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[Urodynamic studies prior to urinary incontinence surgery : What is useful?]

Authors
  • Kaufmann, A1
  • 1 Zentrum für Kontinenz und Neuro-Urologie, Kliniken Maria Hilf GmbH, Akademisches Lehrkrankenhaus der Uniklinik RWTH Aachen, Viersener Straße 450, 41063, Mönchengladbach, Deutschland. [email protected]
Type
Published Article
Journal
Der Urologe. Ausg. A
Publication Date
Dec 01, 2017
Volume
56
Issue
12
Pages
1539–1547
Identifiers
DOI: 10.1007/s00120-017-0530-1
PMID: 29079907
Source
Medline
Keywords
License
Unknown

Abstract

Surgery is often necessary after failure of conservative therapy for urinary incontinence. Guidelines recommend urodynamic studies before surgery. A distinction is made between non-invasive (uroflowmetry) and invasive methods (cystometry and pressure-flow study, if necessary as combined videourodynamics, as well as urethral pressure profile). All examinations serve to objectify and quantify the symptoms, to correctly assign symptoms to the pathophysiology and anatomy as well as to identify risk factors, which often have a significant influence on the success of surgical therapy. Given appropriate experience, complications and often significant sequelae of bladder dysfunction affecting the patient's quality of life and life expectancy can be recognized. Urodynamic studies are performed to help narrow down potential diagnoses, to develop therapeutic strategies, and to obtain prognostic parameters. The following article is intended to provide some support.

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