(Video-urodynamics )

(lower urinary tract, LUT)

(filling)(storage)(voiding)
(static)(dynamic process)
(dynamic)

(urodynamic study)

()

(storage)(voiding)A
B

z (Uroflowmetry, UFR)
z (Cystometry, CMG) (External sphincter
electromyogram, EMG)
z (Pressure-flow study, PFS)

1
z (Urethral pressure profile study, UPP)
(Stress urethral pressure profile, stress UPP)

z Uroflowmetry (UFR) ()

(detrusor)

1. maximum flow rate, Qmax 25ml/sec

2. average flow rate, Qave 10-20ml/sec
3. voided volume, VV200ml
4. voiding time 15-20sec
5. time to maximum flow about 10 sec
6. postvoided residual, PVR; or residual urine, RU50ml (
< 100ml)
A B

C D

(Uroflowmetry, UFR) A(normal pattern)

B(intermittent interrupted pattern)

2
 (abdominal straining)C(bladder
outlet obstructcion, BOO)D

(abdominal straining)
(bladder outlet obstructcion, BOO)

z (Cystometry, CMG) ()
(External sphincter electromyogram, EMG)
(filling)

(compliance)
(Valsalva maneuver)(detrusor pressure,
Pedt15cmH2O)(stress urinary incontinence)

1. (first desire to void, FD): 150ml

2. (normal desire to void, ND): 250ml
3. (strong desire to void, SD): 350ml
4. (urgency):
5. (maximum cystometric capacity, MCC): 400-600ml

(interstitial cystitis, IC)

(bladder outlet obstruction)

(urodynamic stress incontinence)(detrusor overactivity, DO)
(low compliant bladder)
(Pves)(Pabd)(Pdet)
[(Pdet)= (Pves) -- (Pabd)]

3
 A B

(Cystometry, CMG) (External sphincter

4
 electromyogram, EMG)A(Pdet)
(<15cmH2O)(Pabd)(Pves)
(Pdet)(no leakage)B
(urodynamic stress incontinence)(Pabd)
(Pves)(Pdet)(urine
leakage)C(detrusor overactivity, DO)(Pdet)
(15cmH2O)

z

(needle electrode)(surface electrode)

detrusor-sphincter-dyssynergia, DSD

z (Pressure-flow study, PFS)

( filling cystometry)

(Qmax 12ml/sec)(Pdet 20cmH2O)

z (Urethral pressure profile study, UPP) ()

(rest)(stress)
(continence)
(stress urethral pressure profile, sUPP)Valsalva
maneuver

1. Maximum urethral pressure, MUP
2. (Maximum urethral closure pressure, MUCP

5
 (MUCP= Pura Pves)
3. (Functional urethral length, FUL


4. (Pressure transmission ratio, PTR)(sUPP)

(Pura)(Pves)(Pura/ Pves)
PTR (MUCP)
20cmH2O
MUCP FUL
UPP

A B

(Urethral pressure profile study, UPP)

(Stress urethral pressure profile, sUPP)A

(MUCP)B(MUCP)

6
z
(Urodynamic stress incontinence USI)
()(Detrusor overactivity with/ without incontinence)
(Mixed urinary incontinence, USI + DO)
(Increased bladder sensation)
(Low compliant bladder)
(Underactive/ Acontractile detrusor)
(Bladder outlet obstruction)
(Detrusor sphincter dyssynergia, DSD)

z (Video-urodynamics )
1. (pressure flow study)
(
) ()
()
z

z


2.
3. :
(1) (equivocal results)
(2)
(3) spinal cord injury, detrusor-sphincter
dyssynergia, neurogenic bladder
(4) uretrhal stenosis, veso-ureteric reflex
(5) (lower urinary tract dysfunction, LUTD)

7
()(
)