A COMPARATIVE STUDY OF THE ABRAMS-GRIFFITHS NOMOGRAM AND THE LINEAR PASSIVE URETHRAL RESISTANCE RELATION TO DETERMINE BLADDER OUTLET OBSTRUCTION

No AccessJournal of UrologyClinical Urology: Original Articles1 Mar 1998A COMPARATIVE STUDY OF THE ABRAMS-GRIFFITHS NOMOGRAM AND THE LINEAR PASSIVE URETHRAL RESISTANCE RELATION TO DETERMINE BLADDER OUTLET OBSTRUCTION JOSEPH M. KHOURY, LESLEY MARSON, and CULLEY C. CARSON JOSEPH M. KHOURYJOSEPH M. KHOURY , LESLEY MARSONLESLEY MARSON , and CULLEY C. CARSONCULLEY C. CARSON View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)63722-4AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: The Abrams-Griffiths and linear passive urethral relationship (PURR) nomograms are commonly used to diagnose bladder outlet obstruction. To the best of our knowledge there are no clinical studies comparing these 2 evaluations to determine if they similarly predict the findings of bladder outlet obstruction. Materials and Methods: From October 1994 through December 1996 multichannel urodynamic studies were performed in 72 men with lower urinary tract symptoms. The data from each urodynamic study were plotted on the Abrams-Griffiths and PURR nomograms. Results: Using the Abrams-Griffiths nomogram 23 patients (46%) were unobstructed, 15 (21%) were equivocal for obstruction and 24 patients (33%) were obstructed. When the linear PURR nomogram was applied to the pressure-flow data in each group all unobstructed cases were categorized into grade 0 or 1 (no obstruction), equivocal into grade 2 (mild obstruction) and obstructed into grades 3 through 6 (moderate to severe obstruction). Conclusions: The Abrams-Griffiths and linear PURR nomograms are helpful and comparable clinical tools to assess lower urinary tract symptoms in men. The linear PURR nomogram not only detects the presence of bladder outlet obstruction but grades its severity, which may be helpful to monitor treatment. References 1 : Detrusor properties related to prostatism. Neurourol. Urodynam.1986; 5: 435. Google Scholar 2 : Pathophysiology and differential diagnosis of benign prostatic hypertrophy. Urology1988; 32: 5. Google Scholar 3 : The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Brit. J. Urol.1979; 51: 129. Google Scholar 4 : Principles and clinical application of advanced urodynamic analysis of voiding dysfunction. Urol. Clin. N. Amer.1990; 17: 553. Google Scholar 5 : The Abrams-Griffiths nomogram. World J. Urol.1995; 13: 34. Google Scholar 6 : The standardization of terminology of lower urinary tract function. The International Continence Society Commission on Standardisation of Terminology. Scand. J. Urol. Nephrol.1988; 114: 5. Google Scholar 7 : Bladder outlet obstruction versus impaired detrusor contractility: the role of uroflow. J. Urol.1991; 145: 810. Link, Google Scholar 8 : Pressure/flow studies preoperatively and postoperatively in patients with benign prostatic hypertrophy: estimation of the urethral pressure/flow relation and urethral elasticity. Neurourol. Urodynam.1991; 10: 139. Google Scholar 9 : Improved indication and followup in transurethral resection of the prostate using the computer program CLIM: a prospective study. J. Urol.1992; 148: 111. Link, Google Scholar 10 : Assessment of detrusor contraction strength or contractility. Neurourol. Urodynam.1991; 10: 1. Google Scholar 11 : Standardization of terminology of lower urinary tract function: pressure-flow studies of voiding, urethral resistance, and urethral obstruction. International Continence Society Subcommittee on Standardization of Terminology of Pressure Flow Studies. Neurourol. Urodynam.1997; 16: 1. Google Scholar From the Division of Urology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.© 1998 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byOCKRIM J, LANIADO M, PATEL A, TUBARO A and ST CLAIR CARTER S (2018) A PROBABILITY BASED SYSTEM FOR COMBINING SIMPLE OFFICE PARAMETERS AS A PREDICTOR OF BLADDER OUTFLOW OBSTRUCTIONJournal of Urology, VOL. 166, NO. 6, (2221-2225), Online publication date: 1-Dec-2001. Volume 159Issue 3March 1998Page: 758-760 Advertisement Copyright & Permissions© 1998 by American Urological Association, Inc.MetricsAuthor Information JOSEPH M. KHOURY More articles by this author LESLEY MARSON More articles by this author CULLEY C. CARSON More articles by this author Expand All Advertisement PDF downloadLoading ...