toward standardization and for the benefit of health-care workers performing such tests.
Figure 1Visual aids to report bladder sensation. A nonvalidated 4-point bladder sensation scale for filling cystometry with first sensation of filling, normal desire to void, strong desire to void, and urgency, defined in words and images (images modified from Charco; with permission). (Color version available online.)
Acknowledgment
We thank Charco for obtaining the copyright permission for images in the visual aids to report bladder sensation.
Appendix. Supplementary Data
The following is the supplementary data to this article:
- Video S1
Video urodynamic study in female adults with air-filled catheters: a health-care training video.
References
- Urodynamic testing.in: Abrams P. Cardozo L. Khoury S. Wein A. Incontinence. Health Publications Ltd., Plymouth2013: 429-506
- International Continence Society. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies.Neurourol Urodyn. 2002; 21: 261-274
- International Continence Society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study.Neurourol Urodyn. 2016; https://doi.org/10.1002/nau.23124
- Air filled, including “air-charged,” catheters in urodynamic studies: does the evidence justify their use?.Neurourol Urodyn. 2016; https://doi.org/10.1002/nau.23108
Article info
Publication history
Published online: July 03, 2017
Accepted:
June 7,
2017
Received:
April 13,
2017
Footnotes
Financial Disclosure: Veerle Decalf, Inge Ragolle, Achilles Ploumidis, Piet Hoebeke, and Anne-Françoise Spinoit declare that they have no conflicts of interest. Karel Everaert has received research, educational and travel grants, donations, and honoraria from Allergan, Astellas, Eurocept, Ferring, and Medtronic.
Funding Support: This video was supported by Laborie (V00116) with an educational grant.
Ethics Approval: This video obtained ethics approval by the Ethics Committee of the University Hospital Ghent, and participants (nurses and patient) gave informed consent before the making of the video.
Identification
Copyright
© 2017 Elsevier Inc. All rights reserved.
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