Skip to main content

Advertisement

Log in

A flow rate cut-off value as a criterion for the accurate non-invasive measurement of bladder pressure using a condom-type catheter

  • Original Article
  • Published:
Urological Research Aims and scope Submit manuscript

Abstract

We developed a condom-type catheter to non-invasively measure the bladder pressure during interruption of the flow rate. The aim of the present study was to establish a minimum flow rate value at which a reliable bladder pressure measurement can be made with this catheter. We reanalysed data from 43 patients who completed a pressure-flow study and a non-invasive test. The patients voided without straining. During the test, we simultaneously measured the bladder pressure (invasively) and the condom pressure (non-invasively). The pressure increase in the condom after interruption of the flow rate was analysed in 40 of the 43 patients. A plot of the difference between the bladder pressure and the maximum condom pressure as a function of the flow rate revealed that in 70% of the patients who voided with a maximum flow rate exceeding 5.4 ml/s, the condom pressure accurately reflected the bladder pressure (±14 cmH2O). We conclude that to accurately and non-invasively measure the bladder pressure with a condom-type catheter, the maximum flow rate should exceed 5.4 ml/s.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.

Similar content being viewed by others

References

  1. Altman DG (1999) Practical statistics for medical research. Chapman and Hall, Padstow

  2. Griffiths CJ, Rix D, MacDonald A, Robson W, Kelly L, Reddy M, Drinnan MJ, Pickard RS, Ramsden PD (2000) Can non-invasive bladder measurements identify men with bladder outflow obstruction? Neurourol Urodynam 19: 429

    Google Scholar 

  3. Griffiths DJ, Höfner K, van Mastrigt R, Rollema HJ, Spangberg A, Gleason D (1997) Standardization of terminology of lower urinary tract function: pressure-flow studies of voiding, urethral resistance and urethral obstruction. Neurourol Urodynam 16: 1

    Article  CAS  Google Scholar 

  4. Hill AV (1938) The heat of shortening and the dynamic constants of muscle. Proc R Soc London B 126: 136

    Google Scholar 

  5. Pel JJM, van Mastrigt R (1999) The accuracy of a non-invasive bladder pressure measurement with an external catheter. Neurourol Urodynam 18: 251.

    Google Scholar 

  6. Pel JJM, van Mastrigt R (2002) Development of a strategy to non-invasively classify bladder outlet obstruction in male patients with LUTS. Neurourol Urodynam 21: 117

    Article  CAS  Google Scholar 

  7. Pel JJM, Spigt MG, Knottnerus JA, van Schayck CP, van Mastrigt R (2001) A modified procedure to non-invasively measure the bladder pressure: preloading the condom. Neurourol Urodynam 20: 386

    Google Scholar 

  8. Sullivan MP, Yalla SV (2000) Penile urethral compression-release manoeuvre as a non-invasive screening test for diagnosing prostatic obstruction. Neurourol Urodynam 19: 657

    Article  CAS  Google Scholar 

  9. Van Mastrigt R, Pel JJM (1999) Further towards a non-invasive urodynamic diagnosis of infravesical obstruction. Urodynamica 9: 131

    Google Scholar 

Download references

Acknowledgements

This research was supported by the Technology Foundation STW, applied division of the Netherlands Organisation for Scientific Research (NWO) and the technology programme of the Ministry of Economic Affairs.

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Pel, J.J.M., van Mastrigt, R. A flow rate cut-off value as a criterion for the accurate non-invasive measurement of bladder pressure using a condom-type catheter. Urol Res 31, 177–182 (2003). https://doi.org/10.1007/s00240-003-0312-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00240-003-0312-7

Keywords

Navigation