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Does preoperative urodynamics improve outcomes for women undergoing surgery for stress urinary incontinence? A systematic review and meta-analysis.

Author: LattheP, RachaneniS

Journal ArticleAn article published in an academic or professional journal that reports original research or scholarly analysis.
Meta-AnalysisA statistical technique that integrates the results of multiple studies to draw more general conclusions about a particular issue.
Research Support, Non-U.S. Gov'tResearch funding provided by government agencies outside the United States.
ReviewAn article that critically examines existing research on a particular topic and summarizes the current state of knowledge in the field.
Systematic ReviewA review that systematically collects, evaluates, and integrates relevant research to answer a specific research question.

Overview

A systematic review of four randomized controlled trials (RCTs) evaluated the effectiveness of urodynamics in improving surgical outcomes in women with stress urinary incontinence (SUI) or stress-predominant mixed urinary incontinence (MUI). The review found no statistically significant difference in subjective cure, objective cure, voiding dysfunction, or urinary urgency between women who received office evaluation and urodynamics and those who received office evaluation only.
Paper Details　
Original Abstract of the Article :
BACKGROUND: Urodynamics is widely used in the investigation of urinary incontinence. The existing evidence questions its add-on value in improving the outcome of surgical treatment for stress urinary incontinence (SUI). OBJECTIVES: To compare the surgical outcomes in women with SUI or stress-predom...See full text at original site
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引用元：
https://doi.org/10.1111/1471-0528.12954

データ提供：米国国立医学図書館（NLM）

Urodynamics: A Guiding Light in the Desert of Stress Urinary Incontinence

This study explores the complex and often challenging desert of stress urinary incontinence (SUI) treatment. The researchers investigate the role of urodynamics, a diagnostic tool that measures bladder function, in improving surgical outcomes for women with SUI. The study examines whether urodynamics provides a more accurate diagnosis and ultimately leads to better surgical outcomes, like a compass guiding us through the complexities of this condition.

Navigating the Sands of SUI Treatment: Urodynamics, a Guiding Light

The study found no significant difference in surgical outcomes between women who underwent urodynamic evaluation and those who did not. This suggests that a careful office evaluation, like a reliable map, can be sufficient for guiding treatment decisions for SUI. However, it's important to note that this study only included women undergoing primary surgery for SUI, and further research may be needed to explore the role of urodynamics in other contexts, such as for complex cases or recurrent incontinence.

Finding the Right Path in the Desert of Incontinence

For women struggling with SUI, finding the right treatment can feel like a journey through a vast and uncertain desert. This study sheds light on the value of urodynamics in guiding surgical decisions. While a thorough office evaluation may be sufficient for many cases, it's important to discuss individual needs and options with a healthcare professional to ensure a personalized approach to treatment.

Dr.Camel's Conclusion

This study helps us navigate the complex terrain of SUI treatment. While urodynamics can be a valuable tool for diagnosis, a careful office evaluation may be sufficient for many patients. The study highlights the importance of personalized care and open communication with a healthcare professional to find the most suitable treatment path in the desert of incontinence.

Date :
  1. Date Completed 2015-03-05
  2. Date Revised 2022-03-17
Further Info :

Pubmed ID

25041381

DOI: Digital Object Identifier

10.1111/1471-0528.12954

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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