Should You Perform Urodynamics Before Female SUI Surgery?

Posted by Dr. Peter Steinberg on Aug 31, 2018 5:14:18 PM

Surgical management of stress urinary incontinence (SUI) is a commonplace procedure, usually indicated on the basis of the clinical history and exam findings alone. In fact, Level I evidence from the VALUE trial suggests that urodynamics (UDS) makes no difference in the outcome of SUI surgery in straightforward cases.1 Nonetheless, in many situations UDS is a critical part of evaluating SUI patients for surgery; moreover, in some instances UDS will spare women surgery that may not be beneficial.2

One clear-cut area where UDS is very helpful is for the patient who has previously undergone surgery for SUI and/or pelvic organ prolapse (POP). These patients may present complex anatomy, obstruction from prior surgery, changes in bladder compliance, and a very high valsalva leak point pressure. UDS may help guide the decision as to what intervention(s) may be necessary in these patients.

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Topics: stress incontinence, urodynamics

Role Of Urodynamics In Stress Incontinence: A Critical Appraisal

Posted by Clark Love on May 24, 2017 3:53:22 PM

When evaluating patients prior to surgery for the treatment of stress urinary incontinence, the presence of detrusor overactivity is presently the main factor that is tested for via urodynamics, if urodynamic assessment happens at all. However, there are numerous factors which could influence the diagnosis of stress urinary incontinence, as well as the surgical procedure and predictions for the outcome of treatment.

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Topics: urodynamics, stress incontinence

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