Ambulatory urodynamic monitoring: state of the art and future directions

被引:23
|
作者
Abelson, Benjamin [1 ]
Majerus, Steve [2 ,3 ]
Sun, Daniel [1 ]
Gill, Bradley C. [1 ]
Versi, Eboo [4 ]
Damaser, Margot S. [1 ,2 ,3 ]
机构
[1] Cleveland Clin, Glickman Urol & Kidney Inst, Cleveland, OH 44106 USA
[2] Louis Stokes Cleveland VA Med Ctr, Adv Platform Technol Ctr, Cleveland, OH 44106 USA
[3] Cleveland Clin, Lerner Res Inst, Dept Biomed Engn, Cleveland, OH 44106 USA
[4] Rutgers State Univ, Dept Obstet Gynecol & Reprod Sci, Robert Wood Johnson Med Sch, New Brunswick, NJ USA
关键词
LOWER URINARY-TRACT; PRESSURE MEASUREMENT; OVERACTIVE BLADDER; VOLUME; TECHNOLOGY; CYSTOMETRY; SYSTEM; MANAGEMENT; ACCURACY; SOCIETY;
D O I
10.1038/s41585-019-0175-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Urodynamic studies are a key component of the clinical evaluation of lower urinary tract dysfunction and include filling cystometry, pressure-flow studies, uroflowmetry, urethral function tests and electromyography. However, pitfalls of traditional urodynamics include physical and emotional discomfort, artificial test conditions with catheters and rapid retrograde filling of the bladder, which result in variable diagnostic accuracy. Ambulatory urodynamic monitoring (AUM) uses physiological anterograde filling and, therefore, offers a longer and more physiologically relevant evaluation. However, AUM methods rely on traditional catheters and pressure transducers and do not measure volume continuously, which is required to provide context for pressure changes. Novel telemetric AUM (TAUM) methods that use wireless, catheter-free, battery-powered devices to monitor bladder pressure and volume while patients carry out their daily activities are currently being investigated. TAUM devices under current development are innovating in the areas of remote monitoring, rechargeable energy sources, device deployment and retrieval and materials engineering to provide increased diagnostic accuracy and improved comfort for patients with incontinence or voiding dysfunction. These devices hold promise for improving the diagnosis and management of patients with lower urinary tract disorders.
引用
收藏
页码:291 / 301
页数:11
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