Current State of the Art in Non-Invasive Urodynamics

Sahai, Amit; Seth, Jai; Aa, Frank Van der; Panicker, Jalesh N.; Ridder, Dirk De

doi:10.1007/s11884-013-0181-z

Cited by 5 publications

(4 citation statements)

References 73 publications

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“…A number of studies reviewing the evidence for various noninvasive urodynamic tests have been published in recent years [49][50][51][52][53][54][55][56]. All reviews have reported similar findings to the present review: some noninvasive tests appear promising, especially in combination, but further investigation is required before they can replace invasive urodynamics.…”

Section: How the Review Compares To Previous Reviews/guidelinessupporting

confidence: 73%

Systematic Review of the Performance of Noninvasive Tests in Diagnosing Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms

et al. 2017

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Keywords:Bladder outlet obstruction (BOO) Men Lower urinary tract symptoms Diagnosis Urodynamics Noninvasive Systematic review Please visit www.eu-acme.org/ europeanurology to read and answer questions on-line. The EU-ACME credits will then be attributed automatically. AbstractContext: Several noninvasive tests have been developed for diagnosing bladder outlet obstruction (BOO) in men to avoid the burden and morbidity associated with invasive urodynamics. The diagnostic accuracy of these tests, however, remains uncertain. Objective: To systematically review available evidence regarding the diagnostic accuracy of noninvasive tests in diagnosing BOO in men with lower urinary tract symptoms (LUTS) using a pressure-flow study as the reference standard. Evidence acquisition: The EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central, Google Scholar, and WHO International Clinical Trials Registry Platform Search Portal databases were searched up to May 18, 2016. All studies reporting diagnostic accuracy for noninvasive tests for BOO or detrusor underactivity in men with LUTS compared to pressure-flow studies were included. Two reviewers independently screened all articles, searched the reference lists of retrieved articles, and performed the data extraction. The quality of evidence and risk of bias were assessed using the QUADAS-2 tool. Evidence synthesis: The search yielded 2774 potentially relevant reports. After screening titles and abstracts, 53 reports were retrieved for full-text screening, of which 42 (recruiting a total of 4444 patients) were eligible. Overall, the results were predominantly based on findings from nonrandomised experimental studies and, within the limits of such study designs, the quality of evidence was typically moderate across the literature. Differences in noninvasive test threshold values and variations in the urodynamic definition of BOO between studies limited the comparability of the data.

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Section: How the Review Compares To Previous Reviews/guidelinessupporting

confidence: 73%

Systematic Review of the Performance of Noninvasive Tests in Diagnosing Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms

et al. 2017

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“…2 Only by further reading from references within Steeger could one elucidate a possible relationship between heparin treatment and pregnancy complications. 3 We would like to stress the importance of including plausible basic scientific concepts when examining secondary and primary outcome measures within studies to facilitate ease of understanding for the reader.…”

Section: Sirmentioning

confidence: 99%

“…However, other authors have stated a range of techniques such as drop spectrometry, condom catheter, penile cuff inflation/ deflation, penile compression and release and bladder wall thickness as well as uroflowmetry for non-invasive urodynamics. 2,3 So the use of a nonspecific term such as non-invasive urodynamics may be completely misleading.…”

Section: Sirmentioning

confidence: 99%

Authors' reply re re: Does preoperative urodynamics improve outcome for women undergoing surgery for stress urinary incontinence? A systematic review and meta ‐ analysis

Rachaneni

Latthe²

2016

BJOG

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“…Although these novel and non-invasive diagnostic methods were designed to improve the quality of life in patients with LUTS by promoting earlier diagnosis and treatment, and do show significant potential ( 6 ), there is some conflict with regards to their specific clinical outcomes. Previous authors have evaluated and summarized the diagnostic value of these non-invasive methods ( 5 , 7 – 14 ); nevertheless, researchers have yet to perform a meta-analysis to investigate the diagnostic accuracy for these approaches in a quantitative manner.…”

Section: Introductionmentioning

confidence: 99%

The diagnostic value of non-invasive methods for diagnosing bladder outlet obstruction in men with lower urinary tract symptoms: A meta-analysis

Cheng

Li²,

Wu³

et al. 2022

Front. Surg.

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PurposeWe conducted the first meta-analysis to determine the diagnostic value of non-invasive methods for diagnosing bladder outlet obstruction (BOO) in men with lower urinary tract symptoms (LUTS).MethodsWe searched a range of databases for relevant publications up to June 2022, including PubMed, Embase, Web of Science, and the Cochrane Library. Retrieved studies were then reviewed for eligibility and data were extracted. The risk of bias (RoB) was assessed using the QUADAS-2 tool. We then performed a formal meta-analysis to evaluate the accuracy of various non-invasive methods for diagnosing BOO in men.ResultsWe identified 51 eligible studies including 7,897 patients for meta-analysis. The majority of the studies had a low overall RoB. Detrusor wall thickness (DWT) (pooled sensitivity (SSY): 71%; specificity (SPY): 88%; diagnostic odds ratio (DOR): 17.15; area under curve (AUC) 0.87) and the penile cuff test (PCT) (pooled SSY: 87%; SPY: 78%; DOR: 23.54; AUC: 0.88) showed high accuracy for diagnosing BOO. Furthermore, data suggested that DWT had the highest pooled SPY (0.89), DOR (32.58), and AUC (0.90), when using 2 mm as the cut-off.ConclusionOf the non-invasive tests tested, DWT and PCT had the highest levels of diagnostic accuracy for diagnosing BOO in men with LUTS. DWT, with a 2 mm cut-off, had the highest level of accuracy. These two methods represent good options as non-invasive tools for evaluating BOO in males.

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Current State of the Art in Non-Invasive Urodynamics

Cited by 5 publications

References 73 publications

Systematic Review of the Performance of Noninvasive Tests in Diagnosing Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms

Systematic Review of the Performance of Noninvasive Tests in Diagnosing Bladder Outlet Obstruction in Men with Lower Urinary Tract Symptoms

Authors' reply re re: Does preoperative urodynamics improve outcome for women undergoing surgery for stress urinary incontinence? A systematic review and meta ‐ analysis

The diagnostic value of non-invasive methods for diagnosing bladder outlet obstruction in men with lower urinary tract symptoms: A meta-analysis

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