Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence

Objective:: This study aimed to compare pressure measurements obtained using water-filled catheters (WFC) and air-charged catheters (ACC) during comprehensive urodynamic studies (UDS) in women with stress urinary incontinence (SUI). Materials and Methods:: A prospective comparative study was conduct...

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Main Authors: Nikita Kazakov, George Kasyan, Igor Gritskov, Roman Stroganov, Bagrat Grigoryan, Arman Sarukhanian, Dmitry Pushkar
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Continence
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Online Access:http://www.sciencedirect.com/science/article/pii/S2772973725000232
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author Nikita Kazakov
George Kasyan
Igor Gritskov
Roman Stroganov
Bagrat Grigoryan
Arman Sarukhanian
Dmitry Pushkar
author_facet Nikita Kazakov
George Kasyan
Igor Gritskov
Roman Stroganov
Bagrat Grigoryan
Arman Sarukhanian
Dmitry Pushkar
author_sort Nikita Kazakov
collection DOAJ
description Objective:: This study aimed to compare pressure measurements obtained using water-filled catheters (WFC) and air-charged catheters (ACC) during comprehensive urodynamic studies (UDS) in women with stress urinary incontinence (SUI). Materials and Methods:: A prospective comparative study was conducted on 41 female patients with SUI who underwent UDS with simultaneous placement of WFC and ACC between January and May 2024. Intravesical, abdominal, and detrusor pressures were recorded at the end of the bladder filling phase and during voiding, coughing (Pc), and the Valsalva maneuver (Pv). The Shapiro–Wilk test was used to assess the normality of the data, while the Mann–Whitney U test and Student’s t-test were applied for statistical comparison between the two catheter systems. A p-value of <0.05 was considered statistically significant. Results:: No statistically significant differences were found in intravesical pressure between WFC and ACC at the end of the filling phase (p > 0.05). However, significant differences were observed in abdominal pressure (Pabd), with ACC recording higher values (p < 0.05). No significant differences were noted in maximum detrusor pressure during voiding (p > 0.05). Intravesical pressures during coughing and the Valsalva maneuver were significantly higher with ACC compared to WFC (p < 0.05). Conclusion:: This study demonstrates significant differences between water-filled and air-charged catheters in measuring Pabd, Pc, and Pv. While both systems have their merits, careful consideration is required when interpreting results obtained with ACC. Future research should explore refining standardization protocols to enhance the reliability of urodynamic assessments.
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spelling doaj-art-41b40afc6a6f4b2fbb9c92537d037a632025-08-20T03:30:49ZengElsevierContinence2772-97372025-06-011410176610.1016/j.cont.2025.101766Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinenceNikita Kazakov0George Kasyan1Igor Gritskov2Roman Stroganov3Bagrat Grigoryan4Arman Sarukhanian5Dmitry Pushkar6Moscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaCorresponding author at: Urology Department of Russian University of Medicine, Moscow Urology Center, Botkin Hospital, 2nd Botkinsky pr-d, 5, Moscow, 125284, Russian Federation.; Moscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaMoscow Urology Center, Botkin Hospital, Moscow, Russia; Urology Department of Russian University of Medicine, Moscow, RussiaObjective:: This study aimed to compare pressure measurements obtained using water-filled catheters (WFC) and air-charged catheters (ACC) during comprehensive urodynamic studies (UDS) in women with stress urinary incontinence (SUI). Materials and Methods:: A prospective comparative study was conducted on 41 female patients with SUI who underwent UDS with simultaneous placement of WFC and ACC between January and May 2024. Intravesical, abdominal, and detrusor pressures were recorded at the end of the bladder filling phase and during voiding, coughing (Pc), and the Valsalva maneuver (Pv). The Shapiro–Wilk test was used to assess the normality of the data, while the Mann–Whitney U test and Student’s t-test were applied for statistical comparison between the two catheter systems. A p-value of <0.05 was considered statistically significant. Results:: No statistically significant differences were found in intravesical pressure between WFC and ACC at the end of the filling phase (p > 0.05). However, significant differences were observed in abdominal pressure (Pabd), with ACC recording higher values (p < 0.05). No significant differences were noted in maximum detrusor pressure during voiding (p > 0.05). Intravesical pressures during coughing and the Valsalva maneuver were significantly higher with ACC compared to WFC (p < 0.05). Conclusion:: This study demonstrates significant differences between water-filled and air-charged catheters in measuring Pabd, Pc, and Pv. While both systems have their merits, careful consideration is required when interpreting results obtained with ACC. Future research should explore refining standardization protocols to enhance the reliability of urodynamic assessments.http://www.sciencedirect.com/science/article/pii/S2772973725000232UrodynamicsWater-filled cathetersAir-charged cathetersSUIUDS
spellingShingle Nikita Kazakov
George Kasyan
Igor Gritskov
Roman Stroganov
Bagrat Grigoryan
Arman Sarukhanian
Dmitry Pushkar
Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
Continence
Urodynamics
Water-filled catheters
Air-charged catheters
SUI
UDS
title Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
title_full Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
title_fullStr Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
title_full_unstemmed Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
title_short Comparative evaluation of water-filled and air-charged catheters in urodynamic studies for women with stress urinary incontinence
title_sort comparative evaluation of water filled and air charged catheters in urodynamic studies for women with stress urinary incontinence
topic Urodynamics
Water-filled catheters
Air-charged catheters
SUI
UDS
url http://www.sciencedirect.com/science/article/pii/S2772973725000232
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