A new technique for dynamic analysis of bladder compliance.
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 10 ml./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.
Division of Urology, Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
R F
RF
Gilmour
B M
BM
Churchill
R E
RE
Steckler
A M
AM
Houle
A E
AE
Khoury
G A
GA
McLorie
D001696:Biomechanical Phenomena; D002648:Child; D003187:Compliance; D005260:Female; D006801:Humans; D008297:Male; D011312:Pressure; D012815:Signal Processing, Computer-Assisted; D001743:Urinary Bladder / Q000502:physiology*; D014546:Urinary Catheterization; D014563:Urodynamics / Q000502:physiology*