Aims: The aim of this study is to compare PUMA curves with di¡erent pathologic conditions causing bladder dysfunction in 158 men and 83 women. Methods: PUMA results in terms of bladder outlet obstruction and detrusor contractility were compared in 92 men with benign prostatic hypertrophy (BPH) and pves%pdet (i.e., pabd%0) with the results of the urodynamics operator’s opinion, the provisional International Continence Society method, Abrams and Gri⁄th’s diagram, urethral resistence factor (URA), Schfer’s diagram, and Watt factor. PUMA curves correlated reliably with different pathologic conditions such as obstructive BPH, orthotopic bladder, cystocele, the neurological bladder, and bladder diverticulum. Statistical analysis indicated excellent agreement between PUMA and URA; agreement with other methods was good in cases of obstruction and nonobstruction. In doubtful cases, as diagnosed by standard methods, PUMA agreed only with the Abrams and Gri⁄th’s diagram. PUMA and Wmax were in good agreement on detrusor contraction force. Agreement between PUMA and Schfer’s diagram was excellent for patients with detrusor hypercontractility and good for patients with detrusor hypocontractility and normocontractility. PUMA is the only method applicable to women. It is easy to perform.When integrated with other diagnostic tests, it provides realistic data for diagnosis, medical or surgical therapy, and outcome

Perugia Urodynamic Method of Analysis (PUMA): A new advanced method of urodynamic analysis applied clinically and compared with other advanced methods

PORENA, Massimo;BISCOTTO, SAURO;COSTANTINI, Elisabetta;MEARINI, Ettore;VERDINI, Livio
2003

Abstract

Aims: The aim of this study is to compare PUMA curves with di¡erent pathologic conditions causing bladder dysfunction in 158 men and 83 women. Methods: PUMA results in terms of bladder outlet obstruction and detrusor contractility were compared in 92 men with benign prostatic hypertrophy (BPH) and pves%pdet (i.e., pabd%0) with the results of the urodynamics operator’s opinion, the provisional International Continence Society method, Abrams and Gri⁄th’s diagram, urethral resistence factor (URA), Schfer’s diagram, and Watt factor. PUMA curves correlated reliably with different pathologic conditions such as obstructive BPH, orthotopic bladder, cystocele, the neurological bladder, and bladder diverticulum. Statistical analysis indicated excellent agreement between PUMA and URA; agreement with other methods was good in cases of obstruction and nonobstruction. In doubtful cases, as diagnosed by standard methods, PUMA agreed only with the Abrams and Gri⁄th’s diagram. PUMA and Wmax were in good agreement on detrusor contraction force. Agreement between PUMA and Schfer’s diagram was excellent for patients with detrusor hypercontractility and good for patients with detrusor hypocontractility and normocontractility. PUMA is the only method applicable to women. It is easy to perform.When integrated with other diagnostic tests, it provides realistic data for diagnosis, medical or surgical therapy, and outcome
2003
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11391/121342
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