Urodynamic data provides the basis for sound management of lower urinary tract dysfunction (LUTD). However as explained in Chapter 4, UDS follow a proper evaluation of the patient by symptom analysis, physical examination, urine microscopy and abdominal X-ray or ultrasound. This assessment may provide the basis for an initial period of empiric treatment, because precise diagnosis by UDS in every woman with incontinence and every older man with LUTS is not practical in most areas of the world. This chapter is intended to provide no more than the principles involved in treatment and their relationship with urodynamic investigation at different levels. The principles of treatment are common to all patient groups, although some treatments are not applicable initially; for example, bladder training for detrusor instability cannot be used, in the accepted sense, in patients without bladder sensation.
KeywordsDetrusor Overactivity Bladder Outlet Obstruction Spinal Cord Injury Patient Detrusor Instability Lower Urinary Tract Dysfunction
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