Objectives. Urethral dysfunction may lead to a deterioration of kidney function and be life-threatening. A thorough diagnosis of the pathophysiology is consequently vital to ensure the correct treatment is given. Material and methods. In this study, 34 adult patients suspected of a urethral etiology giving rise to urinary retention, urgency or chronic lower urinary tract infections were investigated by uroflowmetry with simultaneous electromyography and voiding video cystourethrography. Conclusions. Both methods proved to be essential for an accurate assessment of the pathological state.

Uroflowmetry with simultaneous electromyography versus voiding video cystourethrography.

The term “video-urethrography” is used in different ways on different sides of the Atlantic. In Europe it is understood to mean  uoroscopy of the bladder and urethra, when carried out concomitantly with cystometry (1). In the USA, many clinicians use this term to refer to X-ray imaging during voiding (2). It is for this reason that the term “video-urodynamics” is now more commonly used to refer to urodynamics (measurement of pressures within the bladder, intra-abdominal space and urethra) carried out simultaneously with  uoroscopic imaging of the lower urinary tract. While urodynamics is commonly performed in many institutions and private practices around the world, videourodynamics is performed by relatively a small number of experts within the  eld. This limitation of the use of the technique is a re ection of the unfortunate lack of cooperation that is seen between different specialties. The pioneering work in this area was carried out because of the excellent collaboration that occurred between Radiology (Dr Whiteside) and Urology (Professor Turner-Warwick) at the Middlesex Hospital in London. Unfortunately, because of what is referred to in the USA as turf wars, it is rare for surgeons (urologists or urogynecologists) to have a free access to radiological equipment and space within the radiology unit. In my opinion, this is the major reason why this technique has not enjoyed more widespread usage.

The clinical value of video-urethrography.

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The clinical value of video-urethrography.