URODYNAMICS UTILITY PATTERN AMONG INDONESIAN UROLOGISTS
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Abstract
Objective: Aim of this study was to describe urodynamic utility pattern among Urologists in Indonesia especially in treating lower urinary tract symptoms (LUTS), urinary retention, overactive bladder (OAB), stress urinary incontinence (SUI) and urologic pediatric cases. Materials & methods: Subjects were Indonesian Urologists who attended urological scientific meetings or workshop in Jakarta between February-July2014. They were given questionnaires about urodynamics and its indications. Results: One hundred and eight Urologists completed and returned the questionnaires out of 303 Urologists in Indonesia. Thirty eight Urologists worked at hospitals where urodynamic machine is available, the rest sent their urodynamic cases elsewhere. Most of Urologists ordered urodynamics for LUTS patients with neurological deficit (84.3%) and weak anal sphincter tone/bulbocavernosus reflex (62.0%). In OAB cases, urodynamics was used in cases with failure of medical therapy (70.4%) and neurological deficit (68.5%). Two most common indication criterias in SUI cases were failure of conservative therapy (70.4%) and mixed incontinence cases (SUI with OAB) (60.2%). Neurological deficit (66.7%) and urinary incontinence (26.9%) were the most frequent urodynamic indications applied in children. Conclusion: We described the urodynamic utility pattern among Indonesian Urologists. Availability of urodynamic machine, patient economic capabilities, guideline availability on urodynamics could be the factors affecting this pattern.
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Filling cystometry, pressure flow study, diagnosis, usage pattern
Oelke M, Bachman A, Descazeaud A, Emberton M, Gravas S, Michel MC, et al. Guidelines on the management of male lower urinary tract symptoms (LUTS), incl. benign prostatic obstruction (BPO). Eur Urol; 2012.
Chapple CR, Milsom I. Urinary incontinence and pelvic prolapse: Epidemiology and pathophysiology. In: Kavoussi LR, Novick AC, Partin AW, et al. editors. Campbell-Walsh Urology.10th ed. Philadelphia: Saunders Elsevier; 2012. p. 1871-95.
Hunskaar S, Lose G, Sykes D, Voss S. The prevalence of urinary incontinence in women in four european countries. BJU Int. 2004; 93: 324-30.
Foon R, Drake MJ. The overactive bladder. Ther Adv Urol. 2010; 2(4): 147-55.
Winters JC, Dmochowski RR, Goldman HB, Herndon CDA, Kobashi KC, Kraus SR, et al. Adult urodynamics: AUA/SUFU Guideline. J Urol. 2012; 188: 2464-72.
Abrams P. Principles of Urodynamics, In: Urodynamics. 3rd ed. London: Springer-Verlag; 2006. p. 1-6.
Blaivas J, Chancellor MB, Weiss J, Verhaaren M. Pre-Urodynamic Evaluation. In: Atlas of Urodynamics. 2nd ed. Blackwell Publishing; 2007. p. 1-6.
Abdool Z. Urodynamics - basic concepts. O&G Forum. 2012; 22: 32-34.
Vasavada SP, Rackley RR. Electrical stimulation and neuromodulation in storage and emptying failure. In: Kavoussi LR, Novick AC, Partin AW, et al. editors. Campbell-Walsh Urology.10th ed. Philadelphia: Saunders Elsevier; 2012. p. 2026-46.
Gravas S, Bachmann A, Descazeaud A, Drake M, Gratzke C, Madersbacher S, et al. Guidelines on the management of non-neurogenic male lower urinary tract symptoms (LUTS), incl. Benign prostatic obstruction (BPO). Eur Urol, 2014.
Jeong SJ, Yeon JS, Lee JK, Jeong JW, Lee BK, Park YH, et al. Chronic lower urinary tract symptoms in young men without symptoms of chronic prostatitis: Urodynamics analysis in 308 men aged 50 years or younger. KJU. 2014; 55: 341-8.
Padmanabhan P, Nitti VW. Primary bladder neck obstruction in men, women, and children. Curr Urol Rep. 2007; 8: 379-84.
Drake M, Abrams P. Overactive Bladder. In: Kavoussi LR, Novick AC, Partin AW, et al. editors. Campbell-Walsh Urology. 10th ed. Philadelphia: Saunders Elsevier; 2012. p. 1947-57.
Lancu G, Peltecu G. Predicting the outcome of mid-urethral tape surgery for stress urinary incontinence using preoperative urodynamics – A systematic review. Chrirurgia. 2014; 109: 359-68.