Comparison of Body and Room Temperature Saline in Urodynamics
| Status: | Completed |
|---|---|
| Conditions: | Overactive Bladder, Urology |
| Therapuetic Areas: | Gastroenterology, Nephrology / Urology |
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 4/2/2016 |
| Start Date: | July 2006 |
| End Date: | July 2006 |
| Contact: | micah j hill, D.O. |
| Email: | micah.hill@haw.tamc.amedd.army.mil |
| Phone: | 808-433-5943 |
Comparison of Urodynamic Volume Measurements Using Room and Body Temperature Saline
The purpose of this study is to compare first urge, strong urge, and maximum capacity, and
perception of discomfort during urodynamic testing between room temperature and body
temperate saline. Twenty-four non-pregnant females referred to the urogynecology clinic for
bladder testing will be enrolled into the study. Each patient will serve as her own control,
undergoing the bladder testing with both room temperature and body temperature saline.
perception of discomfort during urodynamic testing between room temperature and body
temperate saline. Twenty-four non-pregnant females referred to the urogynecology clinic for
bladder testing will be enrolled into the study. Each patient will serve as her own control,
undergoing the bladder testing with both room temperature and body temperature saline.
This is a prospective observational study. Patient scheduled to undergo evaluation of
urinary incontinence by urodynamics in the gynecology clinic will be asked to participate.
Patients will be counseled and consent forms signed. The nurse will open the envelope which
randomizes the order of instillation and set up the first fluid. Normal saline in 1000ml
bags are used for instillation. The bags being used for body temperature fluid will be
heated using an Olympic Warmette to between 98 and 99 degrees as determined by 3M Tempadot
Thermometers. Urodynamics will be performed using standard clinic protocol recording first
sensation, first urge, and maximum capacity. The patient will ask to comment on the
discomfort of the test using a 5 point Lickert scale for both pain and urgency (see attached
questions). Patients will be allowed to void. The bladder will be filled again with the
second solution with identical questions used to determine first sensation, first urge and
maximum capacity. During each filling the patient will be tested for stress incontinence at
200 and 300 mls as per our protocol. Following the instillation of the second solution the
patient will again be asked her perception of pain and urgency an identical scale. Maximum
bladder capacities from each temperature saline tested will then be compared against maximum
bladder capacity as estimated from the patients’ bladder diary. The patient will then be
managed as is appropriate for her test results.
urinary incontinence by urodynamics in the gynecology clinic will be asked to participate.
Patients will be counseled and consent forms signed. The nurse will open the envelope which
randomizes the order of instillation and set up the first fluid. Normal saline in 1000ml
bags are used for instillation. The bags being used for body temperature fluid will be
heated using an Olympic Warmette to between 98 and 99 degrees as determined by 3M Tempadot
Thermometers. Urodynamics will be performed using standard clinic protocol recording first
sensation, first urge, and maximum capacity. The patient will ask to comment on the
discomfort of the test using a 5 point Lickert scale for both pain and urgency (see attached
questions). Patients will be allowed to void. The bladder will be filled again with the
second solution with identical questions used to determine first sensation, first urge and
maximum capacity. During each filling the patient will be tested for stress incontinence at
200 and 300 mls as per our protocol. Following the instillation of the second solution the
patient will again be asked her perception of pain and urgency an identical scale. Maximum
bladder capacities from each temperature saline tested will then be compared against maximum
bladder capacity as estimated from the patients’ bladder diary. The patient will then be
managed as is appropriate for her test results.
Inclusion Criteria:
- Females referred to gynecology clinic for urodynamics evaluation with an appropriate
indication for bladder testing
Exclusion Criteria:
- Male subjects and pregnant females
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