The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence

Sanne A. L. van Leijsen, Kirsten B. Kluivers, Ben Willem J. Mol, Mark E. Vierhout, John P. F. A. Heesakkers

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16 Citations (Scopus)

Abstract

Introduction and hypothesis The aim of this study is to assess variations in practice in the use of preoperative urodynamics in women with stress urinary incontinence (SUI). Methods We performed an E-survey among all Dutch gynecologists and urologists who have SUI as focus in daily practice. The questions concerned the common policy and preferred policy. Descriptive statistics were used. Results Of the 260 targeted specialists, 163 (63%) responded. We found that 37% of the respondents performed standard preoperative urodynamics; in the preferred practice, this would reduce to only 18%. Eighty percent indicated they would operate a patient with a positive stress test without urodynamic SUI, whereas 21% would do this also in case the clinical stress test was negative. Only 9% of the respondents indicated they adapted the choice of the type of sling based on urethral pressure profilometry parameters. Conclusions Urodynamics are not routinely performed, and outcomes hardly influence the choice of treatment
Original languageEnglish
Pages (from-to)423-428
JournalInternational urogynecology journal and pelvic floor dysfunction
Volume23
Issue number4
DOIs
Publication statusPublished - 2012

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