title: Recommendations for future development of contractility and obstruction nomograms for women. ICI-RS 2014.
abstract: OBJECTIVE
  At present, existing bladder outlet obstruction (BOO) nomograms for women are still not universally accepted. Moreover, only limited information is available regarding bladder contractility in women. The aim is to present the discussions and recommendations from the think tank session "Can we construct and validate contractility and obstruction nomograms for women?" held at the 2014 International Consultation on Incontinence-Research Society (ICI-RS) meeting in Bristol, UK.
  
  
  METHODS
  An overview of clinical significance, bladder mechanics and modelling, lack of existing nomograms for women, and development of new nomograms were presented and discussed in a multidisciplinary think tank session. This think tank session was based on a collaboration between physicians, engineers, and researchers and consensus was achieved on future research initiatives.
  
  
  CONCLUSIONS
  Based on the think tank discussion, the ICI-RS panel put forward the following recommendations: the need to acquire normative age-matched data in women to define "normal" and "pathological" values of urodynamic parameters; the inclusion of additional clinical data in new nomograms and the use of this extra dimension to develop clinically applicable nomograms for female BOO and contractility; and finally, the need to take into account the variability of BOO in women when developing female bladder contractility nomograms.
authors.affiliation: Department of Urology, Maastricht University Medical Centre, Maastricht, the Netherlands.
authors.forename: Kevin
authors.initials: K
authors.lastname: Rademakers
authors.affiliation: Department of Urology, Aristotle University of Thessaloniki, Greece.
authors.forename: Apostolos
authors.initials: A
authors.lastname: Apostolidis
authors.affiliation: Department of Urology, Stanford University Medical School, Palo Alto, California.
authors.forename: Christos
authors.initials: C
authors.lastname: Constantinou
authors.affiliation: School of Physiology and Pharmacology, University of Bristol, United Kingdom.
authors.forename: Christopher
authors.initials: C
authors.lastname: Fry
authors.affiliation: University Clinic, Clinic of Urology/Neuro-Urology Bonn, Rheinisch Friedrich-Wilhelms University, Germany.
authors.forename: Ruth
authors.initials: R
authors.lastname: Kirschner-Hermanns
authors.affiliation: Department of Urology, Hannover Medical School, Hannover, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Oelke
authors.affiliation: Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.
authors.forename: Brian
authors.initials: B
authors.lastname: Parsons
authors.affiliation: ER6-Université Pierre et Marie Curie (Paris 06), Paris, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Nelson
authors.affiliation: ER6-Université Pierre et Marie Curie (Paris 06), Paris, France.
authors.forename: Françoise
authors.initials: F
authors.lastname: Valentini
authors.affiliation: Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom.
authors.forename: Andrew
authors.initials: A
authors.lastname: Gammie
mesh_terms: D001696:Biomechanical Phenomena; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D008954:Models, Biological; D009119:Muscle Contraction; D011237:Predictive Value of Tests; D011312:Pressure; D011379:Prognosis; D018570:Risk Assessment; D012307:Risk Factors; D012737:Sex Factors; D001743:Urinary Bladder / Q000503:physiopathology*; D001748:Urinary Bladder Neck Obstruction / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D014563:Urodynamics
keywords: bladder contractility; bladder mechanics; bladder outlet obstruction; female voidimg dysfunction; nomograms