Urodynamic studies affect diagnoses, but not treatment

January 3, 2013
Urodynamic studies affect diagnoses, but not treatment
Although preoperative urodynamic studies frequently change clinical diagnoses, they rarely lead to changes in the surgical or global treatment plans for women with stress urinary incontinence, according to research published in the January issue of The Journal of Urology.

(HealthDay)—Although preoperative urodynamic studies frequently change clinical diagnoses, they rarely lead to changes in the surgical or global treatment plans for women with stress urinary incontinence (UI), according to research published in the January issue of The Journal of Urology.

To examine the effect of preoperative urodynamic studies on global treatment plans, Larry T. Sirls, M.D., of the William Beaumont Hospital in Royal Oak, Mich., and colleagues conducted a secondary analysis of data from a involving 294 women with uncomplicated stress UI who were randomized to preoperative urodynamic studies.

The researchers found that, in 56.8 percent of women, urodynamic studies changed the office evaluation diagnoses, significantly reducing the diagnoses of -wet, overactive bladder-dry, and intrinsic sphincter deficiency, and significantly increasing the diagnosis of voiding dysfunction. After urodynamic studies, surgery was cancelled for 1.4 percent of women, the incontinence procedure was changed for 4.4 percent, and plans were made to modify the mid urethral sling tension in 6.8 percent of women. For 14 percent of women, nonoperative treatment plans were changed. Treatment plan changes were not linked to (odds ratio, 0.96; P = 0.92) but did correlate with significantly increased postoperative treatment for urge UI (odds ratio, 3.23).

"Urodynamic studies significantly changed clinical diagnoses but infrequently changed the global treatment plan or influenced surgeon decision to cancel, change or modify surgical plans," the authors write. "Global treatment plan changes were associated with increased treatment for postoperative urgency urinary incontinence."

Several authors disclosed financial ties to the pharmaceutical industry.

Explore further: Drug treatment for urinary incontinence effective, but side-effects can derail success

More information: Abstract
Full Text

Related Stories

PTSD linked to urinary incontinence in female veterans

June 1, 2012

(HealthDay) -- Posttraumatic stress disorder (PTSD) is independently associated with urgency/mixed urinary incontinence (UI) symptoms in female veterans, according to a study published in the June issue of the American Journal ...

Similar presentation for bladder outlet obstructions

July 9, 2012

(HealthDay) -- Women with dysfunctional voiding (DV) and primary bladder neck obstruction (PBNO) have similar clinical presentation, with poorer emptying for those with PBNO, according to a study published in the July issue ...

Sling offers lasting benefit for stress urinary incontinence

October 22, 2012

(HealthDay)—Stress urinary incontinence treatment with a distal urethral polypropylene sling procedure is associated with excellent long-term efficacy and durability, according to research published in the November issue ...

Recommended for you

Cellphone data can track infectious diseases

August 20, 2015

Tracking mobile phone data is often associated with privacy issues, but these vast datasets could be the key to understanding how infectious diseases are spread seasonally, according to a study published in the Proceedings ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.