{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:39:23Z","timestamp":1753879163186,"version":"3.41.2"},"reference-count":21,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T00:00:00Z","timestamp":1745798400000},"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":["LUTS"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Rarely have studies focused on the utilization of urethral pressure profile (UPP) in bladder neck obstruction (BNO). This study aimed to evaluate the parameters of UPP in urodynamic testing (UDS) using air\u2010charged catheters (ACC) and to investigate the value of UPP as a diagnostic tool for female BNO.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>We retrospectively collected records of 165 female patients with lower urinary tract symptoms (LUTS) who received UDS at our center from September 2020 to September 2022. The whole patient group was divided into BNO group (<jats:italic>n<\/jats:italic>\u2009=\u200992) and non\u2010BNO group (<jats:italic>n<\/jats:italic>\u2009=\u200973). The urodynamic data were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The UPP includes urethral pressures at the bladder neck (b\u2010UP) and urethral sphincter (s\u2010UP). The b\u2010UP was higher in the BNO group than in the non\u2010BNO group [104.50 (40.50) cmH2O vs. 58.00 (33.50) cmH2O, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001]. According to multivariable logistic regression analysis, b\u2010UP and bladder voiding efficiency (BVE) were independently associated with BNO. The area under the curve (AUC) of the b\u2010UP had the best value for predicting BNO [AUC: 0.878, sensitivity: 88.04%, specificity: 76.71%, 95% confidence interval (CI): 0.819\u20130.924]; its cut\u2010off value was 72 cmH2O. Meanwhile, Cohen's kappa was 0.65 (95% CI: 0.537\u20130.770), indicating that UPP as a diagnostic tool was highly consistent with the video\u2010urodynamic study (VUDS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>UPP by air\u2010charged urodynamic catheters can show the pressure of the bladder neck, with predictive value for identifying BNO in women. The predictive method based on UPP and pressure\u2010flow study (PFS) without fluoroscopy will improve the diagnostic accuracy of BNO, which could help urologists in making better clinical decisions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/luts.70013","type":"journal-article","created":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T09:33:27Z","timestamp":1745832807000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Value of Urethral Pressure Profile Using Air\u2010Charged Catheters in the Diagnosis of Female Bladder Neck Obstruction"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4494-5335","authenticated-orcid":false,"given":"Yan","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Urology Beijing Chao\u2010Yang Hospital, Capital Medical University  Beijing China"},{"name":"Department of Urology Guangxi Hospital Division of the First Affiliated Hospital, Sun Yat\u2010Sen University  Nanning China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5538-7690","authenticated-orcid":false,"given":"Fei","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Urology Beijing Chao\u2010Yang Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2228-1945","authenticated-orcid":false,"given":"Chaohua","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Urology Beijing Chao\u2010Yang Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3404-7232","authenticated-orcid":false,"given":"Liyang","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Urology Beijing Chao\u2010Yang Hospital, Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,4,28]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_11_2_1","DOI":"10.1007\/s11934\u2010007\u20100035\u20103"},{"doi-asserted-by":"publisher","key":"e_1_2_11_3_1","DOI":"10.1111\/j.1464\u2010410X.2006.06303.x"},{"doi-asserted-by":"publisher","key":"e_1_2_11_4_1","DOI":"10.1016\/S0022\u20105347(01)67037\u2010X"},{"doi-asserted-by":"publisher","key":"e_1_2_11_5_1","DOI":"10.1007\/s11934\u2010016\u20100586\u20102"},{"doi-asserted-by":"publisher","key":"e_1_2_11_6_1","DOI":"10.1002\/(sici)1520\u20106777(2000)19:3<213::aid\u2010nau2>3.0.co;2\u2010u"},{"key":"e_1_2_11_7_1","first-page":"1425","article-title":"Video\u2010Urodynamics Study on Female Patients With Bladder Neck Obstruction","volume":"125","author":"Zhang P.","year":"2012","journal-title":"Chinese Medical Journal (English)"},{"doi-asserted-by":"publisher","key":"e_1_2_11_8_1","DOI":"10.1016\/j.euf.2021.09.003"},{"doi-asserted-by":"publisher","key":"e_1_2_11_9_1","DOI":"10.1002\/nau.25349"},{"doi-asserted-by":"publisher","key":"e_1_2_11_10_1","DOI":"10.1016\/s0090\u20104295(02)02243\u20104"},{"doi-asserted-by":"publisher","key":"e_1_2_11_11_1","DOI":"10.1002\/nau.25633"},{"doi-asserted-by":"publisher","key":"e_1_2_11_12_1","DOI":"10.1002\/nau.24071"},{"doi-asserted-by":"publisher","key":"e_1_2_11_13_1","DOI":"10.1002\/nau.20991"},{"doi-asserted-by":"publisher","key":"e_1_2_11_14_1","DOI":"10.1002\/nau.22633"},{"doi-asserted-by":"publisher","key":"e_1_2_11_15_1","DOI":"10.1016\/j.urology.2023.11.030"},{"doi-asserted-by":"publisher","key":"e_1_2_11_16_1","DOI":"10.3760\/cma.j.cn112137\u201020220318\u201000569"},{"doi-asserted-by":"publisher","key":"e_1_2_11_17_1","DOI":"10.5213\/inj.2142030.015"},{"key":"e_1_2_11_18_1","first-page":"237","volume-title":"Urodynamics","author":"Liao L.","year":"2012"},{"doi-asserted-by":"publisher","key":"e_1_2_11_19_1","DOI":"10.1002\/nau.23124"},{"doi-asserted-by":"publisher","key":"e_1_2_11_20_1","DOI":"10.1136\/emermed\u20102017\u2010206735"},{"doi-asserted-by":"publisher","key":"e_1_2_11_21_1","DOI":"10.1007\/s00330\u2010022\u201009231\u20102"},{"doi-asserted-by":"publisher","key":"e_1_2_11_22_1","DOI":"10.1111\/luts.12325"}],"container-title":["LUTS: Lower Urinary Tract Symptoms"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/luts.70013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,29]],"date-time":"2025-05-29T05:29:46Z","timestamp":1748496586000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/luts.70013"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,28]]},"references-count":21,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"alternative-id":["10.1111\/luts.70013"],"URL":"https:\/\/doi.org\/10.1111\/luts.70013","archive":["Portico"],"relation":{},"ISSN":["1757-5664","1757-5672"],"issn-type":[{"type":"print","value":"1757-5664"},{"type":"electronic","value":"1757-5672"}],"subject":[],"published":{"date-parts":[[2025,4,28]]},"assertion":[{"value":"2025-01-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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