Outpatient urodynamic monitoring in patients with BPH: world and russian experience


DOI: https://dx.doi.org/10.18565/urology.2021.6.152-159

I.A. Shaderkin, G.S. Lebedev, V.A. Shaderkina, D.M. Monakov,
L.G. Spivak, Z.K. Gadzhieva, M.A. Gazimiev

1) Institute of Digital Medicine, I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia; 2) Urological information portal UroWeb.ru, Moscow, Russia; 3) City Clinical Hospital. S.P. Botkin, Moscow, Russia; 4) Institute of Urology and Human Reproductive Health I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia; 5) National Medical Research Center (NMRC) on the profile «urology» I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Moscow, Russia
Outpatient urodynamic monitoring (AUM) – registration of the patient’s urination parameters for a certain time (for example, during the day), which is carried out in natural conditions for him. Monitoring allows you to identify hidden or periodically occurring (circadian) changes, which are not always possible to record with a single study. The research was searched in the PubMed and Elibrary.ru databases using the keywords «home uroflowmetry», «outpatient urodynamic examination», «outpatient urodynamic monitoring», «outpatient uroflowmetric monitoring».
The difficulties in performing AUM lie not only in the hardware (the presence of a portable device, minimally invasive or non-invasive research, software that guarantees the storage and transmission of data), but also the difficulties associated with teaching patients and overcoming conservatism on the part of medical personnel. Today, there are several urodynamic devices and uroflowmeters designed for research at home.
Outpatient (home) urodynamic monitoring is one of the most promising studies for implementation in everyday clinical practice in the provision of medical care to patients with urination disorders on the background of benign prostatic hyperplasia. The integration of home uroflowmetric monitoring into the eHealth system, of course, remains an inevitable trend in the development of modern healthcare.

About the Autors


Contacts: Victoria A. Shaderkina – Scientific editor of the urological information portal UroWeb.ru, Moscow, Russia; e-mail: viktoriashade@uroweb.ru


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