691 PATHOLOGICAL FINDINGS AND PSA OUTCOMES AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY FOR HIGH RISK PROSTATE CANCER

691 PATHOLOGICAL FINDINGS AND PSA OUTCOMES AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY FOR HIGH RISK PROSTATE CANCER

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688

NEOADJUVANT COMBINATION THERAPY OF DOCETAXEL AND COMPLETE ANDROGEN DEPRIVATION FOR LOCALIZED HIGH RISK PROSTATE CANCER BEFORE RADICAL PROSTATECTOMY

7KDOJRWW0.7UHLEHU80DXUHU7+HFN0(LEHU05HLPHU% +HUNRPPHU.3DXO55HW]0*VFKZHQG-(.¾EOHU+ 1 Technical University of Munich, Klinikum Rechts Der Isar, Dept. of Urology, Munich, Germany, 2Technical University of Munich, Klinikum Rechts Der Isar, Dept. of Radiology, Munich, Germany, 3Urological Center FürstenfeldbruckGermering, Dept. of Urology, Munich, Germany Introduction & Objectives: 1HRDGMXYDQWSURVWDWHFDQFHUWULDOVLQYHVWLJDWLQJWKH HᚑFDF\RIKRUPRQDOWKHUDS\IROORZHGE\VXUJHU\LQSDWLHQWVZLWKORFDOL]HGKLJKULVN SURVWDWH FDQFHU 3&D  GHPRQVWUDWHG FOLQLFDO GRZQVWDJLQJ ZLWKRXW LPSURYHPHQW RI 3)6 7KH DLP RI WKH SUHVHQW SKDVH ,, VLQJOH FHQWHU VWXG\ ZDV WR DVVHVV WKH IHDVLELOLW\DQGHᚑFDF\RIFKHPRKRUPRQDOFRPELQDWLRQWKHUDS\ZLWKGRFHWD[HODQG FRPSOHWHDQGURJHQGHSULYDWLRQIROORZHGE\UDGLFDOSURVWDWHFWRP\ 53  Material & Methods: 3DWLHQWVZLWKKLJKULVNRISURJUHVVLRQGHVSLWH53GHᚏQHGE\D VFRUHRIุSRLQWVDVLQGH[HGE\36$OHYHOFOLQLFDOVWDJHDQG*OHDVRQ6FRUH *O 6 LQWKHSUHRSHUDWLYH.DWWDQQRPRJUDPUHFHLYHGDQHRDGMXYDQWFKHPRKRUPRQDO WKHUDS\FRQVLVWLQJRIFRPSOHWHDQGURJHQGHSULYDWLRQZLWKELFDOXWDPLGPJGSR DQG EXVHUHOLQ PJ VF FRPELQHG ZLWK  GRVHV RI GRFHWD[HO PJP T  (ᚑFDF\DVVHVVPHQWVLQFOXGHG36$UHVSRQVHSDWKRORJLFDOUHVXOWVDQGHYDOXDWLRQ RIWR[LFLW\:KHQDYDLODEOHHQGRUHFWDOFRLO05,ZDVSHUIRUPHGIRUFOLQLFDOUHVSRQVH HYDOXDWLRQ Results: 7ZHQW\QLQHSDWLHQWVZHUHDYDLODEOHZLWKDPHGLDQDJHRI\UV>@ DQL36$RIQJPO>ದ@DQG*O6RI>@0HGLDQ36$UHGXFWLRQRI >@ZDVREVHUYHGE\QHRDGMXYDQWWKHUDS\,QDIWHUUDGLFDOSURVWDWHFWRP\ 36$ZDVEHORZQJPO Q Q ORVWWRIROORZXS 3UHDQGSRVWWUHDWPHQW 05, Q  VKRZHGDFOLQLFDOVWDJHRIุF710 F7Q ุ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ᚏHG LQ   Q   ,Q DQ LQWHULP DQDO\VLV DIWHU D PHGLDQ IROORZ XS RI  PRQWKV>@WKHPHGLDQ3)6ZDVPRQWKV>@ Conclusions: 1HRDGMXYDQW FKHPRKRUPRQDO WUHDWPHQW ZLWK GRFHWD[HO DQG DQGURJHQ GHSULYDWLRQLVIHDVLEOHDQGJHQHUDOO\ZHOOWROHUDWHGGHVSLWHDKLJKUDWH RIIHEULOHQHXWURSHQLD&OLQLFDOGRZQVWDJLQJZDVREVHUYHGZLWKUHGXFWLRQRI36$ WXPRXU YROXPH DQG H[WUDFDSVXODU WXPRXU H[WHQVLRQ 7R ᚏQDOO\ DVFHUWDLQ WKH EHQHᚏFLDOYDOXHRIWKHQHRDGMXYDQWFKHPRKRUPRQDOWKHUDS\DQGLWVLPSDFWRQ3)6 DORQJHUIROORZXSZLOOEHSHUIRUPHG

689

HIFU AS A SALVAGE TREATMENT METHOD FOR PCA LOCAL RECURRENCE AFTER RADICAL PROSTATECTOMY

$O\DHY<*%H]UXNRY($.UXSLQRY*(6KHVWLSHURY3$.XLMXFOX91 Moscow Sechenov Medical Academy, Dept. of Urology, Moscow, Russia Introduction & Objectives: 0RVWFRPPRQRSWLRQVIRUVDOYDJHWKHUDS\LQSDWLHQWV ZLWKFOLQLFDOO\UHFXUUHQFHRISURVWDWHFDQFHU 3&D DIWHUUDGLFDOSURVWDWHFWRP\DUH H[WHUQDOEHDPWKHUDS\DQGDQGURJHQGHSULYDWLRQ5ROHRIPLQLPDOO\LQYDVLYHDQG ZHOOWROHUDWHG+,)8DVDVDOYDJHWUHDWPHQWRSWLRQUHPDLQVXQFOHDU$LPRIRXUVWXG\ ZDVWRUDWLRQDOL]HWUHDWPHQWRI3&DFOLQLFDOUHFXUUHQFHDIWHUUDGLFDOSURVWDWHFWRP\ 53 XVLQJ+,)8VDOYDJHWKHUDS\ Material & Methods: SDWLHQWV PHDQDJHದs\U ZLWKORFDOUHFXUUHQFH DIWHU 53 ZHUH LQFOXGHG LQ FXUUHQW VWXG\  SDWLHQWV KDG S7 VWDJH  ದ S7 SRVWRSHUDWLYHO\0HDQ36$OHYHODWWKHPRPHQWRI3&DUHFXUUHQFHGLDJQRVLVZDV sQJPO0HDQWLPHIURPRSHUDWLRQWRUHFXUUHQFHGHWHFWLRQZDVs PRQWKV7XPRXUORFDOL]DWLRQDVVHVVHGXVLQJ05,ZLWKHQGRUHFWDOFRLODQG7586 DQGYHULᚏHGKLVWRORJLFDOO\RQQHHGOHRU785ELRSV\6DOYDJH+,)8ZDVSHUIRUPHG LQDOOSDWLHQWV7UHDWPHQW]RQHVZHUHSODQQHGSULRUWR+,)8XVLQJ7586DQG 05,GDWD Results: 0HGLDQ36$QDGLUDIWHUVDOYDJH+,)8ZDVsQJPO0HGLDQWLPH 36$QDGLUದsZHHNV6DOYDJH+,)8DVPRQRWKHUDS\ZDVHᚎHFWLYHLQ SDWLHQWV  &RPSOLFDWLRQVDIWHU+,)8ZHUHDVIROORZVWRWDOLQFRQWLQHQFHದ SDWLHQWV  EODGGHUQHFNVFOHURVLVGHPDQGLQJHQGRVFRSLFRSHUDWLRQದ   Conclusions: +,)8IRUVDOYDJH3&DWUHDWPHQWDVPRQRWKHUDS\LVSURPLVLQJIRULWV

Eur Urol Suppl 2010;9(2):226

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690

NERVE-SPARING RADICAL PROSTATECTOMY IN SELECTED HIGH-RISK AND LOCALLY ADVANCED PROSTATE CANCERS IS ASSOCIATED WITH LOW POSITIVE MARGIN RATES USING A COMBINATION OF PREOPERATIVE MRI, SPECIAL INSTRUMENTATION AND INTRA-OPERATIVE FROZEN SECTIONS

=ORWWD$57URWWLHU*9DQ5KLMQ%%RVWURP3$ONKDWHHE6+DQQD6 (YDQV$)OHVKQHU1/DZUHQWVFKXN19DQ'HU.ZDVW7 1 Princess Margaret Hospital, University Health Network, Mount Sinai Hospital, University of Toronto, Dept. of Surgical Oncology, Urology, Toronto, Canada, 2 Princess Margaret Hospital, University Health Network, University of Toronto, Dept. of Pathology, Toronto, Canada Introduction & Objectives: 3DWLHQWV ZLWK ORFDOO\ DGYDQFHG /$  DQG KLJKULVN +5 SURVWDWHFDQFHUV 3&D DUHRIWHQH[FOXGHGDVFDQGLGDWHVIRUQHUYHVSDULQJ UDGLFDOSURVWDWHFWRP\ 1653 JLYHQWKHULVNRIH[WUDFDSVXODUGLVHDVH (&( DQG KLJK SRVLWLYH VXUJLFDO PDUJLQV 360  :H HYDOXDWHG WKH 360 UDWH DQG SRVW RSHUDWLYH 36$ OHYHOV RI SDWLHQWV ZLWK /$ RU +5 3&D WUHDWHG E\ 1653 ZLWK WKH KHOSRISUHRSHUDWLYH05,VSHFLDOLQVWUXPHQWVDQGPXOWLSOHLQWUDRSHUDWLYHIUR]HQ VHFWLRQV Material & Methods: :HGHVFULEHDWHFKQLTXHRIRSHQ1653LQVHOHFWHGSDWLHQWV ZLWK +5 3&D 36$ !  *OHDVRQ ุ RU ุ ELRSVLHV SRVLWLYH  RU /$ 3&D F7 3UHRSHUDWLYH05,DVVHVVHGWKHSRVWHULRUSURVWDWHDSH[DQGQHXURYDVFXODU EXQGOHV 19%V  D KLJKSUHFLVLRQ UHWURJUDGH GLVVHFWLRQ RI 19%V ZLWK VSHFLDO LQVWUXPHQWDWLRQ %DUUHLQVWUXPHQWV$HVFXODS LQFOXGLQJDQDSLFDOSURVWDWHUHWUDFWRU XOWUDWKLQQHUYHVSDULQJGLVVHFWRUDQGVFLVVRUVDQGPXOWLSOHIUR]HQVHFWLRQVRQWKH 19%VRUVXVSLFLRXVDUHDVEDVHGRQSUHRSHUDWLYH05,HYDOXDWLRQ:HHYDOXDWHG WKH360DQGSRVWRSHUDWLYH36$LQDFRQVHFXWLYHVHULHVRISDWLHQWVRSHUDWHGZLWK WKLVWHFKQLTXH%LRFKHPLFDOUHFXUUHQFHZDVGHᚏQHGDVDVLQJOHULVHLQ36$OHYHO !QJPODIWHUVXUJHU\ Results: VHOHFWHGSDWLHQWVRSHUDWHGE\DVLQJOHVXUJHRQ RFWVHSW  IXOᚏOOLQJWKHLQFOXVLRQFULWHULDZHUHDQDO\]HG0HDQDJHZDV\HDUVDQGPHDQ 36$QJPO UDQJH 7KLUWHHQSDWLHQWVKDGF7GLVHDVHEDVHG RQ'5(ZKHUHDVWKHRWKHUVZHUHF7RISDWLHQWVKDGELRSV\*OHDVRQVFRUHV ุ  *OHDVRQ   *OHDVRQ   *OHDVRQ  DQG  SDWLHQWV *OHDVRQ  7KH DYHUDJHSHUFHQWDJHRISRVLWLYHFRUHVZDVZKLOHSDWLHQWVZLWK*OHDVRQRU RQELRSV\DOOKDGPRUHWKDQRIFRUHVFDQFHUSRVLWLYH$OOSDWLHQWVXQGHUZHQW 1653)UR]HQVHFWLRQVUHYHDOHGD360RQWKH19%UHTXLULQJFRPSOHWHUHVHFWLRQ LQ RQH LQVWDQFH ZKLOVW DQRWKHU UHVXOWHG LQ D ZLGHU SDUWLDO XQLODWHUDO UHVHFWLRQ RI WKH19%3&DZDVRUJDQFRQᚏQHGLQFDVHV  DQGORFDOO\DGYDQFHGLQ  FDVHV    RXW RI WKHVH ZHUH S7E 2QH SDWLHQW KDG SRVLWLYH QRGHV 3RVLWLYHVXUJLFDOPDUJLQVZHUHGHWHFWHGLQRIFDVHV Q  RXWRIWKHVH ZHUHS7FDVHV  2YHUDOOSDWLHQWV  H[SHULHQFHGDELRFKHPLFDO UHFXUUHQFH Conclusions: 1653 ZLWK XVH RI 05, VSHFLDO LQVWUXPHQWV DQG IUR]HQ VHFWLRQV LVDYLDEOHRSWLRQLQVHOHFWHGFDVHVRIKLJKULVNRUORFDOO\DGYDQFHG3&DSDWLHQWV DQGUHVXOWVLQORZ360UDWHV'5(DELOLW\WRGHᚏQHWUXH7FDVHVLVYHU\SRRU7KH IXQFWLRQDOEHQHᚏWRID1653LQSDWLHQWVDWKLJKULVNRI36$IDLOXUHDQGWKHUHIRUH ODWHUQHHGRIDGGLWLRQDOWKHUDSLHVUHPDLQVWREHIXUWKHUGHᚏQHGZLWKORQJHUIROORZ XS

691

PATHOLOGICAL FINDINGS AND PSA OUTCOMES AFTER LAPAROSCOPIC RADICAL PROSTATECTOMY FOR HIGH RISK PROSTATE CANCER

3ORXVVDUG*6DORPRQ/$OORU\<7HUU\69RUGRV'+R]QHN$ 9DFKHURW)$EERX& 1 CHU Henri Mondor, Dept. of Urology, Creteil, France, 2CHU Henri Mondor, Dept. of Pathology, Creteil, France, 3Inserm 955, Inserm 955 Eq7, Creteil, France Introduction & Objectives: 7KHDLPRIRXUVWXG\ZDVWRUHYLHZWKHELRFKHPLFDO UHFXUUHQFHIUHHVXUYLYDO 5)6 UDWHVRIODSDURVFRSLFUDGLFDOSURVWDWHFWRP\ 53 LQ SDWLHQWVZLWKKLJKULVNRIGLVHDVHSURJUHVVLRQDVGHᚏQHGE\SUHRSHUDWLYHGಬ$PLFR FULWHULD Material & Methods: %HWZHHQ 2FWREHU  DQG 0D\   SDWLHQWV XQGHUZHQWH[WUDSHULWRQHDOODSDURVFRSLFUDGLFDOSURVWDWHFWRP\DQGELODWHUDOSHOYLF O\PSK QRGH VDPSOLQJ IRU KLJK ULVN SURVWDWH FDQFHU LQ RXU GHSDUWPHQW +LJKULVN SURVWDWH FDQFHU ZDV GHᚏQHG DV IROORZV D 36$ OHYHO JUHDWHU WKDQ QJPO DQG RU D ELRSV\ *OHDVRQ VFRUH  RU DERYH DQGRU D FOLQLFDO $-&& 7F WR 7 VWDJH 0HGLDQIROORZXSZDVPRQWKV5LVNIDFWRUVIRUWLPHWRELRFKHPLFDOUHFXUUHQFH ZHUH WHVWHG XVLQJ ORJ UDQN VXUYLYRUVKLS DQDO\VLV DQG &R[ SURSRUWLRQDO KD]DUGV UHJUHVVLRQ Results: 3URVWDWH FDQFHU ZDV RUJDQFRQᚏQHG LQ  RI FDVHV 2YHUDOO 5)6 ZDVDQGDWDQG\HDUVUHVSHFWLYHO\7KH\HDU5)6UDWHVIRU RUJDQFRQᚏQHG FDQFHU YHUVXV H[WUDFDSVXODU H[WHQVLRQ ZHUH  DQG  UHVSHFWLYHO\ S  7KH \HDU 5)6 UDWHV IRU WXPRXUIUHH VHPLQDO YHVLFOH YHUVXV VHPLQDO YHVLFOH LQYDVLRQ ZHUH  DQG  UHVSHFWLYHO\ S 

7KH\HDU5)6UDWHVIRUQHJDWLYHVXUJLFDOPDUJLQVYHUVXVSRVLWLYHZHUHDQG  UHVSHFWLYHO\ S   &RPSDUHG ZLWK PHQ ZLWK DQ\ VLQJOH SDWKRORJLFDO ULVNIDFWRURUDQ\ULVNIDFWRUVPHQZLWKDOOULVNIDFWRUVKDGVLJQLᚏFDQWO\VKRUWHU WLPHWR36$IDLOXUHDIWHU53 ORJUDQNWHVWS  Conclusions: $PRQJSDWLHQWVDWLQFUHDVHGULVNRIGLVHDVHSURJUHVVLRQDVGHᚏQHG E\ SUHRSHUDWLYH Gಬ$PLFR FULWHULD D WKLUG RI PHQ ZLWK RUJDQFRQᚏQHG GLVHDVH KDYHIDYRXUDEOHSURJQRVLV0HQDWKLJKULVNIRUHDUO\36$IDLOXUHFRXOGEHEHWWHU LGHQWLᚏHGE\SDWKRORJLFDODVVHVVPHQWRQSURVWDWHFWRP\VSHFLPHQVDQGVHOHFWHG IRUSKDVH,,,UDQGRPL]HGWULDOVLQYHVWLJDWLQJDGMXYDQWV\VWHPLFWUHDWPHQW

Poster Session 43 LUT TESTING AND DYSFUNCTIONS Monday, 19 April, 09.15-10.45, Stockholm Room

692

URODYNAMICAL BENCHMARKS: A RETROSPECTIVE ANALYSES OF 976 COMBINED URODYNAMICS WITH NO PATHOLOGICAL FINDINGS TO EVALUATE STANDARD VALUES

$OORXVVL6+/DQJ&(LFKHO5=LHJOHU06WHQ]O$$OORXVVL6 1 Eberhard-Karls-University, Dept. of Urology, Tübingen, Germany, 2Städtisches Klinikum, Dept. of Urology, Neunkirchen, Germany, 3University of Saarland, Dept. of Urology, Homburg, Germany Introduction & Objectives: &RPELQHGXURG\QDPLFVKDVEHHQHVWDEOLVKHGDVJROG VWDQGDUG LQ GLDJQRVLQJ FRPSOH[LYH YRLGLQJ DQG EODGGHU G\VIXQFWLRQ %HVLGHV LWV \HDUORQJUHOHYDQFHVWDQGDUGYDOXHVDFFRUGLQJWRWKH,&6KDYHQRWEHHQHYDOXDWHG IRUXURG\QDPLFV7KHUHDUHVHYHUDOVWXGLHVVXJJHVWLQJSRVVLEOHYDOXHVEXWEDVHG RQWKHORZSDWLHQWSRSXODWLRQDVZHOODVRQWKHLQFRPSOHWHHYDOXDWLRQRIDOOUHOHYDQW XURG\QDPLFDOSDUDPHWHUVWKHVHVWXGLHVKDYHDUHVWULFWHGOHYHORIHYLGHQFH Material & Methods: :H UHWURVSHFWLYDOO\ HYDOXDWHG RYHU  FRPELQHG XURG\QDPLFV RXW RI  KLJKYROXPH FHQWHUV ([DPLQDWLRQ SHULRG ZDV IURP  WLOOXURG\QDPLFVVKRZHGQRSDWKRORJLFDOᚏQGLQJV2XWRIWKHVHUHVXOWV PHDQUDQJHVRIDOOUHOHYDQWSDUDPHWHUVZHUHLGHQWLᚏHG7KHIROORZLQJSDUDPHWHUV ZHUH RI VSHFLDO LQWHUHVW LQWUDYHVLFDO SUHVVXUH DEGRPLQDO SUHVVXUH GHWUXVRU SUHVVXUHᚐRZYRLGLQJWLPHYRLGHGYROXPH Results: 0HDVXUHGYDOXHVDUHUHSUHVHQWHGLQWDEOH7DEOHEHQFKPDUNYDOXHV IRUFRPELQHGXURG\QDPLFVLQDKHDOWK\SRSXODWLRQ *HQGHUGLVWULEXWLRQ $JHGLVWULEXWLRQ LQ\HDUV &\VWRPHWULFFDSDFLW\ PO 9RLGHG9ROXPH PO 'HWUXVRUSUHVVXUHDWPD[ ᚐRZUDWH FP+2 )ORZUDWH POV YRLGLQJWLPH V 3RVWYRLGUHVLGXDO !PO

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Conclusions: 5HSUHVHQWDWLYH VWXGLHV IRU VWDQGDUG YDOXHV LQ XURG\QDPLFV DUH ODFNLQJ 7KLV VWXG\ JLYHV RXW UHSUHVHQWDWLYH YDOXHV IRU WKLV LVVXH $OO UHOHYDQW SDUDPHWHUVDUHLGHQWLᚏHGLQDKLJKQXPEHURISDWLHQWV&RPSDULQJWKHYDOXHVIRU PHQDQGZRPHQLWFDQEHVWDWHGWKDWPHQVKRZVDQDSSHOHYDWHGF\VWRPHWULF FDSDFLW\ DV ZHOO DV DQ DSS  KLJKHU GHWUXVRU SUHVVXUH DW PD[LPXP ᚐRZ +RZHYHU VWUHDP LQ ZRPHQ LV KLJKHU E\ :H FRXOG XQGHUOLQH WKH SXEOLVKHG GDWDIRUYRLGHGYROXPHDQGGHWUXVRUSUHVVXUH1HZYDOXHVDUHVKRZQLQDKHDOWK\ FROOHFWLYHIRUYRLGLQJWLPH7KLVVWXG\LVWKHᚏUVWVWXG\ZKLFKFRPELQHVDOOUHOHYDQW SDUDPHWHUIRUFRPELQHGXURG\QDPLFVLQKHDOWK\PHQDQGZRPHQ

693

A COMPARATIVE STUDY OF THE DIAGNOSTIC EFFECTIVENESS AND CONCORDANCE OF BLADDER DIARY AND URODYNAMICS IN WOMEN WITH IDIOPATHIC OVERACTIVE BLADDER

/µSH])DQGR/DYDOOH/-LP«QH]0$'LH]1LFRO£V9'¯D]1DUDQMR6 &µUGRED/%XUJRV)- Hospital Ramón y Cajal, Dept. of Urology, Madrid, Spain Introduction & Objectives: 8UJHQF\LVWKHFRUHV\PSWRPRIWKHIHPDOHRYHUDFWLYH EODGGHU 2$% V\QGURPH7KHUHOLDELOLW\DQGYDOLGLW\RIWKHLQVWUXPHQWVWHVWVDQG SURFHGXUHV XVHG LQ FOLQLFDO SUDFWLFH IRU GLDJQRVLV RI XUJHQF\ LV FRQWURYHUVLDO 8UJHQF\ LV HSLVRGLF DQG XQSUHGLFWDEOH 7KH ORQJHU WKH WHVW WKH EHWWHU XUJHQF\ GLDJQRVLV FDSDELOLWLHV ZLOO EH 2EMHFWLYH WR HYDOXDWH WKH GLDJQRVWLF HᚎHFWLYHQHVV DQGWKHFRQFRUGDQFHUDWHRIXUJHQF\LQUHDOOLIHFOLQLFDOVLWXDWLRQVEHWZHHQFOLQLFDO UHFRUGV &/  EODGGHU GLDU\ %'  DQG XURG\QDPLF VWXG\ 8'6  LQ ZRPHQ ZLWK LGLRSDWKLF2$% Material & Methods: $QREVHUYDWLRQDOVWXG\RIFRQVHFXWLYHZRPHQGLDJQRVHG

ZLWK LGLRSDWKLF 2$% 8ULQDU\ LQIHFWLRQ /RZHU XULQDU\ WUDFW DQG RWKHU RUJDQLF SDWKRORJ\ZHUHH[FOXGHG$KRXUV%'DQ8'6DQGD&/UHYLHZZDVFDUULHG RXW7KHYDULDEOHVXVHGWRHVWDEOLVK2$%ZHUH,Q%'DQG&/7KHSUHVHQFHRI WKHXUJHQF\V\PSWRPDQGLQ8'67KHᚏUVWVHQVDWLRQRIEODGGHUᚏOOLQJ )6) DQG GHWUXVRU RYHUDFWLYLW\ '2  LQ WKH ᚏOOLQJ F\VWRPHWU\ 7KH GLDJQRVWLF HᚎHFWLYHQHVV ZDVHYDOXDWHGE\WKHDJHDGMXVWHGVHQVLWLYLW\XVLQJORJLVWLFUHJUHVVLRQRIHDFKWHVW LQGLYLGXDOO\RULQFRPELQDWLRQ7KHFRQFRUGDQFHZDVPHDVXUHGE\WKH.DSSDLQGH[ DQGZDVDVVHVVHGXVLQJ/DQGLVDQG.RFKಬVLQWHUSUHWLYHVFDOH Results: 7KHPHGLDQDJHZDV\HDUV WR   ZHUHUHFHLYLQJ WUHDWPHQW ZLWK DQWLFKROLQHUJLF GUXJV DQG     KDG XQGHUJRQH ORZHU XULQDU\ WUDFW /87 VXUJHU\7KHUHVXOWVRIWKHHᚎHFWLYHQHVV VHQVLELOLW\ DQGWKHGHJUHHRI FRQFRUGDQFHEHWZHHQ&/%'DQG8'ZHUHVKRZHGLQWKHIROORZLQJWDEOHV 7DEOH$JHDGMXVWHGVHQVLWLYLW\XVLQJORJLVWLFUHJUHVVLRQLQZRPHQZLWK LGLRSDWKLF2$% 8UJHQF\ &/ %' 8'6 &/%' &/8'6 %'8'6 $JH$GMXVWHG                                     8QDGMXVWHG       

7DEOH&RQFRUGDQFHUDWHRI&/%'DQG8'6LQZRPHQZLWKLGLRSDWKLF2$% 8UJHQF\ .DSSD &,LQI &,VXS 3 /DQGLV .RFK6FDOH &/%'     ([FHOOHQW &/8'6     QRW VLJQLᚏFDQW %'8'6     QRW VLJQLᚏFDQW )6)'2     0RGHUDWH Conclusions: %ODGGHUGLDU\KDVDJRRGVHQVLELOLW\LQWKHGLDJQRVLVRILGLRSDWKLF 2$% LQ ZRPHQ LQGLYLGXDOO\ RU LQ FRPELQDWLRQ ZLWK &/ RU 8'6 ,WV VHQVLELOLW\ LV EHWWHU LQ \RXQJ SHRSOH  )6) DQG '2 LQGLYLGXDOO\ RU LQ FRPELQDWLRQ KDYH D ORZ VHQVLELOLW\ LQ WKH GLDJQRVLV RI 2$% 7KH FRQFRUGDQFH EHWZHHQ &/ DQG %' ZDVH[FHOOHQWLQXUJHQF\GLDJQRVLV2QWKHFRQWUDU\QHLWKHU&/QRU%'VKRZHG FRQFRUGDQFHZLWK8'6

694

EFFECT OF TRANSURETHRAL CYSTOMETRY CATHETER ON THE MEASUREMENT OF ABDOMINAL LEAK POINT PRESSARE (ALPP) IN WOMEN WITH SUI

5HDOIRQVR5'L0DXUR81DSRGDQR*,QWLOOD2,DFRQH0&DPSLWHOOL$ 6DQVHYHULQR5 Umberto I Hospital, Dept. of Urology, Nocera Inferiore, Italy Introduction & Objectives: 7KHFRQFHSWRIOHDNSRLQWSUHVVXUH /33 GHWHUPLQDWLRQ ZDV LQWURGXFHG E\ 0F*XLUH HW DO $/33V FDQ EH PHDVXUHG GXULQJ 9DOVDOYD PDQRHXYUH 9/33  DQG GXULQJ &RXJK &/33  7KH FOLQLFDO DSSOLFDELOLW\ RI WKHVH WHVWV LV WKHUHIRUH VWLOO FRQWURYHUVLDO DQG LQWHUSUHWDWLRQ RI UHVXOWV LV RIWHQ GLᚑFXOW EHFDXVH RI ODFN RI VWDQGDUGL]DWLRQ RI PHDVXUHPHQW SURWRFROV 7KH DLP RI WKLV VWXG\LVWRLQYHVWLJDWHWKHHᚎHFWRIF\VWRPHWU\FDWKHWHURQ$/33PHDVXUHPHQWDQG FRPSDUHWKHHᚎHFWLYHQHVVRI9DOVDOYDDQG&RXJKPDQRHXYUHVLQGHPRQVWUDWLQJ XULQDU\OHDNDJH Material & Methods: ,Q WKLV SURVSHFWLYH VWXG\  IHPDOH SDWLHQWV DYHUDJH DJH\6's ZLWK68,DQG323ืJUDGHXQGHUZHQWXURG\QDPLFHYDOXDWLRQ XVLQJDQIUGRXEOHOXPHQXUHWKUDOF\VWRPHWU\DQGIUUHFWDOFDWKHWHUV$WWKH F\VWRPHWULF FDSDFLW\ 9DOVDOYD $/33 DQG WKDQ &RXJK $/33 ZDV PHDVXUHG LQ VLWWLQJSRVLWLRQ7KHVDPHSURFHGXUHZDVUHSHDWHGDIWHUUHPRYLQJWKHF\VWRPHWU\ FDWKHWHU 7KH UHVXOWV ZHUH DQDO\]HG XVLQJ &KLVTXDUH DQG 6WXGHQW WWHVW DQG D SZDVDFFHSWHGDVVWDWLVWLFDOO\VLJQLᚏFDQW Results: ,QWKHDOOSDWLHQWV&RXJKLQGXFHGVWUHVVWHVWZDVIRXQGWREHVLJQLᚏFDQWO\ PRUH HᚎHFWLYH WKDQ 9DOVDOYD WHVW LQ GHPRQVWUDWLQJ WKH XULQDU\ OHDNDJH 8ULQH OHDNDJHFRXOGQRWEHGHPRQVWUDWHGLQWZHQW\SDWLHQWV  ZLWKDQ\PDQRHXYUH HYHQZLWKRXWF\VWRPHWU\FDWKHWHU)LIWHHQZRPHQ  OHDNHGRQO\DIWHUUHPRYDO RIWKHF\VWRPHWU\FDWKHWHU PHDQ$/33FP+2 $OOWKHRWKHUSDWLHQWVKDGD SRVLWLYH VWUHVV WHVW ERWK ZLWK DQG ZLWKRXW FDWKHWHU WKH SUHVHQFH RI WKH FDWKHWHU VLJQLᚏFDQWO\LQFUHDVHGERWKWKH&RXJK$/33DQGWKH9DOVDOYD$/335HVXOWVZHUH VKRZQRQ7DEOH,DQG,,7DEOH&RXJKDQG9DOVDOYDLQGXFHGVWUHVVWHVWUHVXOWV DFFRUGLQJWRSUHVHQFHRUDEVHQFHRIF\VWRPHWU\FDWKHWHU

Eur Urol Suppl 2010;9(2):227