Relationship of abdominal pressure and body mass index in men with LUTS.

Stuart McIntosh, Michael Drinnan, Clive Griffiths, Wendy Robson, Peter Ramsden, Robert Pickard

Research output: Contribution to journalArticlepeer-review

Abstract

Aims
In the development of a non-invasive method for estimating isovolumetric intravesical pressure (pves,isv) we looked for a relationship between intra-abdominal pressure (pabd) and general build, expressed as body mass index (BMI) in men with lower urinary tract symptoms (LUTS).

Materials and Methods
In 100 consecutive male patients undergoing an invasive pressure flow study (PFS) the pabd was recorded continuously during filling and voiding. The magnitude at four set points was measured: before filling, after filling, during voiding and at the end of voiding. Patients' weight (kg) and height (m) were also recorded and their BMI (weight/height2) was calculated.

Results
During the fill/void cycle pabd increased during bladder filling from 37 ± 7 cm H2O (mean ± SD) to 38 ± 8 cm H2O, fell during voiding to 35 ± 9 cm H2O before increasing to 36 ± 8 cm H2O at the end of voiding. There was a clear relationship between the individual values of pabd and BMI (correlation co-efficient = 0.52) and to a lesser extent weight (correlation co-efficient = 0.42). The relationship with BMI was clarified by separating the subjects into groups of normal, overweight and obese.

Conclusions
A clear relationship between BMI and pabd was demonstrated, but because of the difficulties in quantifying it for an individual, it is impractical to apply an adjustment to non-invasive estimates of pves,isv. Neurourol. Urodynam. 22:602–605, 2003. © 2003 Wiley-Liss, Inc.
Original languageEnglish
Pages (from-to)602-605
Number of pages4
JournalNeurourology and Urodynamics
Volume22
Issue number6
DOIs
Publication statusPublished - 27 Aug 2003
Externally publishedYes

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