Zusammenfassung
In einer Zeit, als Toulouse-Lautrec »Die Schauspielerin Berthe Bady« malte oder Tolstoi »Was ist Kunst« verfaßte, entwickelte Eugen Rehfisch 1897 das erste Uroflowmeter [36]. Drake führte 1948 die Uroflowmetrie in die klinische Routine ein [9]. Untersuchungen der letzten Jahre haben den Aussagewert der Urflowmetrie konkretisiert und ihren Stellenwert in der Diagnostik der BPH neu definiert. Mit Hilfe der Uroflowmetrie werden Veränderungen des Harnflusses beschrieben, ohne Rückschlüsse auf die zugrunde liegende Erkrankung zu erlauben. Die Uroflowmetrie hat heute, unter Berücksichtigung der Grenzen ihrer Aussagefähigkeit, als nichtinvasive Untersuchungsmethode einen festen Stellenwert in der Diagnostik und Verlaufskontrolle bei BPH-Patienten.
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Literatur
Abrams P (1977) Prostatism and prostatectomy: the value of urine flow rate measurement in the preoperative assessment for Operation. J Urol 117: 70–71
Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427
Barry MJ, Girman CJ, Ox Leary MP, Walker-Corkery ES, Binkowitz BS, Cockett ATK, Guess HA and The Benign Prostatic Hyperplasia Treatment Outcomes Study Group (1995) Natural history of prostatism: urinary flow rates in a community-based study. J Urol 150: 887–892
Barry MJ, Cockett ATK, Holtgrewe HL, McConell JD, Sihelnik A, Winfield HN (1993) Relationship of symptoms of prostatism to commonly used physiological and anatomical measures of the severity of benign prostatic hyperplasia. J Urol 150: 351–358
Baslev-Jorgensen J, Jensen KME, Bille-Brahe NE, Mogensen P (1986) Uroflowmetry in asymptomatic elderly males. Brit J Urol 58: 390–395
Chancellor MB, Blaivas JG, Kaplan SA, Axelrod S (1991) Bladder outlet obstruction versus impaired detrusor contractility: the role of uroflow. J Urol 145: 810–812
Christmas TJ, Chapple CR, Rickards D, Milroy EJG, Turner-Warwick RT (1989) Contemporary flow meters: an assessment of their accuracy and reliability. Brit J Urol 63:460–461
Drach GW, Layton TN, Binard W (1979) male peak flow rate: relationship to volume voided and age. J Urol 122: 210–214
Drake VM (1948) The uroflowmeter: an aid to the study of the lower urinary tract. J Urol 59: 650–658
Girman CJ, Jacobsen SJ, Guess HA, Oesterling JE, Chute CG, Panser LA, Lieber MM (1995) Natural history of prostatism: relationship among symptoms, prostate volume and peak urinary flow rate. J Urol 153:1510–1515
Golomb J, Lindner A, Siegel Y, Korczak D (1992) Variability and circadian changes in home uroflowmetry in patients with benign prostatic hyperplasia compared to normal controls. J Urol 147: 1044–1047
Grino PB, Bruskewitz R, Blaivas JG, Siroky MB, Andersen JT, Cook T, Stoner E (1993) Maximum urinary flow rate by uroflowmetry: automatic or visual interpretation. J Urol 149: 339–341
Höfner K, Kramer AEJL, Allhoff EP, Jonas U (1992) A new uroflow-index-clinical experience. J Urol [suppl] 147:269a
Jensen KM-E, Jorgensen JB, Mogensen P (1985) Reproducibility of uroflowmetry variables in elderly males. Urol Res 13:237–239
Jensen KM-E, Jorgensen JB, Mogensen P(1988) Urodynamic in prostatism. I. Prognostic value of uroflowmetry. Scand J Urol Nephrol [suppl] 114: 63–71
Jensen KM-E, Jorgensen JB, Mogensen P (1988) Urodynamics in prostatism II. Prognostic value of pressure-flow study combined with stop-flow test. Scand J Urol Nephrol [suppl] 114: 72–77
Jensen KM-E, Jorgensen JB, Mogensen P (1988) Urodynamic in prostatism I. Prognostic value of uroflowmetry. Scand J Urol Nephrol 22:109–117
Jensen KM-E (1989) Clinical evaluation of routine urodynamic investigation in prostatism. Neurourol Urodyn 8: 545–578
Jensen KM-E (1995) Uroflowmetry in elderly men. World J Urol 13: 21–23
Jorgensen JB, Jensen KM-E, Mogensen P (1987) Predictive value of uroflowmetry in prostatism. Neurourol Urodyn 6: 221–223
Jorgensen JB, Jensen KM-E, Bille-Brahe NE, Mogensen P (1986) Uroflowmetry in asymptomatic elderly males. Brit J Urol 58: 390–395
Jorgensen JB, Jensen KM-E, Mogensen P, Klarskov P, Andersen JT (1990) Intra- and inter-observer variations in Classification of urinary flow curve patterns. Neurourol Urodyn 9: 535–539
Jorgensen JB, Jensen KM-E, Mogensen P, Klarskov P, Andersen JT (1992) Urinary flow curve patterns and their prognostic value in males over the age of 50 years. Neurourol Urodyn 11:473–481
Krah H, Höfner K, Tan HK, Jonas U(1995) The limitation of uroflow in BPH-patients with high and low Qmax-values J Urol [suppl] 153: 275A
Mc Loughlin J, Gill KP, Abel PD, Williams G (1990) Symptoms versus flow rates versus urodynamics in the selection of patients for prostatectomy. Brit J Urol 66: 303–305
Nielsen KK, Nordling J, Haid T (1994) Critical review of the diagnosis of prostatic obstruction. Neurourol Urodyn 13: 201–217
Poulsen AL, Schou J, Puggaard L, Torp-Pedersen S, Nordling J (1994) Prostatic enlargment, symptomatology and pressure/flow evaluation: interrelations in patients with symptomatic BPH. Scand J Urol Nephrol [suppl] 157: 67–73
Reynard J, Lim CS, Abrams P (1995) The value of multiple free-flow studies in men with lower urinary tract symptoms (LUTS). J Urol 153: 397 A
Ryall RL, Marshall VR (1982) Normal peak urinary flow rates obtained from small voided volumes can provide a reliable assessment of bladder function. J Urol 127:484–488
Roehrborn CG (1996) Initial diagnostic evaluation of men with lower urinary tract symptoms. In: The 3rd International Consultation on Benign Prostatic Hyperplasia (BPH), Monaco, June 26-28, 1995, pp 169-539
Rosier PFWM, de la Rosette JJMCH (1995) Is there a correlation between prostate size and bladder-outlet obstruction? World J Urol 13: 9–13
Schäfer W, Noppeney R, Rübben H, Lutzeyer W(1988) The value of free flow rate and pressure/flow-studies in the routine investigation of BPH patients. Neurourol Urodyn 7:219–221
Siroky MB, Olsson CA, Krane RJ (1979) The flow rate nomogram. I. Development. J Urol 122: 665–668
Tammen H (1971) Miktiographie - ein Beitrag zur Harnflußmessung. Urologe A 10:140
Underberg Poulsen E, Kirkeby HJ (1988) Home-monitoring of uroflow in normal male adolescents relation between flow-curve, voided volume and time of day. Scand J Urol Nephrol [suppl] 114:58–61
Wawroschek F (1993) Die Entwicklung urodynamischer Untersuchungsverfahren: Die Sphincterometrie und das Harnröhrendruckprofil. Jahrbuch der Urologie, S 103-108
Abrams PH, Farrar DJ, Turner-Warwick RT, Whitside CG, Feneley RCL (1979) The results of prostatectomy: a symtomatic and urodynamic analysis of 152 patients. J Urol 121: 640–642
Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7: 403–427
Ball AJ (1992) Natural history of benign prostatic hyperplasia. Prospectives 3/2: 1–5
Barry MJ, Cockett ATK, Holtgrewe HL, McConell JD, Sihelnik A, Winfield HN (1993) Relationship of symptoms of prostatism to commonly used physiological and anatomical measures of the severity of benign prostatic hyperplasia. J Urol 150: 351–358
Birch NC, Hurst G, Doyle PT (1988) Serial residual urine volumes in men with prostatic hypertrophy. BrJ Urol 62:571–575
Bosch JLHR (1995) Postvoid residual urine in the evaluation of men with benign prostatic hyperplasia. World J Urol 13:17–20
Bruskewitz RC, Iversen P, Madsen PO (1982) Value of postvoided residual urine determination in evaluation of prostatism. Urology 20: 602–604
Elbadawi A (1994) BPH-associated voiding dysfunction: detrusor is pivotal. Contemp Urol 6: 21–38
Golomb J, Lindner A, Siegel Y, Korczak D (1992) Variability and circadian changes in home uroflowmetry in patients with benign prostatic hyperplasia compared to normal controls. J Urol 147: 1044–1047
Griffiths HJ, Castro J (1970) An evaluation of the importance of residual urine. Br J Radiol 43: 409–413
Griffiths DJ (1973) The mechanics of the Urethra and of micturition. Br J Urol 45:497–507
Hakenberg OW, Ryall RL, Langlois SL, Marshall VR (1983) The estimation of bladder volume by sonocystography. J Urol 130: 249–251
Hampson SJ, Noble JG, RichardsD, Milroy EJG (1992) Does residual urine predipose to to urinary tract infection? Brit J Urol 70: 506–508
Hartnell GG, Kiely EA, Williams G (1987) Real-time ultrasound measurement of bladder volume: a comparative study of three methods. Br J Radiol 60:1063–1065
Hasner E (1962) Prostatic urinary infection. Acta Chir Scand [suppl] 1: 285
Hinman F, Cox CE (1967) Residual urine volume in normal male subjects. J Urol 107: 641–645
Jensen KM-E, Jorgensen JB, Mogensen P (1988b) Urodynamics in prostatism. II. Prognostic value of pressure-flow study combined with stop-flow test. Scand J Urol Nephrol [suppl] 114: 72–77
Kjeldsen-Kragh J (1988) Measurement of residual urine volume by means of ultrasonicscanning: a comparative study. Int Med Soc Paraplegia 26:192–199
Di Mare JR, Fish S, Harper JM, Politano VA (1963) Residual urine in normal male subjects. J Urol 96:180–181
Neal DE, Ramsden PD, Sharples L, Smith A, Powell PH, Styles RA, Webb RJ (1989) Outcome of elective prostatectomy. BMJ 299: 762–767
Orgaz RE, Gomez AZ, Ramirez CT, Torres JLM (1981) Applications of bladder ultrasonography I Bladder content and residual. J Urol 125:164–166
Poston GJ, Joseph AEA, Riddle PR (1983) The accuracy of ultrasound in t he measurment of changes in bladder volume. Br J Urol 55: 361–363
Rageth JC, Langer KK (1982) Ultrasonic assessment of residual volume. Urol Res 10: 57–60
Riehmann M, Goetzmann B, Langer E, Drinka PJ, Rhodes PR, Bruskewitz RC (1994) Risk factors for bacteriuria in men. Urol 43: 617–620
Roehrborn CG, Chinn HK, Fulgham PF, Simkins KL, Peters PC (1986) The role of transabdominal ultrasound in the preoperative evaluation of patients with benign prostatic hypertrophy. J Urol 135:1190–1193
Roehrborn CG (1996) Initial diagnostic evaluation of men with lower urinary tract symptoms. In: The 3rd International Consultation on Benign Prostatic Hyperplasia (BPH), Monaco, June 26-28, 1995, pp 169-539
Rosier PF WM, de la Rosette JJMCH (1995) Is there a correlation between prostate size and bladder-outlet obstruction? World J Urol 13: 9–13
Rosier PFWM, De Wildt MJAM, Wijkstra H, Debruyne FJM, de la Rosette JJMCH (1995) Residual urine and the correlation with detrusor contractility and bladder outlet obstruction in symptomatic BPH.J Urol 153:452(A)
Stoller ML, Miliard RJ (1989) The accuracy of a catheterized residual urine. J Urol 141:15–16
Turner-Warwick RT, Whiteside CG, Arnold EP (1973) A urodynamic view of prostatic obstruction and the results of prostatectomy. Br J Urol 45: 631–645
Williams JH, Turner WH, Sainsbury GM, Brading AF (1993) Experimental model of bladder outflowtract obstruction in the genuinea pig. Br J Urol 71: 543–554
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Krah, H. (2000). Uroflow und Restharn. In: Höfner, K., Jonas, U., Stief, C.G. (eds) Benigne Prostatahyperplasie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-59580-6_8
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DOI: https://doi.org/10.1007/978-3-642-59580-6_8
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