caa a22 4500 475811399 CHVBK 20180406123800.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s001920070041 doi (NATIONALLICENCE)springer-10.1007/s001920070041 Can Uroflowmetry Patterns in Women be Reliably Interpreted? [Elektronische Daten] [T.-P. Chou, E. Gorton, S. L. Stanton, M. Atherton, K. Baessler, G. Rienhardt] Abstract:: Our aim was to investigate the proposition that uroflowmetry patterns can be reliably interpreted and correspond with specific urodynamic diagnoses. Uroflowmetry traces from 129 women with diagnoses of either genuine stress incontinence or detrusor instability were interpreted by four physicians with a minimum of 6 months experience in urogynecology. To test intraobserver variability, the traces were classified a second time 8 weeks later. Inter- and intraobserver variability was calculated by κ analysis. There was marked intra- and interobserver variability in classification of traces, but no evidence of a correlation between urodynamic diagnosis and uroflowmetry pattern. Neither peak flow, total voided volume nor rate of acceleration of flow correlated with diagnosis. Although flow rates are important in predicting possible problems following surgery for stress incontinence, there is no evidence that flow patterns can be used as a screening test for specific urodynamic diagnoses. Springer-Verlag London Limited, 2000 Key words: Detrusor instability - Genuine stress incontinence - Inter- and intraobserver variability - Peak flow rate - Uroflowmetry nationallicence Chou T.-P 807 Military General Hospital, Taipei, Taiwan, ROC, TW aut Gorton E. St George's Hospital Medical School, London, UK, GB aut Stanton S. L. St George's Hospital Medical School, London, UK, GB aut Atherton M. St George's Hospital Medical School, London, UK, GB aut Baessler K. St George's Hospital Medical School, London, UK, GB aut Rienhardt G. Tygerberg Hospital, Cape Town, South Africa, ZA aut https://doi.org/10.1007/s001920070041 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s001920070041 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Chou T.-P 807 Military General Hospital, Taipei, Taiwan, ROC, TW aut NATIONALLICENCE 700 1- Gorton E. St George's Hospital Medical School, London, UK, GB aut NATIONALLICENCE 700 1- Stanton S. L. St George's Hospital Medical School, London, UK, GB aut NATIONALLICENCE 700 1- Atherton M. St George's Hospital Medical School, London, UK, GB aut NATIONALLICENCE 700 1- Baessler K. St George's Hospital Medical School, London, UK, GB aut NATIONALLICENCE 700 1- Rienhardt G. Tygerberg Hospital, Cape Town, South Africa, ZA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer