MP79-04 A COMPARISON OF SCHAEFER, INTERNATIONAL CONTINENCE SOCIETY AND BLADDER CONTRACTILITY INDEX NOMOGRAMS IN THE DIAGNOSIS OF OBSTRUCTION AND DETRUSOR UNDERACTIVITY IN MEN WITH LOWER URINARY TRACT SYMPTOMS

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You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Non-neurogenic Voiding Dysfunction II1 Apr 2018MP79-04 A COMPARISON OF SCHAEFER, INTERNATIONAL CONTINENCE SOCIETY AND BLADDER CONTRACTILITY INDEX NOMOGRAMS IN THE DIAGNOSIS OF OBSTRUCTION AND DETRUSOR UNDERACTIVITY IN MEN WITH LOWER URINARY TRACT SYMPTOMS Emanuele Rubilotta, Matteo Balzarro, Nicolò Trabacchin, Antonio D'Amico, Silvia Bassi, Alberto Diminutto, Maria Angela Cerruto, and Walter Artibani Emanuele RubilottaEmanuele Rubilotta More articles by this author , Matteo BalzarroMatteo Balzarro More articles by this author , Nicolò TrabacchinNicolò Trabacchin More articles by this author , Antonio D'AmicoAntonio D'Amico More articles by this author , Silvia BassiSilvia Bassi More articles by this author , Alberto DiminuttoAlberto Diminutto More articles by this author , Maria Angela CerrutoMaria Angela Cerruto More articles by this author , and Walter ArtibaniWalter Artibani More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.2672AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate the correspondence between Schaefer nomograms (Sn), and both International Continence Society nomograms (ICSn) and Bladder Contractility Index (BCI). METHODS From January 2012 to October 2017, we collected data on 401 men underwent Flow-Pressure study for lower urinary tract symptoms. All urodynamics (UD) were performed according to Good Urodynamic Practice and analyzed with Sn, ICSn and BCI. Bladder outlet obstruction (BOO) was defined as Sn obstruction classes ranging from III to VI, and ICSn obstructed class. Detrusor underactivity (DU) was considered as Sn contractility classes Weak (W)/Very Weak (VW), and BCI weak class. RESULTS Among unobstructed patients the concordance between the 2 nomograms was 97.4%. There was a complete concordance of un-obstruction only in Sn class 0, while in class I the concordance reached 70%. Among patients with equivocal diagnosis at ICSn, the Sn class II was the most usual (67.2%). Among patients clearly obstructed at ICSn, there was a high concordance between the 2 nomograms (96.9%). Moreover, 74.4% of the patients were in Sn classes III-IV, and 22.4% in classes V-VI. Table 1 resumes data regarding BOO. We found a high correspondence in patients with normal detrusor contractility between the 2 nomograms (96.7%). In case of DU at BCI we found that 96.2% of males were in classes W/VW of Sn. Among males with normal detrusor contractility at Sn, 11% had a diagnosis of DU at BCI. Table 2 reports data on DU. CONCLUSIONS We found a high concordance between Schaefer and ICS nomograms. Most of the equivocal diagnosis at ICSn corresponded to Sn low obstruction (Class II). When ICSn documented obstruction, Sn documented a high but not complete correspondence. Indeed in 3.1% of the cases the Sn class was II. Correspondence between Sn and BCI was high but surprisingly with a misleading diagnosis in 1/10 patient. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e1081 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Emanuele Rubilotta More articles by this author Matteo Balzarro More articles by this author Nicolò Trabacchin More articles by this author Antonio D'Amico More articles by this author Silvia Bassi More articles by this author Alberto Diminutto More articles by this author Maria Angela Cerruto More articles by this author Walter Artibani More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...