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논문 기본 정보

자료유형
학술저널
저자정보
Lorenzo Lotti (Department of Civil and Environmental Engineering University of Florence) Pietro Spatafora (Unit of Urological Minimally Invasive Robotic Surgery and Renal Transplantation Careggi Hospital) Vincenzo Li Marzi (Unit of Urological Minimally Invasive Robotic Surgery and Renal Transplantation Careggi Hospital) Giulio Nicita (Villa Donatello Hospital) Enio Paris (Department of Civil and Environmental Engineering University of Florence) Sergio Serni (Unit of Urological Minimally Invasive Robotic Surgery and Renal Transplantation Careggi Hospital)
저널정보
대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제27권 제1호
발행연도
2023.3
수록면
63 - 69 (7page)
DOI
10.5213/inj.2244274.137

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Purpose: To date, invasive urodynamic investigations have been used to define most terms and conditions relating to lower urinary tract symptoms. This invasiveness is almost totally due to the urethral catheter. In order to remove this source of dis comfort for patients, the present study investigated a noninvasive methodology able to provide diagnostic information on bladder outlet obstruction or detrusor underactivity without any contact with the human body. Methods: The proposed approach is based on simultaneous measurements of flow rate and jet exit velocity. In particular, the jet exit kinetic energy appears to be strongly related to bladder pressure, providing useful information on the lower urinary tract functionality. We developed a new experimental apparatus to simulate the male lower urinary tract, thus allowing exten sive laboratory activities. A large amount of data was collected regarding different functional statuses. Results: Experimental results were compared successfully with data in the literature in terms of peak flow rate and jet exit ve locity. A new diagram based on the kinetic energy of the exit jet is proposed herein. Using the same notation as a Schäfer dia gram, it is possible to perform noninvasive urodynamic studies. Conclusions: A new noninvasive approach based on the measurement of jet exit kinetic energy has been proposed to replace current invasive urodynamic studies. A preliminary assessment of this approach was carried out in healthy men, with a speci ficity of 91.5%. An additional comparison using a small sample of available pressure-flow studies also confirmed the validity of the proposed approach.

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