Use of urodynamics prior to surgery for urinary incontinence: How helpful is preoperative testing?

Research output: Contribution to journalArticlepeer-review

6 Scopus citations

Abstract

It has not yet been definitively demonstrated that preoperative evaluation of women with stress urinary incontinence with urodynamic testing enhances presurgical counseling, more effectively models patients′ expectations or improves postoperative outcome. Nonetheless, urodynamic testing is frequently utilized in the assessment of women with stress urinary incontinence and clearly accomplishes a number of goals when utilized for this purpose. For example, there are data to suggest that the risk of voiding dysfunction can be mitigated by utilizing data obtained from urodynamic testing to identify women more likely to void ineffectively after conventional stress incontinence procedures. Furthermore, it has been suggested though not proven, that patients with more severe forms of stress incontinence as identified by urodynamic testing, might be less likely to improve after surgery compared to others with more modest degrees of incontinence. Since urodynamic testing is invasive, costly and not always available, it is imperative that the usefulness of such testing be carefully explored and its utility appropriately defined. In this review, we discuss urodynamic techniques to assess stress urinary incontinence, particularly focusing on the ability of leak point pressure testing and urethral pressure profilometry to predict which patients would most likely benefit from surgery and which might be more likely to experience adverse events following surgery.

Original languageEnglish (US)
Pages (from-to)142-147
Number of pages6
JournalIndian Journal of Urology
Volume23
Issue number2
DOIs
StatePublished - Jul 1 2007

Keywords

  • Abdominal leak point pressure
  • Maximum urethral closure pressure
  • Stress urinary incontinence
  • Urethral pressure profilometry
  • Urodynamics

ASJC Scopus subject areas

  • Urology

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