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The effect of urodynamic testing on clinical diagnosis, treatment plan and outcomes in women undergoing stress urinary incontinence surgery.

Author: , GoldmanHoward B, KentonKimberly, KrausStephen R, KusekJohn W, LemackGary E, LitmanHeather J, LukaczEmily S, NortonPeggy, RichterHolly E, RickeyLeslie, SirlsLarry T, WeidnerAlison, ZyczynskiHalina M

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Multicenter StudyResearch conducted in collaboration with multiple research institutions. It aims to collect a wide range of data and obtain more generalizable results.
Randomized Controlled TrialA clinical trial that randomly assigns participants to treatment and control groups to evaluate the effects of an intervention.
Research Support, N.I.H., ExtramuralResearch funding provided by the NIH to external research institutions and researchers.

Overview

Preoperative urodynamic studies significantly changed diagnoses but had limited impact on global treatment plans for stress predominant urinary incontinence.
Paper Details　
Original Abstract of the Article :
PURPOSE: We evaluated the influence of preoperative urodynamic studies on diagnoses, global treatment plans and outcomes in women treated with surgery for uncomplicated stress predominant urinary incontinence. MATERIALS AND METHODS: We performed a secondary analysis from a multicenter, randomized t...See full text at original site
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引用元：
https://pubmed.ncbi.nlm.nih.gov/22982425

データ提供：米国国立医学図書館（NLM）

Urodynamic Testing: A Guiding Light for Stress Urinary Incontinence Surgery

This study investigates the impact of preoperative urodynamic testing on diagnoses, treatment plans, and outcomes in women undergoing surgery for stress urinary incontinence (SUI). The research aims to evaluate the clinical value of urodynamic testing in guiding surgical decision-making and optimizing surgical outcomes for SUI patients.

Urodynamic Testing: A Powerful Diagnostic Tool for SUI

The study demonstrates the significant influence of urodynamic testing on clinical diagnoses, revealing that urodynamic testing frequently altered initial diagnoses. The study also found that urodynamic testing had a limited impact on overall treatment plans, with only a small percentage of patients experiencing changes in surgical plans or decisions to cancel surgery. While urodynamic testing did not significantly influence treatment success, it was associated with an increased need for postoperative treatment for urge urinary incontinence.

Navigating the Complexities of SUI: Balancing Diagnostic Tools and Clinical Judgment

The study emphasizes the importance of a comprehensive approach to managing SUI, combining clinical evaluation with urodynamic testing. While urodynamic testing provides valuable information, it's crucial to consider other factors, such as patient history, symptoms, and individual preferences, when making treatment decisions. The study also underscores the importance of addressing potential postoperative issues, such as urge urinary incontinence, to optimize long-term outcomes for patients.

Dr.Camel's Conclusion

This study provides valuable insights into the role of urodynamic testing in managing SUI. The research highlights the diagnostic power of urodynamic testing while acknowledging its limited impact on overall treatment plans. The study emphasizes the importance of a comprehensive approach, combining urodynamic testing with clinical judgment and careful consideration of individual patient needs, to optimize treatment outcomes for SUI patients.

Date :
  1. Date Completed 2013-02-11
  2. Date Revised 2021-10-21
Further Info :

Pubmed ID

22982425

DOI: Digital Object Identifier

NIHMS630837

Related Literature

Article Analysis
・Effective treatment of urinary incontinence
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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