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A New Technique for Dynamic Analysis of Bladder Compliance

1993; Lippincott Williams & Wilkins; Volume: 150; Issue: 4 Linguagem: Inglês

10.1016/s0022-5347(17)35727-0

1527-3792

Robert F. Gilmour, Bernard M. Churchill, Robert E. Steckler, Anne‐Marie Houle, Antoine E. Khoury, Gordon A. McLorie,

Urinary Bladder and Prostate Research

No AccessJournal of Urology1 Oct 1993A New Technique for Dynamic Analysis of Bladder Compliance Robert F. Gilmour, Bernard M. Churchill, Robert E. Steckler, Anne-Marie Houle, Antoine E. Khoury, and Gordon A. McLorie Robert F. GilmourRobert F. Gilmour More articles by this author , Bernard M. ChurchillBernard M. Churchill More articles by this author , Robert E. StecklerRobert E. Steckler More articles by this author , Anne-Marie HouleAnne-Marie Houle More articles by this author , Antoine E. KhouryAntoine E. Khoury More articles by this author , and Gordon A. McLorieGordon A. McLorie More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)35727-0AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail We propose an alternative method of measuring compliance that takes into account the multiple phases of bladder filling. We describe our new technique, dynamic compliance analysis, and evaluate its clinical applicability. To perform the analysis we digitized a cystometrogram curve at a sampling rate of 2 samples per second using an MS-DOS computer system. A program designed to retrieve the stored data was used to analyze the subtracted bladder pressure. The result yielded a value of compliance every half second that was then plotted on an x-y graph, with instantaneous compliance as the dependent variable and per cent of total volume infused as the independent variable. To determine the clinical applicability of this technique we chose 63 curves from clinically normal patients. The results of the dynamic compliance analyses were predictable. The dynamic compliance values for the normal group had a minimum that was always greater than 10ml./cm. water throughout the tonus limb (phase 2) of the cystometrogram. We conclude that dynamic compliance analysis yields more information about bladder response during filling, similar to the stress-strain curve used in the study of solid mechanics. © 1993 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byKhoury T (2018) Editorial CommentJournal of Urology, VOL. 199, NO. 5, (1343-1343), Online publication date: 1-May-2018.Rapp D, Neil N, Govier F and Kobashi K (2018) Bladder Sensation Measures and Overactive BladderJournal of Urology, VOL. 182, NO. 3, (1050-1054), Online publication date: 1-Sep-2009.LAPOINTE S, WANG B, KENNEDY W and SHORTLIFFE L (2018) THE EFFECTS OF INTRAVESICAL LIDOCAINE ON BLADDER DYNAMICS OF CHILDREN WITH MYELOMENINGOCELEJournal of Urology, VOL. 165, NO. 6 Part 2, (2380-2382), Online publication date: 1-Jun-2001.KRONNER K, RINK R, SIMMONS G, KROPP B, CASALE A and CAIN M (2018) ARTIFICIAL URINARY SPHINCTER IN THE TREATMENT OF URINARY INCONTINENCE: PREOPERATIVE URODYNAMICS DO NOT PREDICT THE NEED FOR FUTURE BLADDER AUGMENTATIONJournal of Urology, VOL. 160, NO. 3 Part 2, (1093-1095), Online publication date: 1-Sep-1998.Kim Y, Bird E, Priebe M and Boone T (2018) THE ROLE OF OXYBUTYNIN IN SPINAL CORD INJURED PATIENTS WITH INDWELLING CATHETERSJournal of Urology, VOL. 158, NO. 6, (2083-2086), Online publication date: 1-Dec-1997.Hsia T and Shortliffe L (2018) The Effect of Pregnancy on Rat Urinary Tract DynamicsJournal of Urology, VOL. 154, NO. 2, (684-689), Online publication date: 1-Aug-1995.Landau E, Churchill B, Jayanthi V, Gilmour R, Steckler R, McLorie G and Khoury A (2018) The Sensitivity of Pressure Specific Bladder Volume versus Total Bladder Capacity as A Measure of Bladder Storage DysfunctionJournal of Urology, VOL. 152, NO. 5 Part 1, (1578-1581), Online publication date: 1-Nov-1994.Landau E, Jayanthi V, Churchill B, Shapiro E, Gilmour R, Khoury A, Macarak E, Mclorie G, Steckler R and Kogan B (2018) Loss of Elasticity in Dysfunctional Bladders: Urodynamic and Histochemical CorrelationJournal of Urology, VOL. 152, NO. 2 Part 2, (702-705), Online publication date: 1-Aug-1994.Landau E, Jayanthi V, Khoury A, Churchill B, Gilmour R, Steckler R and Mclorie G (2018) Bladder Augmentation: Ureterocystoplasty Versus IleocystoplastyJournal of Urology, VOL. 152, NO. 2 Part 2, (716-719), Online publication date: 1-Aug-1994. Volume 150Issue 4October 1993Page: 1200-1203 Advertisement Copyright & Permissions© 1993 by The American Urological Association Education and Research, Inc.Keywordsbladderurodynamicselasticityurinary incontinenceMetricsAuthor Information Robert F. Gilmour More articles by this author Bernard M. Churchill More articles by this author Robert E. Steckler More articles by this author Anne-Marie Houle More articles by this author Antoine E. Khoury More articles by this author Gordon A. McLorie More articles by this author Expand All Advertisement PDF downloadLoading ...