Literature DB >> 34811586

Computational fluid dynamics modeling approaches to assess lower urinary tract hydraulic dynamics in posterior urethral valve before and after endoscopic valve ablation: a pilot study.

Hong-Song Chen1,2,3,4,5,6,7, Xing Liu8,9,10,11,12,13,14, Zhi-Cheng Zhang1,2,3,4,5,6,7, Zi-Han Ye1,2,3,4,5, Tao Lin1,2,3,4,5,6,7, Da-Wei He1,2,3,4,5,6,7, Guang-Hui Wei1,2,3,4,5,6,7.   

Abstract

PURPOSE: Computational fluid dynamics (CFD) has been used successfully in cardiovascular system research to analyze the physiological processes inside vessels. We evaluated the hydraulic information of urine through the lower urinary tract in a patient with posterior urethral valve (PUV) before and after valve ablation by CFD.
METHODS: A set of models of the lower urinary tract were developed based on geometrical data obtained by cystoscopy and voiding cystourethrography. Simulated assumptions and conditions were applied according to prior studies and urodynamic results. We used Fluent CFD 19.0 (Ansys Inc., USA) to compute the velocity and pressure of the fluid regions. The simplification of Bernoulli's formula was applied afterward to calculate the hydraulic energy of different positions.
RESULTS: The urine flow rates of the NORMALst, the PUVst, and the POSTst at 5000 Pa were 18.08 ml/s, 11.14 ml/s, and 12.16 ml/s, respectively. Precipitous pressure change was observed around the valve in the PUVst, and the abnormal change was concentrated in the dilated urethra in the POSTst. Major energy dissipations were generated around the valve and the dilated urethra in the PUVst. The energy loss that occurred in the dilated urethra did not improve after the operation.
CONCLUSIONS: Our findings are probably indicative of the hydrodynamics changes in the dilated urethra in PUV and need to be confirmed through more improved CFD models in the future. CFD may revolutionize pediatric urologists' perception in the management of urinary disease.
© 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

Entities:  

Keywords:  Hydrodynamics; Medical informatics computing; Patient-specific modeling; Pediatrics; Urethral obstruction

Mesh:

Year:  2021        PMID: 34811586     DOI: 10.1007/s00345-021-03875-3

Source DB:  PubMed          Journal:  World J Urol        ISSN: 0724-4983            Impact factor:   4.226


  25 in total

1.  Mathematical model of the male urinary tract.

Authors:  J Kren; M Horák; F Zát'ura; M Rosenberg
Journal:  Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub       Date:  2001-12       Impact factor: 1.245

Review 2.  The anatomy and embryology of posterior urethral valves.

Authors:  Anand Krishnan; Antonio de Souza; Rama Konijeti; Laurence S Baskin
Journal:  J Urol       Date:  2006-04       Impact factor: 7.450

3.  Long-term risk of end stage renal disease in patients with posterior urethral valves.

Authors:  Jukka Heikkilä; Christer Holmberg; Lauri Kyllönen; Risto Rintala; Seppo Taskinen
Journal:  J Urol       Date:  2011-10-20       Impact factor: 7.450

4.  Obstructive nephropathy in children: long-term progression after relief of posterior urethral valve.

Authors:  K S Roth; W H Carter; J C Chan
Journal:  Pediatrics       Date:  2001-05       Impact factor: 7.124

5.  Flow dynamics in a stented ureter.

Authors:  Jennifer H Siggers; Sarah Waters; Jonathan Wattis; Linda Cummings
Journal:  Math Med Biol       Date:  2008-11-05       Impact factor: 1.854

6.  The impact of temperature and urinary constituents on urine viscosity and its relevance to bladder hyperthermia treatment.

Authors:  Brant A Inman; Wiguins Etienne; Rainier Rubin; Richmond A Owusu; Tiago R Oliveira; Dario B Rodriques; Paolo F Maccarini; Paul R Stauffer; Alireza Mashal; Mark W Dewhirst
Journal:  Int J Hyperthermia       Date:  2013-03-14       Impact factor: 3.914

7.  Risk factors for end stage renal disease in children with posterior urethral valves.

Authors:  William DeFoor; Curtis Clark; Elizabeth Jackson; Pramod Reddy; Eugene Minevich; Curtis Sheldon
Journal:  J Urol       Date:  2008-08-16       Impact factor: 7.450

8.  Upper urinary tract deterioration in patients with myelodysplasia and detrusor hypertonia: a followup study.

Authors:  E J McGuire; J R Woodside; T A Borden
Journal:  J Urol       Date:  1983-04       Impact factor: 7.450

Review 9.  Computational fluid dynamics modelling in cardiovascular medicine.

Authors:  Paul D Morris; Andrew Narracott; Hendrik von Tengg-Kobligk; Daniel Alejandro Silva Soto; Sarah Hsiao; Angela Lungu; Paul Evans; Neil W Bressloff; Patricia V Lawford; D Rodney Hose; Julian P Gunn
Journal:  Heart       Date:  2015-10-28       Impact factor: 5.994

10.  Novel CFD modeling approaches to assessing urine flow in prostatic urethra after transurethral surgery.

Authors:  Bin Zhang; Shuang Liu; Yinxia Liu; Bo Wu; Xuhui Zhang; Xin Wang; Xuezhi Liang; Xiaoming Cao; Dongwen Wang; Chin-Lee Wu
Journal:  Sci Rep       Date:  2021-01-12       Impact factor: 4.379

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  1 in total

1.  Letter to the editor regarding the article "Trends in urinary stone composition in 23,182 stone analyses from 2011 to 2019: a high-volume center study in China".

Authors:  Huseyin Besiroglu
Journal:  World J Urol       Date:  2021-04-15       Impact factor: 4.226

  1 in total

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