{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T10:42:27Z","timestamp":1792147347252,"version":"4.4.0"},"reference-count":17,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T00:00:00Z","timestamp":1586131200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Bladder outflow in women (bladder outlet obstruction [BOO]) has no well\u2010accepted defining diagnostic criteria. Various nomograms exist based on flow rates, pressure\u2010flow data, and fluoroscopy. We have prospectively evaluated the Solomon\u2010Greenwell bladder outflow obstruction nomogram (SG BOO nomogram) as a measurement of BOO resolution following targeted surgical intervention.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The routine posttreatment urodynamics of 21 unselected women with an original urodynamic diagnosis of BOO on fluoroscopy and the SG BOO nomogram (BOO boundary defined as Qmax\u2009&gt;\u20092.2\u2009Pdet.Qmax\u2009+\u20095) were reviewed. All women had symptomatic BOO secondary to anterior pelvic organ prolapse (aPOP), urethrovaginal fistula (UVF), previous stress urinary incontinence (SUI) surgery, urethral stricture (US), or urethral diverticulum (U Div). Following treatment, all presenting symptoms resolved and simple urodynamics were performed as part of routine follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The urodynamic findings preoperatively and postoperatively showed statistically significant changes posttreatment in mean flow rate which increased from 9.38 to 14.71\u2009mL\/s, mean Pdet.Qmax which decreased from 38 to 18.38\u2009cmH<jats:sub>2<\/jats:sub>O, and mean SG BOO nomogram probability (PBOO) which reduced from PBOO\u2009=\u20090.68 to 0.08. Mean SG BOO nomogram PBOO was significantly reduced posttreatment in all individual categories except UVF where a nonsignificant reduction from PBOO\u2009=\u20090.55 to 0.05 occurred.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>All urodynamic parameters significantly improve in women who become asymptomatic following surgical treatment of BOO. This improvement is best demonstrated by the change in probability of BOO according to the Solomon\u2010Greenwell nomogram. These findings underline the validity of the Solomon\u2010Greenwell female BOO nomogram for diagnosing and monitoring BOO in women.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24347","type":"journal-article","created":{"date-parts":[[2020,4,6]],"date-time":"2020-04-06T12:09:30Z","timestamp":1586174970000},"page":"1371-1377","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Treatment validation of the Solomon\u2010Greenwell nomogram for female bladder outlet obstruction"],"prefix":"10.1002","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6174-2559","authenticated-orcid":false,"given":"Jamie","family":"Lindsay","sequence":"first","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eskinder","family":"Solomon","sequence":"additional","affiliation":[{"name":"Department of Urology Guy's and St Thomas' NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mehwash","family":"Nadeem","sequence":"additional","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahreen","family":"Pakzad","sequence":"additional","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rizwan","family":"Hamid","sequence":"additional","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Ockrim","sequence":"additional","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamsin","family":"Greenwell","sequence":"additional","affiliation":[{"name":"Department of Female, Functional and Restorative Urology University College London Hospitals NHS Foundation Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,4,6]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1979.tb02846.x"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23307"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)68947-1"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)67552-0"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/1520-6777(2000)19:5<553::AID-NAU2>3.0.CO;2-B"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1975.tb04062.x"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1988.tb09158.x"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00634-1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.04.089"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/luts.12196"},{"key":"e_1_2_6_12_1","doi-asserted-by":"crossref","unstructured":"National Institute for Health and Care Excellence. 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