{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T14:06:27Z","timestamp":1767967587761,"version":"3.49.0"},"reference-count":18,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2007,1,23]],"date-time":"2007-01-23T00:00:00Z","timestamp":1169510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2007,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To determine whether the bladder base elevation as revealed by cystogram under fluoroscopy is associated with pelvic floor hypertonicity or bladder outlet obstruction (BOO) in women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Sixty\u2010two women who were referred to our videourodynamic laboratory for assessment of lower urinary tract symptoms (LUTS) were included in this retrospective analysis. Thirty\u2010one of these women with bladder base elevation\u2014revealed by cystogram under fluoroscopy during videourodynamic study\u2014served as the experimental group, and another group of 31 women without bladder base elevation served as control. None of the patients had neuropathy, previous pelvic surgery or chronic urinary retention. The clinical symptoms, urodynamic diagnosis, and parameters were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean voiding pressure (Pdet.Q<jats:sub>max<\/jats:sub>) and postvoid residual (PVR) were significantly greater, and maximum flow rate (Q<jats:sub>max<\/jats:sub>) and voided volume were significantly lower in the bladder base elevation group. When a Pdet.Q<jats:sub>max<\/jats:sub> of \u226535 cmH<jats:sub>2<\/jats:sub>O combined with a Q<jats:sub>max<\/jats:sub> of \u226415 ml\/sec in pressure flow study was used to diagnose BOO, significantly more patients in the bladder base elevation group had BOO than controls (51.6% vs. 9.7%, <jats:italic>P<\/jats:italic>\u2009=\u20090.0003). Pelvic floor muscle electromyogram (EMG) was dyscoordinated during the voiding phase in 18 (58.1%) and 9 (29%) of the patients with and without bladder base elevation, respectively (<jats:italic>P<\/jats:italic>\u2009=\u20090.0212).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Women with LUTS and bladder base elevation revealed in the filling phase of videourodynamic study had significantly higher voiding pressure and incidence of dyscoordinated pelvic floor EMG activities during voiding, suggesting a higher incidence of BOO and pelvic floor hypertonicity. Neurourol. Urodynam. 26:502\u2013506, 2007. \u00a9 2007 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.20397","type":"journal-article","created":{"date-parts":[[2007,1,23]],"date-time":"2007-01-23T23:48:28Z","timestamp":1169596108000},"page":"502-506","source":"Crossref","is-referenced-by-count":10,"title":["Correlation of bladder base elevation with pelvic floor hypertonicity in women with lower urinary tract symptoms"],"prefix":"10.1002","volume":"26","author":[{"given":"Fei\u2010Chi","family":"Chuang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Yu\u2010Li Veteran Hospital  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hann\u2010Chorng","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Urology Buddhist Tzu Chi General Hospital and Tzu Chi University  Hualien Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,6,18]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(02)02243-4"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)57447-9"},{"key":"e_1_2_1_4_1","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/S0306-3356(21)00113-8","article-title":"Pathophysiology of lower urinary tract dysfunction","volume":"12","author":"Blaivas JG","year":"1985","journal-title":"Clin Obstet Gynaecol"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67041-3"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-200101000-00035"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55578-0"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.1998.00866.x"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)60028-4"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1975.tb04062.x"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.1003"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)45077-4"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)60526-3"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)55287-8"},{"key":"e_1_2_1_15_1","first-page":"386","article-title":"Videourodynamic study for diagnosis of bladder outlet obstruction in women","volume":"99","author":"Kuo HC","year":"2000","journal-title":"J Formos Med Assoc"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1159\/000075272"},{"key":"e_1_2_1_17_1","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1016\/S0094-0143(21)01635-9","article-title":"Clinical evaluation of the female lower urinary tract","volume":"12","author":"McGuire EJ","year":"1985","journal-title":"Urol Clin North Am"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68947-1"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)59235-6"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.20397","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.20397","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.20397","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T15:29:43Z","timestamp":1696951783000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.20397"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,6,18]]},"references-count":18,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2007,7]]}},"alternative-id":["10.1002\/nau.20397"],"URL":"https:\/\/doi.org\/10.1002\/nau.20397","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,6,18]]}}}