{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:48:38Z","timestamp":1782719318068,"version":"3.54.5"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"funder":[{"name":"Yan Ching-Ling Medical Foundation","award":["CI-112-20"],"award-info":[{"award-number":["CI-112-20"]}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Urol"],"DOI":"10.1007\/s00345-026-06516-9","type":"journal-article","created":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:33:15Z","timestamp":1782718395000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Diagnostic clues for low-pressure female bladder outflow obstruction overlooked by conventional urodynamics"],"prefix":"10.1007","volume":"44","author":[{"given":"Yu-Hua","family":"Fan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lun-Hsiang","family":"Yuan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Chieh","family":"Lin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ming-Hsuan","family":"Ku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric Yi-Hsiu","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei-Ming","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chih-Yu","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,29]]},"reference":[{"key":"6516_CR1","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1111\/j.1464-410x.1979.tb02846.x","volume":"51","author":"PH Abrams","year":"1979","unstructured":"Abrams PH, Griffiths DJ (1979) The assessment of prostatic obstruction from urodynamic measurements and from residual urine. Br J Urol 51:129\u2013134. https:\/\/doi.org\/10.1111\/j.1464-410x.1979.tb02846.x","journal-title":"Br J Urol"},{"key":"6516_CR2","doi-asserted-by":"publisher","first-page":"72","DOI":"10.1111\/luts.12196","volume":"11","author":"S Malde","year":"2019","unstructured":"Malde S, Solomon E, Spilotros M et al (2019) Female bladder outlet obstruction: common symptoms masking an uncommon cause. LUTS Low Urin Tract Symptoms 11:72\u201377. https:\/\/doi.org\/10.1111\/luts.12196","journal-title":"LUTS Low Urin Tract Symptoms"},{"key":"6516_CR3","doi-asserted-by":"publisher","first-page":"1015","DOI":"10.1016\/j.euf.2021.09.003","volume":"8","author":"KH Pang","year":"2022","unstructured":"Pang KH, Campi R, Arlandis S et al (2022) Diagnostic tests for female bladder outlet obstruction: a systematic review from the European Association of Urology Non-neurogenic Female LUTS Guidelines Panel. Eur Urol Focus 8:1015\u20131030. https:\/\/doi.org\/10.1016\/j.euf.2021.09.003","journal-title":"Eur Urol Focus"},{"key":"6516_CR4","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, de Ridder D, Freeman RM et al (2010) An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21:5\u201326. https:\/\/doi.org\/10.1007\/s00192-009-0976-9","journal-title":"Int Urogynecol J"},{"key":"6516_CR5","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-02617-0","volume":"11","author":"PM Chow","year":"2021","unstructured":"Chow PM, Hsiao SM, Kuo HC (2021) Identifying occult bladder outlet obstruction in women with detrusor-underactivity-like urodynamic profiles. Sci Rep 11:23242. https:\/\/doi.org\/10.1038\/s41598-021-02617-0","journal-title":"Sci Rep"},{"key":"6516_CR6","doi-asserted-by":"publisher","first-page":"1199","DOI":"10.1016\/j.urology.2009.01.054","volume":"73","author":"K Okamura","year":"2009","unstructured":"Okamura K, Nojiri Y, Osuga Y, Tange C (2009) Psychometric analysis of international prostate symptom score for female lower urinary tract symptoms. Urology 73:1199\u20131202. https:\/\/doi.org\/10.1016\/j.urology.2009.01.054","journal-title":"Urology"},{"key":"6516_CR7","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1007\/s00192-012-1818-8","volume":"24","author":"SM Hsiao","year":"2013","unstructured":"Hsiao SM, Lin HH, Kuo HC (2013) International Prostate Symptom Score for assessing lower urinary tract dysfunction in women. Int Urogynecol J 24:263\u2013267. https:\/\/doi.org\/10.1007\/s00192-012-1818-8","journal-title":"Int Urogynecol J"},{"key":"6516_CR8","doi-asserted-by":"publisher","first-page":"989","DOI":"10.1007\/s11255-013-0475-2","volume":"45","author":"YS Choi","year":"2013","unstructured":"Choi YS, Kim JC, Lee KS et al (2013) Analysis of female voiding dysfunction: a prospective, multi-center study. Int Urol Nephrol 45:989\u2013994. https:\/\/doi.org\/10.1007\/s11255-013-0475-2","journal-title":"Int Urol Nephrol"},{"key":"6516_CR9","doi-asserted-by":"publisher","first-page":"228","DOI":"10.1016\/S0929-6646(10)60046-0","volume":"109","author":"FC Chuang","year":"2010","unstructured":"Chuang FC, Kuo HC (2010) Prevalence of lower urinary tract symptoms in indigenous and non-indigenous women in Eastern Taiwan. J Formos Med Assoc 109:228\u2013236. https:\/\/doi.org\/10.1016\/S0929-6646(10)60046-0","journal-title":"J Formos Med Assoc"},{"key":"6516_CR10","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1002\/1520-6777(2000)19:5<553::AID-NAU2>3.0.CO;2-B","volume":"19","author":"JG Blaivas","year":"2000","unstructured":"Blaivas JG, Groutz A (2000) Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn 19:553\u2013564.","journal-title":"Neurourol Urodyn"},{"key":"6516_CR11","doi-asserted-by":"publisher","first-page":"1535","DOI":"10.1016\/S0022-5347(05)68947-1","volume":"161","author":"VW Nitti","year":"1999","unstructured":"Nitti VW, Tu LM, Gitlin J (1999) Diagnosing bladder outlet obstruction in women. J Urol 161:1535\u20131540","journal-title":"J Urol"},{"key":"6516_CR12","doi-asserted-by":"publisher","first-page":"496","DOI":"10.1016\/j.euf.2025.01.011","volume":"11","author":"M Creta","year":"2025","unstructured":"Creta M, Baboudjian M, Sakalis V et al (2025) Management of primary bladder neck obstruction and dysfunctional voiding in young men: a systematic review and meta-analysis. Eur Urol Focus 11:496\u2013507. https:\/\/doi.org\/10.1016\/j.euf.2025.01.011","journal-title":"Eur Urol Focus"},{"key":"6516_CR13","doi-asserted-by":"publisher","first-page":"368","DOI":"10.1002\/nau.23307","volume":"37","author":"E Solomon","year":"2018","unstructured":"Solomon E, Yasmin H, Duffy M et al (2018) Developing and validating a new nomogram for diagnosing bladder outlet obstruction in women. Neurourol Urodyn 37:368\u2013378. https:\/\/doi.org\/10.1002\/nau.23307","journal-title":"Neurourol Urodyn"},{"key":"6516_CR14","doi-asserted-by":"publisher","first-page":"626","DOI":"10.1002\/nau.24863","volume":"41","author":"HC Mai","year":"2022","unstructured":"Mai HC, Wu RC, Lin VC, Kuo WW, Wu CH (2022) External validation of Solomon-Greenwell nomogram for female bladder outlet obstruction. Neurourol Urodyn 41:626\u2013632. https:\/\/doi.org\/10.1002\/nau.24863","journal-title":"Neurourol Urodyn"},{"key":"6516_CR15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.urology.2017.08.041","volume":"112","author":"H Tran","year":"2018","unstructured":"Tran H, Rutman M (2018) Female Outlet Obstruction After Anti-incontinence Surgery. Urology 112:1\u20135. https:\/\/doi.org\/10.1016\/j.urology.2017.08.041","journal-title":"Urology"},{"issue":"1","key":"6516_CR16","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s00192-003-1114-8","volume":"15","author":"JS Dunn Jr.","year":"2004","unstructured":"Dunn JS Jr., Bent AE, Ellerkman RM, Nihira MA, Melick CF (2004) Voiding dysfunction after surgery for stress incontinence: literature review and survey results. Int Urogynecol J Pelvic Floor Dysfunct 15(1):25\u201331. https:\/\/doi.org\/10.1007\/s00192-003-1114-8","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"6516_CR17","doi-asserted-by":"publisher","first-page":"384","DOI":"10.1097\/JU.0000000000003068","volume":"209","author":"J Ross","year":"2023","unstructured":"Ross J, Avvakoumova L, Yassein A et al (2023) Prevalence and predictors of bladder outlet obstruction in women with chronic urinary symptoms and a history of urethral sling surgery. J Urol 209:384\u2013390. https:\/\/doi.org\/10.1097\/JU.0000000000003068","journal-title":"J Urol"},{"key":"6516_CR18","doi-asserted-by":"publisher","first-page":"178","DOI":"10.1016\/j.jfma.2017.09.006","volume":"117","author":"YH Chang","year":"2018","unstructured":"Chang YH, Siu JJ, Hsiao PJ, Chang CH, Chou EC (2018) Review of underactive bladder. J Formos Med Assoc 117:178\u2013184. https:\/\/doi.org\/10.1016\/j.jfma.2017.09.006","journal-title":"J Formos Med Assoc"},{"key":"6516_CR19","volume":"213","author":"S Evangelos","year":"2025","unstructured":"Evangelos S, Michail S, Vasileios S, Aikaterini S, Charalampos K (2025) Average flow rate (Qave): Current role and clinical value of a neglected urodynamic parameter in predicting diagnosis of bladder outlet obstruction in males. J Urol 213:e1207","journal-title":"J Urol"},{"key":"6516_CR20","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1002\/ijgo.15705","volume":"167","author":"PC Wu","year":"2024","unstructured":"Wu PC, Hsiao SM, Lin HH (2024) Age-specific prevalence, clinical and urodynamic findings of detrusor underactivity and bladder outlet obstruction in female voiding dysfunction. Int J Gynaecol Obstet 167:797\u2013803. https:\/\/doi.org\/10.1002\/ijgo.15705","journal-title":"Int J Gynaecol Obstet"},{"key":"6516_CR21","doi-asserted-by":"publisher","first-page":"607","DOI":"10.1002\/nau.23889","volume":"38","author":"MR Rajasekaran","year":"2019","unstructured":"Rajasekaran MR, Fu J, Nguyen ML et al (2019) Age and multiparity related urethral sphincter muscle dysfunction in a rabbit model: Potential roles of TGF-beta and Wnt-beta catenin signaling pathways. Neurourol Urodyn 38:607\u2013614. https:\/\/doi.org\/10.1002\/nau.23889","journal-title":"Neurourol Urodyn"},{"key":"6516_CR22","doi-asserted-by":"publisher","first-page":"356","DOI":"10.1067\/mob.2002.121090","volume":"186","author":"D Perucchini","year":"2002","unstructured":"Perucchini D, DeLancey JO, Ashton-Miller JA, Galecki A, Schaer GN (2002) Age effects on urethral striated muscle. II. Anatomic location of muscle loss. Am J Obstet Gynecol 186:356\u2013360. https:\/\/doi.org\/10.1067\/mob.2002.121090","journal-title":"Am J Obstet Gynecol"},{"key":"6516_CR23","doi-asserted-by":"publisher","first-page":"513","DOI":"10.1016\/j.tjog.2021.03.022","volume":"60","author":"HH Lau","year":"2021","unstructured":"Lau HH, Su TH, Huang WC (2021) Effect of aging on lower urinary tract symptoms and urodynamic parameters in women. Taiwan J Obstet Gynecol 60:513\u2013516. https:\/\/doi.org\/10.1016\/j.tjog.2021.03.022","journal-title":"Taiwan J Obstet Gynecol"},{"key":"6516_CR24","doi-asserted-by":"publisher","first-page":"136","DOI":"10.3389\/fphar.2010.00136","volume":"1","author":"S Golbidi","year":"2010","unstructured":"Golbidi S, Laher I (2010) Bladder dysfunction in diabetes mellitus. Front Pharmacol 1:136. https:\/\/doi.org\/10.3389\/fphar.2010.00136","journal-title":"Front Pharmacol"},{"key":"6516_CR25","doi-asserted-by":"publisher","first-page":"91","DOI":"10.5213\/inj.1938050.025","volume":"23","author":"N Cao","year":"2019","unstructured":"Cao N, Gu B, Gotoh D, Yoshimura N (2019) Time-Dependent Changes of Urethral Function in Diabetes Mellitus: A Review. Int Neurourol J 23:91\u201399. https:\/\/doi.org\/10.5213\/inj.1938050.025","journal-title":"Int Neurourol J"}],"container-title":["World Journal of Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06516-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00345-026-06516-9","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00345-026-06516-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T07:33:16Z","timestamp":1782718396000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00345-026-06516-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"references-count":25,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6516"],"URL":"https:\/\/doi.org\/10.1007\/s00345-026-06516-9","relation":{},"ISSN":["1433-8726"],"issn-type":[{"value":"1433-8726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]},"assertion":[{"value":"16 February 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The protocol for this research project has been approved by the Research Ethics Committee of Taipei Veterans General Hospital (approval No. TPEVGH-IRB 2021-02-007BC) and it conforms to the provisions of the Declaration of Helsinki.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Ethical approval"}},{"value":"This retrospective study used existing medical records, and individual informed consent was waived by the Institutional Review Board.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"<!--Emphasis Type='Bold' removed-->Informed consent"}}],"article-number":"472"}}