Skip to main content

Uroflow und Restharn

  • Chapter
Benigne Prostatahyperplasie
  • 66 Accesses

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.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Abrams P (1977) Prostatism and prostatectomy: the value of urine flow rate measurement in the preoperative assessment for Operation. J Urol 117: 70–71

    PubMed  CAS  Google Scholar 

  2. Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7:403–427

    Article  Google Scholar 

  3. 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

    Google Scholar 

  4. 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

    PubMed  CAS  Google Scholar 

  5. Baslev-Jorgensen J, Jensen KME, Bille-Brahe NE, Mogensen P (1986) Uroflowmetry in asymptomatic elderly males. Brit J Urol 58: 390–395

    Article  Google Scholar 

  6. 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

    PubMed  CAS  Google Scholar 

  7. 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

    Article  PubMed  CAS  Google Scholar 

  8. Drach GW, Layton TN, Binard W (1979) male peak flow rate: relationship to volume voided and age. J Urol 122: 210–214

    PubMed  CAS  Google Scholar 

  9. Drake VM (1948) The uroflowmeter: an aid to the study of the lower urinary tract. J Urol 59: 650–658

    PubMed  Google Scholar 

  10. 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

    Article  PubMed  CAS  Google Scholar 

  11. 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

    PubMed  CAS  Google Scholar 

  12. 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

    PubMed  CAS  Google Scholar 

  13. Höfner K, Kramer AEJL, Allhoff EP, Jonas U (1992) A new uroflow-index-clinical experience. J Urol [suppl] 147:269a

    Google Scholar 

  14. Jensen KM-E, Jorgensen JB, Mogensen P (1985) Reproducibility of uroflowmetry variables in elderly males. Urol Res 13:237–239

    Article  PubMed  CAS  Google Scholar 

  15. Jensen KM-E, Jorgensen JB, Mogensen P(1988) Urodynamic in prostatism. I. Prognostic value of uroflowmetry. Scand J Urol Nephrol [suppl] 114: 63–71

    CAS  Google Scholar 

  16. 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

    CAS  Google Scholar 

  17. Jensen KM-E, Jorgensen JB, Mogensen P (1988) Urodynamic in prostatism I. Prognostic value of uroflowmetry. Scand J Urol Nephrol 22:109–117

    PubMed  CAS  Google Scholar 

  18. Jensen KM-E (1989) Clinical evaluation of routine urodynamic investigation in prostatism. Neurourol Urodyn 8: 545–578

    Article  Google Scholar 

  19. Jensen KM-E (1995) Uroflowmetry in elderly men. World J Urol 13: 21–23

    Article  PubMed  CAS  Google Scholar 

  20. Jorgensen JB, Jensen KM-E, Mogensen P (1987) Predictive value of uroflowmetry in prostatism. Neurourol Urodyn 6: 221–223

    Google Scholar 

  21. Jorgensen JB, Jensen KM-E, Bille-Brahe NE, Mogensen P (1986) Uroflowmetry in asymptomatic elderly males. Brit J Urol 58: 390–395

    Article  PubMed  CAS  Google Scholar 

  22. 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

    Article  Google Scholar 

  23. 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

    Article  Google Scholar 

  24. 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

    Google Scholar 

  25. 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

    Article  CAS  Google Scholar 

  26. Nielsen KK, Nordling J, Haid T (1994) Critical review of the diagnosis of prostatic obstruction. Neurourol Urodyn 13: 201–217

    Article  PubMed  CAS  Google Scholar 

  27. 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

    CAS  Google Scholar 

  28. 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

    Article  Google Scholar 

  29. 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

    PubMed  CAS  Google Scholar 

  30. 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

    Google Scholar 

  31. Rosier PFWM, de la Rosette JJMCH (1995) Is there a correlation between prostate size and bladder-outlet obstruction? World J Urol 13: 9–13

    Article  PubMed  CAS  Google Scholar 

  32. 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

    Google Scholar 

  33. Siroky MB, Olsson CA, Krane RJ (1979) The flow rate nomogram. I. Development. J Urol 122: 665–668

    CAS  Google Scholar 

  34. Tammen H (1971) Miktiographie - ein Beitrag zur Harnflußmessung. Urologe A 10:140

    CAS  Google Scholar 

  35. 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

    Google Scholar 

  36. Wawroschek F (1993) Die Entwicklung urodynamischer Untersuchungsverfahren: Die Sphincterometrie und das Harnröhrendruckprofil. Jahrbuch der Urologie, S 103-108

    Google Scholar 

  37. 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

    PubMed  CAS  Google Scholar 

  38. Abrams P, Blaivas JG, Stanton SL, Andersen JT (1988) Standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7: 403–427

    Article  Google Scholar 

  39. Ball AJ (1992) Natural history of benign prostatic hyperplasia. Prospectives 3/2: 1–5

    Google Scholar 

  40. 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

    PubMed  CAS  Google Scholar 

  41. Birch NC, Hurst G, Doyle PT (1988) Serial residual urine volumes in men with prostatic hypertrophy. BrJ Urol 62:571–575

    Article  CAS  Google Scholar 

  42. Bosch JLHR (1995) Postvoid residual urine in the evaluation of men with benign prostatic hyperplasia. World J Urol 13:17–20

    Article  Google Scholar 

  43. Bruskewitz RC, Iversen P, Madsen PO (1982) Value of postvoided residual urine determination in evaluation of prostatism. Urology 20: 602–604

    Article  PubMed  CAS  Google Scholar 

  44. Elbadawi A (1994) BPH-associated voiding dysfunction: detrusor is pivotal. Contemp Urol 6: 21–38

    Google Scholar 

  45. 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

    PubMed  CAS  Google Scholar 

  46. Griffiths HJ, Castro J (1970) An evaluation of the importance of residual urine. Br J Radiol 43: 409–413

    Article  PubMed  CAS  Google Scholar 

  47. Griffiths DJ (1973) The mechanics of the Urethra and of micturition. Br J Urol 45:497–507

    Article  PubMed  CAS  Google Scholar 

  48. Hakenberg OW, Ryall RL, Langlois SL, Marshall VR (1983) The estimation of bladder volume by sonocystography. J Urol 130: 249–251

    PubMed  CAS  Google Scholar 

  49. Hampson SJ, Noble JG, RichardsD, Milroy EJG (1992) Does residual urine predipose to to urinary tract infection? Brit J Urol 70: 506–508

    PubMed  CAS  Google Scholar 

  50. 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

    Article  PubMed  CAS  Google Scholar 

  51. Hasner E (1962) Prostatic urinary infection. Acta Chir Scand [suppl] 1: 285

    Google Scholar 

  52. Hinman F, Cox CE (1967) Residual urine volume in normal male subjects. J Urol 107: 641–645

    Google Scholar 

  53. 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

    CAS  Google Scholar 

  54. Kjeldsen-Kragh J (1988) Measurement of residual urine volume by means of ultrasonicscanning: a comparative study. Int Med Soc Paraplegia 26:192–199

    Article  CAS  Google Scholar 

  55. Di Mare JR, Fish S, Harper JM, Politano VA (1963) Residual urine in normal male subjects. J Urol 96:180–181

    Google Scholar 

  56. Neal DE, Ramsden PD, Sharples L, Smith A, Powell PH, Styles RA, Webb RJ (1989) Outcome of elective prostatectomy. BMJ 299: 762–767

    Article  PubMed  CAS  Google Scholar 

  57. Orgaz RE, Gomez AZ, Ramirez CT, Torres JLM (1981) Applications of bladder ultrasonography I Bladder content and residual. J Urol 125:164–166

    Google Scholar 

  58. 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

    Article  PubMed  CAS  Google Scholar 

  59. Rageth JC, Langer KK (1982) Ultrasonic assessment of residual volume. Urol Res 10: 57–60

    Article  PubMed  CAS  Google Scholar 

  60. Riehmann M, Goetzmann B, Langer E, Drinka PJ, Rhodes PR, Bruskewitz RC (1994) Risk factors for bacteriuria in men. Urol 43: 617–620

    Article  PubMed  CAS  Google Scholar 

  61. 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

    PubMed  CAS  Google Scholar 

  62. 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

    Google Scholar 

  63. 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

    Article  PubMed  CAS  Google Scholar 

  64. 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)

    Article  Google Scholar 

  65. Stoller ML, Miliard RJ (1989) The accuracy of a catheterized residual urine. J Urol 141:15–16

    PubMed  CAS  Google Scholar 

  66. 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

    Article  Google Scholar 

  67. 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

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

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

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-59580-6_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-64034-6

  • Online ISBN: 978-3-642-59580-6

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics