--- title: Recent Updates on the Use of Urodynamics in Men description: Providers who perform UDS can glean much from the UPSTREAM trial, specifically the work of Selman and colleagues. image: https://info.bhnco.com/hubfs/MaleGenderSymb.jpg --- [![optional logo](https://info.bhnco.com/hs-fs/hubfs/BHN_logo-1.jpg?width=90&height=90&name=BHN_logo-1.jpg) Brighter Health Network Turn-key, On-site Medical Testing](http://www.bhnco.com/index.html) [Customer Sign in](http://www.bhnportal.com/) - [Home](https://www.bhnco.com/index.html) - [About us](https://www.bhnco.com/about_us.html) - Services - Urodynamic Services - [Urodynamic Testing Services](https://www.bhnco.com/Services/urodynamic-services.html) - [Urodynamics Training](https://www.bhnco.com/Services/urodynamics-training.html) - [Urodynamic Staffing Services](https://www.bhnco.com/Services/urology-obgyn-staff-services.html) - [Pediatric Urodynamic Services](https://www.bhnco.com/Services/pediatric-urodynamics-services.html) - Anorectal Manometry Services - [Anorectal Manometry Testing Services](https://www.bhnco.com/Services/anorectal-manometry-services.html) - [Anorectal Manometry Training](https://www.bhnco.com/Services/anorectal-manometry-training.html) - [Anorectal Manometry Staffing Services](https://www.bhnco.com/Services/gastroenterology-staff-services.html) - Other Services - [UroCuff Testing Servcies](https://www.bhnco.com/Services/urocuff-testing-services.html) - [Clinical Trial Support Services](https://www.bhnco.com/Services/clinical-trial-support-services.html) - [Medical Device Field Service/Support](https://www.bhnco.com/Services/medical-device-inservice-outsourcing-services.html) - [Careers](https://www.bhnco.com/BHN-Careers-Jobs.html) - [Blog](https://info.bhnco.com/blog) - Resources - General Resources - [Why outsourcing diagnostics is prudent?](https://www.bhnco.com/Resources/outsourcing-medical-diagnostics.html) - Urodynamics Resources - [What is a Urodynamics Test?](https://www.bhnco.com/Resources/what-is-a-urodynamics-test.html) - [Urodynamics - Useful Terms](https://www.bhnco.com/Resources/urodynamics-useful-terms.html) - [Urodynamics - Useful videos](https://www.bhnco.com/Resources/urodynamics-useful-videos.html) - [When should Urodynamics be performed?](https://www.bhnco.com/Resources/When-should-urodynamics-be-performed.html) - [Urodynamics Testing Best Practices](https://www.bhnco.com/Resources/urodynamics-testing-best-practices.html) - [Top 10 Urodynamics Mistakes](https://www.bhnco.com/Resources/top-ten-urodynamics-mistakes.html) - [Largest Urology Practices in U.S.](https://www.bhnco.com/Resources/largest-urology-practices-in-unitedstates.html) - [In-office Urodynamics Testing](https://www.bhnco.com/BHN_inoffice.htm) - Anorectal Manometry Resources - [What is Anorectal Manometry?](https://www.bhnco.com/Resources/What-is-anorectal-manometry.html) - [Anorectal Manometry - Useful Terms](https://www.bhnco.com/Resources/anorectal-manometry-useful-terms.html) - [Anorectal Manometry - Useful Videos](https://www.bhnco.com/Resources/anorectal-manometry-useful-videos.html) - [Why anorectal manometry?](https://www.bhnco.com/Resources/Why-anorectal-manometry.html) - [Contact](https://www.bhnco.com/contact.html) ![Collage_nurses_urodynamics_equipment.jpg](https://info.bhnco.com/hs-fs/hubfs/Collage_nurses_urodynamics_equipment.jpg?width=1920&name=Collage_nurses_urodynamics_equipment.jpg "Collage_nurses_urodynamics_equipment.jpg") ## BHN Healthcare Blog # Recent Updates on the Use of Urodynamics in Men Posted by [Dr. Peter Steinberg](https://info.bhnco.com/blog/author/dr-peter-steinberg) on Nov 4, 2019 6:29:22 PM - [Tweet](https://twitter.com/share) ![MaleGenderSymb](https://info.bhnco.com/hs-fs/hubfs/MaleGenderSymb.jpg?width=164&name=MaleGenderSymb.jpg)Recently, a large-scale study of men referred to urologists in England for difficulty urinating has published results ([Lewis Eur Urol 2019](https://www.sciencedirect.com/science/article/abs/pii/S2405456919301221)). This trial, called UPSTREAM, recruited over 800 men for two dozen locations across England. In addition to the usual history, physical and baseline evaluation for the voiding issues, some men were randomized to undergoing a urodynamics test (UDS) and the authors have recently reported some of their data. One of the key findings is that men, especially those likely to undergo prostate surgery for voiding dysfunction, report very high rates of nocturia (urinating at night) and difficulty with erections ([Lewis, 2019](https://www.sciencedirect.com/science/article/abs/pii/S2405456919301221)). Additionally, older men suffered from leakage of urine, nocturia and issues with erections, while younger men tended to report frequent urination during the day as a complaint (Lewis 2019). Furthermore, men that underwent UDS during the study tended to be satisfied with the test.   The authors performed additional, in depth interviews of patients who had UDS testing ([Selman, Neurourol Urodyn 2019](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334271/)). These interviews were structured and they involved a total of 41 men. Of these men, 16 had never had UDS testing before and 25 had prior UDS testing. Of the novices, they were willing to undergo the test, but had some questions and anxiety about UDS testing. Of men who had previously undergone UDS testing, they all were satisfied with the test itself, but sometimes felt pain during the test, some developed a urinary tract infection from the test, and others reported feeling ashamed or embarrassed during the test (Selman). Overall, these men felt the UDS test added valuable data into the evaluation of their voiding issues.   These interviews provided some additional insight into how to best prepare men for UDS testing, how to transmit results and how to minimize embarrassment during the test ([Selman 2019](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6334271/)). It is critical to discuss the test in detail with men before conducting it, maintain good communication during the test and be sure to honor men’s privacy. Likewise, communicating the role of the test in the overall treatment scheme, discuss the results in a thorough and transparent manner and answer questions about the test is key. Finally, maintaining privacy during the test is another area where men reported strong feelings.   Providers who perform UDS can glean much from the UPSTREAM trial, specifically the work of Selman and colleagues. It is clear that communication before and after UDS, along with minimizing patient embarrassment are critical factors to a successful UDS test and experience for the patient.   [![Get Urodynamics Testing Services Details + Pricing Now](https://no-cache.hubspot.com/cta/default/1835638/f28c1984-772f-4090-aaed-cf3ff865cc1b.png)](https://cta-redirect.hubspot.com/cta/redirect/1835638/f28c1984-772f-4090-aaed-cf3ff865cc1b) Topics: [Urodynamics Testing](https://info.bhnco.com/blog/topic/urodynamics-testing), [male urodynamics](https://info.bhnco.com/blog/topic/male-urodynamics), [Male Diagnostics](https://info.bhnco.com/blog/topic/male-diagnostics) We hope our blog is helpful.  Please leave us your thoughts and feel free to share any posts of interest to you on your social media accounts using the social media links at the top. ### Subscribe to Email Updates ### Recent Posts ### Posts by Topic - [urodynamics (34)](https://info.bhnco.com/blog/topic/urodynamics) - [Urodynamics Testing (24)](https://info.bhnco.com/blog/topic/urodynamics-testing) - [Anorectal Manometry (9)](https://info.bhnco.com/blog/topic/anorectal-manometry) - [urodynamics equipment (8)](https://info.bhnco.com/blog/topic/urodynamics-equipment) - [General Urology Information (7)](https://info.bhnco.com/blog/topic/general-urology-information) - [Medical Practice Operations (7)](https://info.bhnco.com/blog/topic/medical-practice-operations) - [incontinence (7)](https://info.bhnco.com/blog/topic/incontinence) - [urodynamics service provider (7)](https://info.bhnco.com/blog/topic/urodynamics-service-provider) - [ObGyn Practices (6)](https://info.bhnco.com/blog/topic/obgyn-practices) - [male urodynamics (6)](https://info.bhnco.com/blog/topic/male-urodynamics) - [urodynamics staffing (6)](https://info.bhnco.com/blog/topic/urodynamics-staffing) - [urodynamics training (6)](https://info.bhnco.com/blog/topic/urodynamics-training) - [urodynamics interpretation (5)](https://info.bhnco.com/blog/topic/urodynamics-interpretation) - [Male Diagnostics (4)](https://info.bhnco.com/blog/topic/male-diagnostics) - [stress incontinence (4)](https://info.bhnco.com/blog/topic/stress-incontinence) - [urinariy incontinence (4)](https://info.bhnco.com/blog/topic/urinariy-incontinence) - [urodynamics profitability (4)](https://info.bhnco.com/blog/topic/urodynamics-profitability) - [urology (4)](https://info.bhnco.com/blog/topic/urology) - [Medical Device Field Service (3)](https://info.bhnco.com/blog/topic/medical-device-field-service) - [Pediatric Urodynamics (3)](https://info.bhnco.com/blog/topic/pediatric-urodynamics) - [Reimbursement (3)](https://info.bhnco.com/blog/topic/reimbursement) - [UroGynecology (3)](https://info.bhnco.com/blog/topic/urogynecology) - [Uroflowmetry (3)](https://info.bhnco.com/blog/topic/uroflowmetry) - [Urology Practice Trends (3)](https://info.bhnco.com/blog/topic/urology-practice-trends) - [outsourcing diagnostics (3)](https://info.bhnco.com/blog/topic/outsourcing-diagnostics) - [post-void residual (3)](https://info.bhnco.com/blog/topic/post-void-residual) - [urodynamic catheters (3)](https://info.bhnco.com/blog/topic/urodynamic-catheters) - [Anorectal Manometry Testing (2)](https://info.bhnco.com/blog/topic/anorectal-manometry-testing) - [BHN (2)](https://info.bhnco.com/blog/topic/bhn) - [Bladder Cancer (2)](https://info.bhnco.com/blog/topic/bladder-cancer) - [Cystometrogram (2)](https://info.bhnco.com/blog/topic/cystometrogram) - [Post-Operative Urodynamics (2)](https://info.bhnco.com/blog/topic/post-operative-urodynamics) - [Reimbursement Trends (2)](https://info.bhnco.com/blog/topic/reimbursement-trends) - [Reimbursments (2)](https://info.bhnco.com/blog/topic/reimbursments) - [Ultasound (2)](https://info.bhnco.com/blog/topic/ultasound) - [UroCuff (2)](https://info.bhnco.com/blog/topic/urocuff) - [Urodynamics Nurse (2)](https://info.bhnco.com/blog/topic/urodynamics-nurse) - [anorectal manometry procedure (2)](https://info.bhnco.com/blog/topic/anorectal-manometry-procedure) - [anorectal manometry test (2)](https://info.bhnco.com/blog/topic/anorectal-manometry-test) - [clinical operations (2)](https://info.bhnco.com/blog/topic/clinical-operations) - [interstitial cystitis (2)](https://info.bhnco.com/blog/topic/interstitial-cystitis) - [pelvic organ prolapse (2)](https://info.bhnco.com/blog/topic/pelvic-organ-prolapse) - [urodynamics billing (2)](https://info.bhnco.com/blog/topic/urodynamics-billing) - [urodynamics catheters (2)](https://info.bhnco.com/blog/topic/urodynamics-catheters) - [video urodynamics (2)](https://info.bhnco.com/blog/topic/video-urodynamics) - [American Urogynecologic Society (1)](https://info.bhnco.com/blog/topic/american-urogynecologic-society) - [Benign Prostatic Hyperplasia (1)](https://info.bhnco.com/blog/topic/benign-prostatic-hyperplasia) - [Brighter Health Network (1)](https://info.bhnco.com/blog/topic/brighter-health-network) - [Catheterization (1)](https://info.bhnco.com/blog/topic/catheterization) - [Colonoscopy (1)](https://info.bhnco.com/blog/topic/colonoscopy) - [Hirschsprung Disease (1)](https://info.bhnco.com/blog/topic/hirschsprung-disease) - [Incontinence Screening Questionnaires (1)](https://info.bhnco.com/blog/topic/incontinence-screening-questionnaires) - [Insider (1)](https://info.bhnco.com/blog/topic/insider) - [InterStim (1)](https://info.bhnco.com/blog/topic/interstim) - [International Urogynecological Association (1)](https://info.bhnco.com/blog/topic/international-urogynecological-association) - [Irritable Bowel Syndrome (1)](https://info.bhnco.com/blog/topic/irritable-bowel-syndrome) - [Medtronic NURO (1)](https://info.bhnco.com/blog/topic/medtronic-nuro) - [Nerve Blocks (1)](https://info.bhnco.com/blog/topic/nerve-blocks) - [Neurogenic Bladder (1)](https://info.bhnco.com/blog/topic/neurogenic-bladder) - [OAB Neuromodulation (1)](https://info.bhnco.com/blog/topic/oab-neuromodulation) - [Pelvic Floor Physical Therapy (1)](https://info.bhnco.com/blog/topic/pelvic-floor-physical-therapy) - [Rectoanal Inhibitory Reflexes (1)](https://info.bhnco.com/blog/topic/rectoanal-inhibitory-reflexes) - [Reimbursment Trends (1)](https://info.bhnco.com/blog/topic/reimbursment-trends) - [Spina Bifida (1)](https://info.bhnco.com/blog/topic/spina-bifida) - [Urgent PC (1)](https://info.bhnco.com/blog/topic/urgent-pc) - [Urodynamics And Artificial Intelligence (1)](https://info.bhnco.com/blog/topic/urodynamics-and-artificial-intelligence) - [Urodynamics Reimbursement Rates (1)](https://info.bhnco.com/blog/topic/urodynamics-reimbursement-rates) - [Urodynamics compliance (1)](https://info.bhnco.com/blog/topic/urodynamics-compliance) - [Uroflow (1)](https://info.bhnco.com/blog/topic/uroflow) - [Urology Jokes (1)](https://info.bhnco.com/blog/topic/urology-jokes) - [Urology Practice Staffing (1)](https://info.bhnco.com/blog/topic/urology-practice-staffing) - [ancillary services (1)](https://info.bhnco.com/blog/topic/ancillary-services) - [anorectal manometry treatment (1)](https://info.bhnco.com/blog/topic/anorectal-manometry-treatment) - [colonoscopies (1)](https://info.bhnco.com/blog/topic/colonoscopies) - [colpoplasty (1)](https://info.bhnco.com/blog/topic/colpoplasty) - [fecal incontinence (1)](https://info.bhnco.com/blog/topic/fecal-incontinence) - [finance (1)](https://info.bhnco.com/blog/topic/finance) - [hospital operations (1)](https://info.bhnco.com/blog/topic/hospital-operations) - [intraurethral (1)](https://info.bhnco.com/blog/topic/intraurethral) - [lidocaine (1)](https://info.bhnco.com/blog/topic/lidocaine) see all ### About us flexible and comprehensive urodynamics and anorectal manometry solutions delivered on-site. 1739 University Ave., #338, Oxford, MS 38655 888-508-3330 805-392-8111 [info@BHNCo.com](mailto:info@BHNCo.com) Copyright ©2022 Brighter Health Network, LLC all rights reserved | [Privacy Policy](http://www.bhnco.com/BHN-Privacy-Policy.html) Brighter Health Network ![](https://googleads.g.doubleclick.net/pagead/viewthroughconversion/959693890/?value=0&guid=ON&script=0)