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. 2012 Apr;23(4):423-8.
doi: 10.1007/s00192-011-1565-2. Epub 2011 Sep 17.

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

Sanne A L van Leijsen  1 , Kirsten B Kluivers, Ben Willem J Mol, Mark E Vierhout, John P F A Heesakkers
Affiliations

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

Sanne A L van Leijsen et al. Int Urogynecol J. 2012 Apr.

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.

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References

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