Navegando por Palavras-chave "urodynamic study"
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- ItemSomente MetadadadosThe effects of bethanechol and cisapride on urodynamic parameters in patients undergoing radical hysterectomy for cervical cancer. A randomized, double-blind, placebo-controlled study(Springer, 2006-05-01) Madeiro, A. P.; Rufino, A. C.; Sartori, MGF; Baracat, E. C.; De Lima, G. R.; Girao, MJBC; San Marcos Hosp; Univ Estadual Piaui; Universidade Federal de São Paulo (UNIFESP)To evaluate the effects of bethanechol and cisapride on urodynamic parameters in patients undergoing radical hysterectomy for cervical cancer. in this double-blind, placebo-controlled study, 79 patients with cervical cancer were randomized to receive bethanechol (30 mg/day), cisapride (30 mg/day), bethanechol combined with cisapride (same doses) and placebo. Urodynamic study was performed, including flowmetry, cystometry, pressure-flow study and urethral pressure profile before radical hysterectomy. Medication was administered postoperatively during 30 days. At the end of this period, urodynamic evaluation was repeated. There was an increase in both the maximum cystometric capacity and bladder capacity at first desire to void in the placebo group compared to the other groups. the rate of detrusor instability was higher in the group that used bethanechol combined with cisapride. Detrusor pressure at maximum flow was significantly higher when cisapride was used. There was a significant increase in postvoid residual volume in the placebo group. in patients undergoing radical hysterectomy, bethanechol and cisapride determined lower cystometric capacity and decreased bladder capacity at first desire to void, a higher maximum flow rate and higher detrusor pressure at maximum flow, with lower postvoid residual volumes. the early use of bethanechol and cisapride after radical hysterectomies positively modified urodynamic parameters, determining a more efficient detrusor function.
- ItemSomente MetadadadosIncidence of Bacteriuria after Urodynamic Study with or without Antibiotic Prophylaxis in Women with Urinary Incontinence(Federacao Brasileira Soc Ginecologia & Obstetricia-Febrasgo, 2017) Hirakauva, Elizabeth Yukie [UNIFESP]; Homem de Mello Bianchi-Ferraro, Ana Maria [UNIFESP]; Monteiro Zucchi, Eliana Viana [UNIFESP]; Kajikawa, Marcio Massashi [UNIFESP]; Batista Castello Girao, Manoel Joao [UNIFESP]; Ferreira Sartori, Marair Gracio [UNIFESP]; Katalin de Jarmy-Di Bella, Zsuzsanna Ilona [UNIFESP]Introduction The presence of bacteria in urine is called bacteriuria, which may be symptomatic or asymptomatic. The manipulation of the urinary tract during urodynamic study (UDS), which is an invasive procedure, can result in urinary tract infection (UTI). Studies on the use of prophylactic antibiotics for UDSs are contradictory. Some investigators concluded that they were valuable and others did not. The objective of this study is to evaluate the efficacy of antibiotic prophylaxis before UDS. This is a placebo-control randomized double-blind study. Methods Two-hundred and seventeen women affected by urinary incontinence were eligible for this study. All patients had presented negative urine culture previous to the UDS. They were randomized in four groups: group A received placebo, group B received 500 mg of levofloxacin, group C received 80 mg trimethoprim and 400 mg sulfamethoxazole and group D received 100 mg of nitrofurantoin. A urine culture was performed 14 days after the UDS. Results We observed asymptomatic bacteriuria after the UDS in five patients in group A, one in group B, one in group C and one in group D. Only one patient on group A had symptomatic bacteriuria. We didn't observe statistical difference between the groups. When we recategorized the patients in two groups, the incidence of bacteriuria was significantly higher in the placebo group compared with the antibiotic group. Conclusion The conclusion is that antibiotic prophylaxis before the UDS did not reduce the incidence of UTI in women within the target population.
- ItemAcesso aberto (Open Access)Parâmetros da urofluxometria e do estudo fluxo/pressão em pacientes uroginecológicas(Assoc Medica Brasileira, 2008-03-01) Oliveira, Emerson de [UNIFESP]; Bezerra, Leonardo Robson Pinheiro Sobreira [UNIFESP]; Araujo, Maíta Poli de [UNIFESP]; Takano, Claudia Cristina [UNIFESP]; Castro, Rodrigo de Aquino [UNIFESP]; Sartori, Marair Gracio Ferreira [UNIFESP]; Baracat, Edmund Chada [UNIFESP]; Girão, Manoel João Batista Castello [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE. The purpose was to evaluate urine flow rates in an urodynamic study (US) of patients with symptoms of lower urinary tract dysfunction and to record effects of final urodynamic diagnosis and age on these variables.METHODS. Retrospective analysis of 205 women who had undergone urogynecological investigation, Patients were divided Into three age groups: A (< 45 years), B (45 - 60 years) and C(> 60 years). Comportment of urine flow rates and opening detrusor pressure with increasing age were studied and resulting charts recorded Comparison of maximum and average urine flow rates, opening detrusor pressure and detrusor pressure at the maximal flow according to final urodynamic diagnostic were also made.RESULTS. There was a decline of urine flow rates with increase of age, which was more significant between groups A X C and B X C There was also a decline in opening detrusor pressure with aging, which was significant between groups A X C When analyzing opening detrusor pressure according to final urodynamic diagnosis, a significant decline of this variable was observed in patients with urinary stress incontinence and intrinsic sphincter deficiency in relation to those who were asymptomatic.CONCLUSION. Urine flow rates decreased with age. Women with urinary stress incontinence and intrinsic sphincter deficiency void at a lower detrusor pressure.