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

Abstract

Aim The role of urodynamic study (UDS) in the management of female stress urinary incontinence (SUI) is one of the most controversial and debated topic in urogynecology. Here, we aimed to systematically assess the most relevant available evidence on urodynamics’ value in the management of women with stress urinary incontinence. Methods A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) Statement was performed in May 2018. Only randomized clinical trials, prospective studies, or retrospective studies articles evaluating the use of urodynamic studies in women with stress urinary incontinence were included. Results After screening a total of 3055 records, 39 studies published from 1996 to 2018 were included. Conclusions In an uncomplicated population of women with SUI, it is not demonstrated that preoperative urodynamic evaluation can improve the outcome of continence surgery; however, UDS provides additional information regarding lower urinary tract function that could guide the physician to make the right therapeutic choice. UDS should be considered mandatory before surgery in complicated patients, but its use should also be evaluated in index patients when the results may help counseling and management of these women.

Fractional‐Pixel CO2 Laser Treatment in Patients With Urodynamic Stress Urinary Incontinence: 1‐Year Follow‐Up

“…Stress urinary incontinence (SUI) is a common complaint among women, with an observed prevalence of between 4% and 35% [1]. Although the diagnosis of uncomplicated SUI is based on patient complaints and objective demonstration of stress‐related urinary leakage, various objective tests, including urodynamic studies (UDS), have been recommended by international guidelines (ICI = International Consultation for Incontinence; AUA = American Urological Association; SUFU = Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction), particularly in complicated SUI cases before surgical intervention [2,3].…”

Assessment of Dysfunction in the Urinary System as Well as Comfort in the Life of Women during and after Combination Therapy Due to Ovarian and Endometrial Cancer Based on the SWL, II-Q7 and UDI-6 Scales

“…Cancer is a traumatic experience for women. It forces a lifestyle change and limits the fulfillment of life roles [17,18]. Patients have to face situations that burden the psyche and, sometimes, they can be beyond their ability to cope with stress [20,21].…”

“…During diagnosis, a urogynecological examination should be completed, in order to determine the pressure at which involuntary urination occurs when the bladder is filled at the level of 200 mL. Urogynecological examinations are recommended in clinical practice in an early period after gynecological-oncological operations [18].…”

Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction

“…Although history and neurological examination provide evidence for complicated SUI, a detailed UDS such as VUDS is mandatory to identify women with SUI and DU, low bladder compliance, large cystocele, provoked DO, and bladder outlet dysfunction [31]. Recent literature review also indicates that UDS provides additional information regarding lower urinary tract function that could guide the physician to make the right therapeutic choice [32,33].…”