Reproducibility of non-invasive urodynamics, using the cuff-uroflow, for the diagnosis of bladder outlet obstruction in males.
OBJECTIVE
To determine the repeatability of the parameters obtained from non-invasive urodynamics, using the cuff-uroflow, for the diagnosis of bladder outlet obstruction.


METHODS
The study was carried out in a consecutive series of 34 males with functional urinary tract symptoms. The test-retest reproducibility of isometric pressure, flow in response to isovolumetric pressure and the energy transfer ratio obtained at two different times using the cuff-uroflow method was determined.


RESULTS
Very good agreement for the flow in response to isovolumetric pressure measurement (intraclass correlation coefficient 0.96) and good agreement for the isovolumetric pressure measurement (intraclass correlation coefficient 0.87) and the energy transfer ratio (intraclass correlation coefficient 0.84) were demonstrated. The patients were classified into three groups according to the value of the energy transfer ratio, and it was found that there was very good agreement between the groups into which patients were classified as a result of the first and second measurements (kappa index 0.81).


CONCLUSIONS
The parameters obtained with the cuff-uroflow are reliable and the energy transfer ratio allows one to classify patients into reproducible groups.
Vírseda
Miguel C
MC
Urology Department, Naval Polyclinic, Madrid, Spain. bgmeli@nagasys.es
Salinas
Jesús C
JC
Arredondo
Francisco M
FM
Teba
Fernando P
FP
Vázquez
David A
DA
D004735:Energy Transfer; D006801:Humans; D008297:Male; D015203:Reproducibility of Results; D012212:Rheology; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis* / Q000503:physiopathology; D014563:Urodynamics / Q000502:physiology*