• Title/Summary/Keyword: 요역동학 검사

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Characteristics of Mixed Urinary Incontinence and Stress Urinary Incontinence: Relationship between Lower Urinary Tract Symptoms and Urodynamic Parameters (복합성 요실금과 복압성 요실금의 특성: 하부요로증상과 요역동학 검사결과의 관계)

  • Lee, ji Yeon;Song, Misoon
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.60-68
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    • 2017
  • Purpose: The purpose of this study was to analyze the relationship between lower urinary tract symptoms and urodynamic parameters to investigate the characteristics of mixed urinary incontinence (MUI) and stress urinary incontinence (SUI). Methods: The subjects were 318 women with MUI and 128 women with SUI. Data were collected retrospectively from electronic medical records including Bristol Female Lower Urinary Tract Symptoms-Scored Form (BFLUTS-SF), Incontinence Quality of Life Instrument (I-QOL), voiding diaries, and urodynamic parameters. Results: Compared with the SUI group, the MUI group was older and showed lower I-QOL and more severe urinary tract symptoms. The MUI group had more urinary frequency, more nocturia, and a higher urgency score than the SUI group. In the correlation analysis, the greatest difference between the two groups was that urgency was associated with Qmax, maximal cystometric capacity, and detrusor overactivity only in the MUI group (r = -.175, p= .004; r = -.281, p< .001; r= .232, p< .001, respectively). Conclusion: As a result of this study, we propose that a customized management program that emphasizes the control of urgency for the MUI group, and one that effectively strengthens the weak pelvic floor for the SUI group.

A Non-invasive Measurement of Abdominal Pressure on Ambulatory Urodynamics Study Using Surface Electromyography (휴대용 요역동학 검사 시 근전도 신호를 이용한 복압측정 방법)

  • Kim, Keo-Sik;Song, Chul-Gyu;Seo, Jeong-Hwan
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.6
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    • pp.132-140
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    • 2008
  • Conventional rectal catheters which are used for the measurement of abdominal pressure can cause erroneous result affecting detrusor pressure, and the catheter itself is not comfortable to the patients. To reduce these problems, we invented a new method for measuring abdominal pressure in non invasive manner using surface electromyography (EMG) signals of the rectus abdominis muscle. Our results showed that the correlation coefficient and root mean square error (RMSE) between the measured abdominal pressures by the conventional rectal catheters and the estimated values by our proposed algorithm were $0.79{\pm}0.06$ and $0.10{\pm}0.07$, respectively. These findings suggest that the surface EMG of rectus abdominis muscle might be used indirectly for more convenient measurement of abdominal pressure on ambulatory urodynamic study.