RESUMEN
BACKGROUND: Intermittent self-catheterization (ISC) is by far the most appealing therapy to achieve a complete bladder emptying in patients with neurogenic lower urinary tract dysfunction (NLUTD). Four questionnaires have been developed in French in order to assess patient's satisfaction, difficulties and acceptance of this technique. OBJECTIVES: The aim of this study was to translate, culturally adapt and validate Dutch versions of the Intermittent Catheterization Satisfaction Questionnaire (InCaSaQ), the Intermittent Catheterization Acceptance Test (ICAT), the Intermittent Self Catheterization Questionnaire (ISCQ) and the Intermittent Catheterization Difficulty Questionnaire (ICDQ). METHODS: (1) Translation and cross-cultural adaptation of the questionnaires were performed according to the standardized guidelines. (2) The test of the pre-final version was performed by a group of bilingual lay people by comparing the original version of the questionnaires and the back translated one, assessing the comparability of language and comparability of interpretation. (3) Problematic issues were reviewed for correction. (4) Reliability was examined by intra-class correlation coefficients (ICC) statistics and Cronbach alpha analysis. RESULTS: Pre-test by 45 raters who are fluent in the source language led to an adapted and improved version of the translated questionnaires. Fifty native Dutch-speaking patients performing ISC (>6 months) due to an NLUTD were prospectively included. InCaSaQ, ICAT, ISCQ and ICDQ showed good internal consistency (α respectively (test and re-test): 0.79-0.88, 0.88-0.92, 0.85-0.88, and 0.88-0.86) and reproducibility (ICC respectively 0.77, 0.84, 0.84, and 0.87). CONCLUSION: The translated versions of InCaSaQ, ICAT, ISCQ and ICDQ are reliable and valid, allowing self-reported assessment of satisfaction, acceptance, difficulties and quality of life related to ISC in Dutch-speaking patients with NLUTD.
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Cateterismo/métodos , Síntomas del Sistema Urinario Inferior/terapia , Autocuidado/métodos , Encuestas y Cuestionarios , Vejiga Urinaria Neurogénica/terapia , Enfermedades Urológicas/terapia , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Cateterismo/psicología , Femenino , Humanos , Lenguaje , Masculino , Persona de Mediana Edad , Países Bajos , Satisfacción del Paciente , Psicometría , Calidad de Vida , Reproducibilidad de los Resultados , Índice de Severidad de la Enfermedad , Estadística como Asunto , Adulto JovenRESUMEN
OBJECTIVE: To take the first step toward standardization of UDS with air-filled catheters, we present a video documenting a procedure for performing video UDS with air-filled catheters in female adults. According to The International Consultation on Incontinence (ICS), the aim of urodynamic studies (UDS) in clinical practice is to evaluate a patient's lower urinary tract function with at least 1 complete and representative filling-voiding-post-voiding cycle by testing with relevant pressures and flowmetry.1 International guidelines state that UDS is preferably performed with fluid-filled catheters.2,3 However, although air-filled catheters are widely used, further research is needed before these catheters can be recommended for routine clinical use.4 To our knowledge, no guide on how to perform UDS with air-filled catheters has been published. METHODS: The UDS was conducted according to local protocol. The ICS recommendations mentioned above were used as a template for this protocol. Intravesical, intraurethral, and abdominal pressure were measured. The cysto-urethrometry filling cycle and pressure-flow study were performed in sitting position. Fluoroscopy was performed during filling and voiding phase at fixed points. Before starting the filling cycle, the patient was verbally instructed with visual aids (Fig. 1) to report bladder sensation. Filling rate was 10% of the largest voiding flow rate reported on the frequency volume chart. Initial baseline pressure was measured, and a cough pressure response test was performed. RESULTS: Our procedure for video UDS with air-filled catheters in a female adult was demonstrated in an instruction video. CONCLUSION: An instruction video on a standardized UDS with air-filled catheters in female adults is presented to take the first step toward standardization and for the benefit of health-care workers performing such tests.
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Educación de Postgrado en Medicina/métodos , Síntomas del Sistema Urinario Inferior/fisiopatología , Vejiga Urinaria/fisiología , Cateterismo Urinario/métodos , Urodinámica/fisiología , Urología/educación , Adulto , Femenino , Humanos , Síntomas del Sistema Urinario Inferior/diagnóstico , Reproducibilidad de los Resultados , ReologíaRESUMEN
OBJECTIVE: The aim was too demonstrate standardized video-urodynamic study (VUDS) in children using a transurethral catheter and pressure transducers. METHODS: Data necessary to obtain urodynamic evaluation of bladder sphincter function were gathered by concomitant measurement of bladder, urethral, and abdominal pressure. A 7F transurethral triple-lumen water-filled catheter was used for measuring the bladder and sphincter pressures and a water-filled 8F catheter connected to a pressure transducer was inserted into the rectum for pressure measurement. Cystometry was combined with fluoroscopy, providing simultaneous voiding cystourethrography information. Detrusor activity, bladder sensation, capacity, and compliance were measured during filling cystometry. Voiding cystometry consisted of recording pressures in the bladder sphincter and abdomen with simultaneous urinary flow measurement. RESULTS: Transurethral VUDS was safely and easily performed in a clinical setting adapted to children. CONCLUSIONS: A good and reproducible UDS is mandatory for correct therapeutic decisions. A standardized study associated with fluoroscopic assessment is presented in this video.