Üroflovmetri Yardımıyla Alt Üriner Sistemin Fonksiyonel Değerlendirilmesinde Dikkat Edilmesi Gerekenler

Year 2020, Volume: 15 Issue: 2, 110 - 114, 31.05.2020

Mehmet Kocalar Medine Kocalar

https://doi.org/10.47565/ndthdt.2020.13

Abstract

Üroflovmetri, günümüzde alt üriner sistemin fonksiyonel değerlendirilmesinde en
sık kullanılan ve göreceli olarak objektif bilgi sağlayabilen bir tanı aracıdır. Alt
üriner sistem bozukluklarının tanısında ilk basamak tanı testi olan üroflovmetri
sonuçları birçok faktörden etkilenebilmektedir. Bu derlemede alt üriner sistem
değerlendirmesinde üroflovmetrininen uygun olarak kullanılabilmesi için gereken
bilgiler; üroflovmetri testinin istendiği durumlar, üroflovmetri sonuçlarının
doğruluğunu etkileyen durumlar, mesane doluluğu ile ilgili hastanın dikkat etmesi
gereken noktalar, hasta mahremiyetinin sağlanması, üroflovmetri odasının
özellikleri, üroflovmetri cihazları ve kalibrasyon, üroflovmetri testinin
değerlendirilmesi, üroflovmetri işleminde hemşirenin görev ve sorumlulukları
başlıkları altında açıklanmıştır. Bu sayede ülkemizde hemşirelik uygulamalarında
yüksek standardın yakalanması ve hastaların en uygun tanı hizmetini alması
hedeflenmektedir.

Keywords

Üroflovmetri, Üroloji, Alt Üriner Sistem

Points to be Considered in Functional Evaluation of the Lower Urinary Tract by Using Uroflovmetry

Abstract

Uroflowmetry is one of the most commonly used diagnostic test that gives
relatively objective information about the lower urinary tract function.
Uroflowmetry is the first-line diagnostic test in the diagnosis of lower urinary
tract disorders. The results of uroflowmetry may be affected by various factors.
This review underlines key points for better standardization and optimal use of
uroflowmetry: The conditions that request of uroflowmetry test, the conditions
that affecting the accuracy of uroflowmetry results, points that the patient should
pay attention for regarding bladder fullness, ensuring the patient privacy, features
of the uroflowmetry room, uroflowmetry devices and calibration, evaluation of
uroflowmetry test, responsibilities of the nurse in uroflowmetry procedure. Thus,
we aim to obtain higher standards in nursing practices and patient care in our
country.

Keywords

Urology, Lower Urinary Tract, Uroflowmetry

References

• 1.Wen JG, Djurhuus JC, Rosier P, Bauer SB. ICS educational module: Pressure flow study in children. Neurourol Urodyn 2018; 37: 2311-14.
• 2. Gammie A, Rosier P, Li R, Harding C. How can we maximize the diagnostic utility of uroflow?: ICI-RS 2017. Neurourol Urodyn 2018; 37: S20-S24.
• 3. Van Batavia JP, Combs AJ. The Role of Non-invasive Testing in Evaluation and Diagnosis of Pediatric Lower Urinary Tract Dysfunction. Curr Urol Rep 2018; 19: 34.
• 4. Rosier P, Schaefer W, Lose G, Goldman HB, Guralnick M, Eustice S, Dickinson T, Hashim H. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn 2017; 36: 1243-60.
• 5. Campbell - Walsh Urology, International Edition, 11th Edition Elsevier, 2015.
• 6. Yoo S, Lee Y, Park J, Cho SY, Cho MC, Jeong H, Son H. Voided volume < 150 mL on initial uroflowmetry in men with storage symptoms: Is it an unreliable test result or a sign of severe storage symptoms? PloS One 2019; 14: e0207208.
• 7. Mochtar CA, Kiemeney LA, van Riemsdijk MM, Laguna MP, Debruyne FM, de la Rosette JJ. Post-void residual urine volume is not a good predictor of the need for invasive therapy among patients with benign prostatic hyperplasia. The Journal of Urology 2006; 175: 213-16.
• 8. Oelke M, Hofner K, Jonas U, de la Rosette JJ, Ubbink DT, Wijkstra H. Diagnostic accuracy of noninvasive tests to evaluate bladder outlet obstruction in men: detrusor wall thickness, uroflowmetry, postvoid residual urine, and prostate volume. Eur Urol 2007; 52: 827-34.
• 9. Gammie A, Drake MJ. The fundamentals of uroflowmetry practice, based on International Continence Society good urodynamic practices recommendations. Neurourol Urodyn 2018; 37: S44-S49.
• 10. Lee KS, Song PH, Ko YH. Does uroflowmetry parameter facilitate discrimination between detrusor underactivity and bladder outlet obstruction? Investig Clin Urol 2016; 57: 437-41.
• 11. Leitner L, Walter M, Sammer U, Knupfer SC, Mehnert U, Kessler TM. Urodynamic Investigation: A Valid Tool to Define Normal Lower Urinary Tract Function? PloS One 2016; 11: e0163847.
• 12. Gratzke C, Bachmann A, Descazeaud A, Drake MJ, Madersbacher S, Mamoulakis C, Oelke M, Tikkinen KAO, Gravas S. EAU Guidelines on the Assessment of Non-neurogenic Male Lower Urinary Tract Symptoms including Benign Prostatic Obstruction. Eur Urol 2015; 67: 1099-1109.
• 13. Alyami F, Farhat W, Figueroa VH, Romao RL. Utility and cost-effectiveness of uroflowmetry in a busy pediatric urology practice. Can Urol Assoc J 2014; 8: E615-618