Abstract
In this pilot study on 17 men who underwent urodynamic investigation for various dysuric complaints, real-time transrectal ultrasonography (TRUS) was performed. From the images anatomical parameters were identified that correlated with obstructive urodynamic findings and urethral resistance parameters based on pressure-flow analysis. This study gives support for further clinical investigations to determine the value of TRUS for male patients with dysuric disorders. It also illustrates the anatomical basis of prostatic obstruction as quantified by objective urodynamic parameters.
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Fellows GJ, Cannell LB, Ravichandran G (1987) Transrectal ultrasonography compared with voiding cystourethrography after spinal cord injury. Br J Urol 59:218
Griffiths DJ, Constantinou CE, Mastrigt R van (1986) Urinary bladder function and its control in normal females. Am J Physiol 251-252:R 225-R 230
Griffiths DJ, Mastrigt R van, Bosch R (1989) Quantification of urethral resistance and bladder function during voiding, with special reference to the effects of prostate size reduction on urethral obstruction due to BPH. Neurourol Urodyn 8–1:17
Kranse M, Mastrigt R van (1991) Fitting orthogonal polynomals to the lowest part of a pressure flow plot. Neurourol Urodyn 10:290
Kranse M, Mastigt R van, Rollema HJ (1992) Resolution and specificity of parameters characterizing bladder outlet obstruction. Neurol Urodyn 11:394
Mastrigt R van (1984) A computer program for on-line measurement, storage, analysis and retrieval of urodynamic data. Comp Prog Biomed 18:109
Mastrigt R van (1990) Application of animal and physical models to human cystometry. In: Drife JO, Hilton P, Stanton SL. (eds) Micturition. Springer, London Berlin New York
Mastrigt R van, Kranse M (1994) Automated evaluation of urethral obstruction. Urology 42:216
Mastrigt R van, Rollema HJ (1992) Prognostic value of bladder contractility in prostatectomy. J Urol 148:1856
Nishizawa O, Moriya I, Sato S, Harada T, Tsichida S (1982) A new video urodynamics: combined ultrasonotomographic and urodynamic monitoring. Neurourol Urodyn 1:295
Perkash I, Friedland GW (1986) Transrectal ultrasonography of the lower urinary tract: evaluation of bladder neck problems. Neurourol Urodyn 5:299
Rollema HJ, Mastrigt R van (1988) Accuracy of uroflowmetry in the differential diagnosis of infravesical obstruction and impaired detrusor contractility. Neurourol Urodyn 3:228
Rollema HJ, Mastrigt R van (1992) Improved indication and follow up in transurethral resection of the prostate using the computer program CLIM: a prospective study. J Urol 148:111
Shabsigh R, Fishman IJ, Krebs M (1987) The use of transrectal longitudinal ultrasonography in urodynamics. J Urol 138:1416
Shapeero LG, Friedland GW, Perkash I (1983) Transrectal sonographic voiding cystourethrography: studies in neuromuscular bladder dysfunction. A J R 141
Vierhout ME, Jansen H (1991) Supine and sitting rectal ultrasound of the bladderneck during relaxation, straining and squeezing. Int Urogynecol J 2:141
Walsh PC (1986) Benign prostatic hyperplasia. In: Walsh PC, Gittes RE, Perlmutter AD, Stamey TA (eds) Campbell's urology, vol 2, chap 27. Saunders, Philadelphia
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Jansen, H., van Mastrigt, R. & Kranse, M. Transrectal ultrasound of the prostatic urethra related to urodynamically assessed urethral resistance. Urol. Res. 22, 147–150 (1994). https://doi.org/10.1007/BF00571841
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DOI: https://doi.org/10.1007/BF00571841