Natural-fill urodynamics as an alternative to conventional cystometry
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Klinika Nefrologii Dziecięcej, Uniwersytet Medyczny w Lublinie
Leszek Piechuta
Klinika Nefrologii Dziecięcej Uniwersytetu Medycznego w Lublinie, ul. Chodźki 2, 20-093 Lublin
Med Og Nauk Zdr. 2013;19(1):8–12
Unphysiological conditions of conventional cystometry (duration of test, filling rate, temperature and composition of fluid administered to the bladder, physical activity and emotional state of the patient) create the risk of unreliable test results. Based on the data from literature, comparison of conventional and natural-fill cystometry was undertaken regarding the reliability of the results of both methods of examination.

State of knowledge.:
Data from literature suggest different parameters of lower urinary tract function obtained by both methods of examination, and suggest better adherence of parameters obtained from natural-fill cystometry to real ones, which results in the possibility for more effective treatment

Despite the superiority of natural-fill cystometry compared to conventional, natural-fill examination did not become the gold standard of paediatric urodynamics, probably due to economic reasons. In selected and doubtful cases, anyway, the doctor should have the possibility to perform natural-fill cystometry, which gives the chance of obtaining more reliable information which is useful for choosing a proper treatment

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