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Urodynamics: Examining the Current Role of UDS Testing. What is the Role of Urodynamic Testing in Light of Recent AUA Urodynamics and Overactive Bladder Guidelines and the VALUE Study?

  • Lower Urinary Tract Symptoms and Voiding Dysfunction (G Badlani and G Goldman, Section Editors)
  • Published:
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Abstract

Urodynamics testing is a diagnostic assessment of the lower urinary tract system composed of multiple tests to obtain physiologic data regarding lower urinary tract function (detrusor and outlet) during storage and emptying. The necessity of urodynamics has been both supported and challenged in various urologic conditions such as urinary incontinence, neurogenic bladder, lower urinary tract symptoms, and bladder outlet obstruction. This review discusses the most recent studies with regards to the utility of urodynamics in current practice, highlighting the recent American Urologic Association Adult Urodynamics and Overactive Bladder Guidelines and the Value of Urodynamic Evaluation study.

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Abbreviations

AUA:

American Urologic Association

BOO:

Bladder outlet obstruction

BPH:

Benign prostatic hyperplasia

CIC:

Clean intermittent catheterization

CMG:

Cystometrogram

DO:

Detrusor overactivity

LPP:

Leak point pressure

LUTS:

Lower urinary tract symptoms

MSA:

Multisystem atrophy

MUCP:

Maximal urethral closure pressure

MUI:

Mixed urinary incontinence

NICE:

National Institute for Health and Clinical Excellence

NGB:

Neurogenic bladder

OAB:

Overactive bladder

PFS:

Pressure-flow studies

POP:

Pelvic organ prolapse

PTNS:

Percutaneous tibial nerve stimulation

PVR:

Post-void residual

SNS:

Sacral neurostimulation

SUI:

Stress urinary incontinence

UI:

Urinary incontinence

UUI:

Urgency urinary incontinence

VLPP:

Valsalva leak point pressure

VALUE:

The Value of Urodynamic Study

VUDS:

Videourodynamics

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of outstanding importance

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Conflict of Interest

Dr. Elizabeth Timbrook Brown reported no potential conflicts of interest relevant to this article.

Dr. Ryan M. Krlin reported receiving honoraria from Astellas and travel/accommodations expenses covered or reimbursed by Medtronic.

Dr. J. Christian Winters reported serving as a board member for SUFU and AUA Urodynamics. Dr. Winters reported receiving consultancies from Astellas, Allergan, Pfizer, and Ferring.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Authors and Affiliations

  1. Louisiana State University and Ochsner Clinic Foundation Urology Resident, 1542 Tulane Ave, Suite 547, New Orleans, LA, 70112, USA

    Elizabeth Timbrook Brown

  2. Department of Urology, Louisiana State University Health Sciences Center, 1542 Tulane Ave, Suite 547, New Orleans, LA, 70112, USA

    Ryan M. Krlin & J. Christian Winters

Authors
  1. Elizabeth Timbrook Brown
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  2. Ryan M. Krlin
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  3. J. Christian Winters
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Correspondence to Elizabeth Timbrook Brown.

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Brown, E.T., Krlin, R.M. & Winters, J.C. Urodynamics: Examining the Current Role of UDS Testing. What is the Role of Urodynamic Testing in Light of Recent AUA Urodynamics and Overactive Bladder Guidelines and the VALUE Study?. Curr Urol Rep 14, 403–408 (2013). https://doi.org/10.1007/s11934-013-0361-6

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  • DOI: https://doi.org/10.1007/s11934-013-0361-6

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