Is urodynamic evaluation able to change and improve the management of women with idiopathic overactive bladder?

Serati, Maurizio; Cantaluppi, Simona; Coluccia, Anna; Scancarello, Chiara; Cimmino, Chiara; Braga, Andrea; Salvatore, Stefano; Agrò, Enrico Finazzi; Ghezzi, Fabio

doi:10.23736/s2724-6051.20.03801-1

Cited by 7 publications

(5 citation statements)

References 35 publications

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“…A total of 680 women were included in the study, of whom 202 refused to undergo the examination and were conducted as a control group, treated based on the International Consultation on Incontinence Questionnaire -Short Form (ICIQ-SF) instrument. At the end of three months follow-up, the overall satisfaction rate of patients in group 1 and group 2 was 77 and 65.8%, respectively (p = 0.003) 28 .…”

Section: Discussionmentioning

confidence: 90%

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

Assis

Salvador

Olandoski

2022

ESTIMA, Braz. J. Enterostomal Ther.

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Objective: To identify the similarity of lower urinary tract symptoms presented in the urodynamic study compared to the urinary diary. Method: This is a comparative study carried out in an urodynamics clinic in southern Santa Catarina, Brazil, with 44 patients who underwent the examination. Data collection was carried out by applying a questionnaire and a 72-hour bladder diary and comparing it with the findings of the urodynamic study using the SPSS for Windows and Stata/SE v.14.1 programs. Results: The bladder diary showed high specificity, sensitivity, and accuracy for identifying detrusor hyperactivity and stress urinary incontinence. There was no difference for bladder capacity (p* 0.198). It pointed to bladder sensitivity with a volume smaller than that presented by the urodynamic study (p*<0.001). It was able to identify lower urinary tract symptoms that were not present in the urodynamic study. Conclusion: The bladder diary was effective for identifying lower urinary tract symptoms and can be used to define first-line treatment with a broader range of population diagnosis, shorter time between complaints and treatment, cost reduction for the system, and less discomfort for the patient.

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Section: Discussionmentioning

confidence: 90%

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

Assis

Salvador

Olandoski

2022

ESTIMA, Braz. J. Enterostomal Ther.

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“…Two other recently published studies have shown that, among women presenting with overactive bladder syndrome (OAB‐s), the majority choose to undergo UDS to better understand the underlying cause of their symptoms before starting treatment. Serati et al 25 enrolled 680 consecutive women with OAB‐s and offered a choice between treatment based purely on symptoms and treatment based on UDS diagnosis. When fully informed about the nature and purpose of the UDS examination, more than 70% of participants chose to undergo a UDS assessment and only 19% declined this.…”

Section: Resultsmentioning

confidence: 99%

Acceptability and perceived value of urodynamics from the patient perspective: A narrative review

Serati

Braga

Wachter

et al. 2022

Neurourology and Urodynamics

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Background: The value and application of urodynamic evaluation (UDS) have been a controversial topic in recent years. Gaining robust data on the patient viewpoint in this area is important since, even when UDS findings do not change the management plan, the objective diagnostic information gained from UDS may be valued by patients. Moreover, insights from UDS may empower treating physicians to counsel patients more effectively and manage their expectations regarding treatment outcomes. Objective: This expert narrative review aims to analyze the findings of published studies in this area, looking at two topics in turn: (a) the tolerability and acceptability of the UDS procedure itself from the patient perspective and (b) patient perceptions of the clinical value of insights provided by UDS.Design, Setting, Participants, and Outcome Measurements: An evidence assessment was conducted using selected articles from the literature reporting data on patients' perspectives on the tolerability, acceptability, utility, and value of the urodynamic investigation.Results and Limitations: Although pain, discomfort, and infection risks are frequently used as a rationale to skip UDS when initial management fails, there is good evidence that, from the patients' perspective, the procedure is very well tolerated in most cases. There are only a few articles available that assess patient perceptions of the usefulness of UDS, but those that do exist appear to demonstrate that the insights gained from UDS are widely welcomed by patients in the interest of receiving a more tailored and personalized treatment approach. Conclusion:From the patient perspective, UDS appears to be a well-accepted and well-tolerated diagnostic tool in patients with lower urinary tract symptoms, particularly when an appropriate explanation is provided before the examination. Our review also highlights that patients value the objective information provided by UDS and that this outweighs the temporary

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“…A recently published study, which enrolled a very large population, attempted to compare a group of patients who accepted UDS evaluation and were treated based on the urodynamic diagnosis versus the group of women who refused UDS and, therefore, were managed only according to the referred symptoms. The authors, using subjective and objective diagnostic tools, demonstrated that the group of patients who received a tailored treatment according to UDS was related to significantly higher cure and satisfaction rates 9,10 …”

Section: Methodsmentioning

confidence: 99%

“…The authors, using subjective and objective diagnostic tools, demonstrated that the group of patients who received a tailored treatment according to UDS was related to significantly higher cure and satisfaction rates. 9,10 Although UDS is not required in the first-line treatment of all patients with OAB, this diagnostic tool appears to be the only one able to improve diagnosis by offering an explanation of the different types and phenotypes of OAB and, in some cases, also improve the outcomes of drug treatment. b. Urodynamic tests for UAB Symptoms…”

Section: Second Part: How To Investigate the Lut A Urodynamic Tests F...mentioning

confidence: 99%

How do we make progress in phenotyping patients with lower urinary tract such as overactive bladder and underactive detrusor, including using urine markers and microbiome data, to personalize therapy? ICI‐RS 2023—Part 2

Finazzi Agrò,

Rosato,

Wagg

et al. 2024

Neurourology and Urodynamics

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IntroductionOveractive bladder (OAB) and underactive bladder (UAB) could be associated with metabolic syndrome, affective disorders, sex hormone deficiency, changes in urinary microbiota, functional gastrointestinal disorders, or autonomic nervous system dysfunction.ObjectivesThe aim of this Think Tank was to provide a guide on how to investigate OAB and/or detrusor underactivity (DU) patients to better clarify the underlying pathophysiology and possibly personalize the treatment.MethodsA compendium of discussion based on the current evidence related to phenotyping patients with OAB or DU using urodynamic tests, functional neuro‐imaging, urinary markers, and microbiome.Results and ConclusionsThe article emphasizes the critical significance of adopting a comprehensive yet tailored approach to phenotyping patients with lower urinary tract (LUT) symptoms, such as OAB and UAB. The intricate interplay between the LUT and various factors, metabolic, neurological, psychological, and gastrointestinal can define unique LUT profiles, enabling personalized therapies to replace the one‐size‐fits‐all approach.

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Is urodynamic evaluation able to change and improve the management of women with idiopathic overactive bladder?

Cited by 7 publications

References 35 publications

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

Acceptability and perceived value of urodynamics from the patient perspective: A narrative review

How do we make progress in phenotyping patients with lower urinary tract such as overactive bladder and underactive detrusor, including using urine markers and microbiome data, to personalize therapy? ICI‐RS 2023—Part 2

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