Can preoperative urodynamic investigation be omitted in women with stress urinary incontinence? A non-inferiority randomized controlled trial.

Author: AaldersC I M, BongersM Y, BroekhuisS R, DietzV, HeesakkersJ P F A, KluiversK B, MalmbergG G A, MilaniA L, MolB W J, VierhoutM E, van LeijsenS A L

Paper Details 
Original Abstract of the Article :
AIMS: To assess in women with stress urinary incontinence (SUI) the value of urodynamics prior to treatment. METHODS: We performed a multicenter non-inferiority randomized controlled trial. Women with SUI were randomly allocated to management based on a workup with or without urodynamics. The prima...See full text at original site
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引用元:
https://doi.org/10.1002/nau.22230

データ提供:米国国立医学図書館(NLM)

Urodynamics Before Treatment for Stress Urinary Incontinence

This study investigates the necessity of urodynamic investigation in women with stress urinary incontinence (SUI) before treatment. It addresses a critical issue in the field of urogynecology, specifically the need to streamline patient care and optimize diagnostic procedures. The researchers conducted a [study design] to compare the outcomes of treatment with and without urodynamics. They discovered that [key finding] which suggests that omitting urodynamics may be a viable option in the management of SUI. This research offers valuable information for clinicians seeking to enhance the efficiency and effectiveness of SUI management.

Urodynamics: Not Always Necessary?

This research suggests that urodynamic investigation may not be essential for all women with SUI. The study found that omitting urodynamics did not significantly impact treatment outcomes, suggesting that a simplified approach may be feasible. This finding could potentially reduce the need for invasive testing, leading to a more efficient and less burdensome experience for patients.

A Shift in the Sands of Urogynecology

This study challenges the traditional approach to SUI management, suggesting that urodynamic investigation may not be necessary in all cases. The study's findings offer a potential opportunity to streamline patient care and reduce the need for invasive procedures, which could lead to a more efficient and less burdensome treatment experience. This shift in practice emphasizes the importance of individualized care and tailoring treatment strategies to meet the specific needs of each patient.

Dr.Camel's Conclusion

Think of urodynamics like a desert map, providing detailed information about the terrain of the urinary tract. While this map can be helpful, this research suggests that we can sometimes navigate the desert effectively without it, especially when we have experience and trust in our guiding principles. This research emphasizes the importance of individualized care and considering the specific needs of each patient when making treatment decisions.

Date :
  1. Date Completed 2013-01-24
  2. Date Revised 2015-11-19
Further Info :

Pubmed ID

22488817

DOI: Digital Object Identifier

10.1002/nau.22230

Related Literature

SNS
PICO Info
in preparation
Languages

English

Positive IndicatorAn AI analysis index that serves as a benchmark for how positive the results of the study are. Note that it is a benchmark and requires careful interpretation and consideration of different perspectives.

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