Solomon-Greenwell as the most accurate nomogram for female bladder outlet obstruction

Authors

  • Patricia Castro-Nuñez Instituto Mexicano del Seguro Social, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Ciudad de México, México.
  • Immer Noyola-Ávila Instituto Mexicano del Seguro Social, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Ciudad de México, México.
  • Efraín Maldonado-Alcaraz Instituto Mexicano del Seguro Social, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Ciudad de México, México.
  • Jorge Moreno-Palacios Instituto Mexicano del Seguro Social, Hospital de Especialidades “Dr. Bernardo Sepúlveda Gutiérrez”, Ciudad de México, México.
  • Frida Sofia Terán Amaya

DOI:

https://doi.org/10.48193/revistamexicanadeurologa.v82i6.873

Keywords:

female, urodynamics, bladder outlet obstruction

Abstract

Objective: Compare the different definitions for bladder outlet obstruction (BOO) in women with dysfunctional voiding (DV) and find which one is most specific and sensitive to achieve a more accurate diagnosis.

Materials and methods: a cross-sectional study of urodynamic investigation studies from women diagnosed with DV in a period from 2017-2020 were classified with obstruction or not, based on 6 urodynamic definitions. The control group were women who had been categorized with obstruction in at least 3 definitions of BOO. Likelihood positive ratio, sensitivity and specificity were calculated. Statistical analysis was carried out by IBM SPSS Statistics for Windows, Version 23.0 (IBM Corp., Armonk, N.Y., USA). A p <0.5 was considered statistically significant.

Results: A total of 146 urodynamic studies were analyzed, Solomon-Greenwell nomogram has shown to be the more specific and sensitive, obtaining the highest likelihood positive ratio >100. The comparison between our the control group and every definition of BOO has shown statistically significant difference.

Conclusions: The diagnosis of BOO requires expertise and individualization, it is made through physical examination and complete urodynamic study, Solomon-Greenwell has shown to be specific and sensitive for diagnosis in the group of study.

References

Panicker JN, Anding R, Arlandis S, Blok B, Dorrepaal C, Harding C, et al. Do we understand voiding dysfunction in women? Current understanding and future perspectives: ICI-RS 2017. Neurourol Urodyn. 2018;37(S4):S75–85. doi: https://doi.org/10.1002/nau.23709

Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010 Jan;21(1):5–26. doi: https://doi.org/10.1002/nau.23709

Pang KH, Campi R, Arlandis S, Bo K, Chapple CR, Costantini E, et al. Diagnostic Tests for Female Bladder Outlet Obstruction: A Systematic Review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus. 2022;8(4):1015–30. doi: https://doi.org/10.1016/j.euf.2021.09.003

Schäfer W, Abrams P, Liao L, Mattiasson A, Pesce F, Spangberg A, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21(3):261–74. doi: https://doi.org/10.1002/nau.10066

Farrar DJ, Osborne JL, Stephenson TP, Whiteside CG, Weir J, Berry J, 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. doi: https://doi.org/10.1111/j.1464-410x.1975.tb04062.x

Chassagne S, Bernier PA, Haab F, Roehrborn CG, Reisch JS, Zimmern PE. Proposed cutoff values to define bladder outlet obstruction in women. Urology. 1998;51(3):408–11. doi: https://doi.org/10.1016/S0090-4295(97)00634-1

Lemack GE, Zimmern PE. Pressure flow analysis may aid in identifying women with outflow obstruction. J Urol. 2000;163(6):1823–8. doi: https://doi.org/10.1016/S0022-5347(05)67552-0

Defreitas GA, Zimmern PE, Lemack GE, Shariat SF. Refining diagnosis of anatomic female bladder outlet obstruction: comparison of pressure-flow study parameters in clinically obstructed women with those of normal controls. Urology. 2004;64(4):675–9; discussion 679-681. doi: https://doi.org/10.1016/j.urology.2004.04.089

Blaivas JG, Groutz A. Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourology and Urodynamics. 2000;19(5):553–64. doi: https://doi.org/10.1002/1520-6777(2000)19:5<553::AID-NAU2>3.0.CO;2-B

Solomon E, Yasmin H, Duffy M, Rashid T, Akinluyi E, Greenwell TJ. Developing and validating a new nomogram for diagnosing bladder outlet obstruction in women. Neurourology and Urodynamics. 2018;37(1):368–78. doi: https://doi.org/10.1002/nau.23307

Solomon E, Yasmin H, Duffy M, Malde S, Ockrim J, Greenwell T. Concordance of urodynamic definitions of female bladder outlet obstruction. European Urology Supplements. 2017;3(16):e1965–6. doi: https://doi.org/10.1016/s1569-9056(17)31177-6

Lindsay J, Solomon E, Nadeem M, Pakzad M, Hamid R, Ockrim J, et al. Treatment validation of the Solomon-Greenwell nomogram for female bladder outlet obstruction. Neurourology and Urodynamics. 2020;39(5):1371–7. doi: https://doi.org/10.1002/nau.24347

Downloads

Published

2023-01-13

Issue

Vol. 82 No. 6 (2022): November-December

Section

Original articles

License

Copyright (c) 2023 Revista Mexicana de Urología

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.