Prevalence of “complicated” stress urinary incontinence in female patients: can urodynamics provide more information in such patients?

Abstract

The majority of our patients had complicated stress urinary incontinence. In a relevant percentage of these patients, a urodynamic test added some new information, including a diagnosis of voiding dysfunction. The role of urodynamic investigation needs to be explored in this patient group.

Urodynamics useless before surgery for female stress urinary incontinence: Are you sure? Results from a multicenter single nation database

“…This multicenter study, which confirms data coming from a smaller trial, investigated the prevalence of “uncomplicated” patients undergoing UDS in real clinical settings, thus assessing in how many women the conclusions of the ValUE study are applicable.…”

The role of urodynamics in the management of female stress urinary incontinence

“…It could predict post‐operative outcomes in terms of efficacy rates and the risk of adverse events, such as voiding dysfunction . Topazio et al similarly showed that, in their population, the majority of the patients had complicated SUI and that in a relevant percentage of these women, urodynamic test added some new information, in particular the diagnosis of voiding dysfunction . Moreover, as reported by Digesu et al, urodynamic investigations should be considered useful before anti‐incontinence surgical procedures, also in uncomplicated women with pure symptoms of SUI, because at least 20% of these women show an associated detrusor overactivity.…”

Urodynamics Useless in Female Stress Urinary Incontinence? Time for Some Sense—A European Expert Consensus

“…(c) The fact that, even in pure SUI, UDS can identify additional issues such as underlying detrusor overactivity in approximately 20% of patients [13,37], for whom surgery may be inadvisable. (d) The ability of UDS to identify unsuspected voiding dysfunction-as suggested in the VALUE study itself [5,28] and demonstrated in other studies [14,38,39].…”

“…Between 2009 and 2017, several retrospective and prospective studies [13,14,[36][37][38][39][40][41][42][43] and one small RCT [44] have demonstrated that UDS can guide appropriate decision making in female SUI (Table 2). These studies have confirmed the following:…”