The bladder is an unreliable witness: The case for urodynamic investigations in female stress urinary incontinence.

Diagnostic Techniques, Urological Female Gynecologic Surgical Procedures Humans Preoperative Care Suburethral Slings Urinary Bladder / physiopathology Urinary Incontinence, Stress / diagnosis Urodynamics
Mid-urethral sling Stress urinary incontinence Surgery Urodynamics

Journal

European journal of obstetrics, gynecology, and reproductive biology
ISSN: 1872-7654
Titre abrégé: Eur J Obstet Gynecol Reprod Biol
Pays: Ireland
ID NLM: 0375672

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 21 09 2019
revised: 25 10 2019
accepted: 29 10 2019
pubmed: 16 11 2019
medline: 13 11 2020
entrez: 16 11 2019
Statut: ppublish

Résumé

For some years, the role of urodynamics (UDS) in female stress urinary incontinence (SUI) has been a topic of intense debate. The findings of the VaLUE and VUSIS-II randomised clinical trials (RCTs) published in 2012 appeared to suggest that UDS is not useful in women with uncomplicated SUI, with the result that several authoritative guidelines were amended and the routine use of UDS in this setting fell sharply. However, many experts have raised concerns about the design of these two RCTs and their subsequent interpretation - including the inappropriate generalisation of the findings beyond uncomplicated cases, which represent only a small minority of the overall patient population. In this paper, we consider a range of issues and confounding factors which raise doubts about how influential these RCTs should have been and reflect on the potential value of UDS both for objective diagnosis and patient counselling in female SUI.

Identifiants

DOI: 10.1016/j.ejogrb.2019.10.046 PMID: 31731022
pubmed: 31731022
pii: S0301-2115(19)30502-0
doi: 10.1016/j.ejogrb.2019.10.046
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

35-37

Informations de copyright

Copyright © 2019 Elsevier B.V. All rights reserved.

Auteurs

Maurizio Serati (M)

Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy. Electronic address: mauserati@hotmail.com.

Tufan Tarcan (T)

Department of Urology, Marmara University School of Medicine and Koç University School of Medicine, Istanbul, Turkey.

Enrico Finazzi-Agrò (E)

Department of Surgical Sciences, University of Rome Tor Vergata, Urology Unit, Tor Vergata University Hospital, Italy.

Marco Soligo (M)

Department of Women, Mothers and Neonates, Buzzi Children's Hospital, ASST Fatebenefratelli Sacco, University of Milan, Milan, Italy.

Andrea Braga (A)

Department of Obstetrics and Gynecology, EOC - Beata Vergine Hospital, Mendrisio, Switzerland.

Stavros Athanasiou (S)

Department of Obstetrics and Gynecology, National and Kapodistrian University of Athens and Alexandra Hospital, Athens, Greece.

Matteo Balzarro (M)

Department of Urology, Azienda Ospedaliera Universitaria Integrata of Verona, Verona, Italy.

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Classifications MeSH

questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic urologique › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie urogénitale › Procédures de chirurgie gynécologique › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Soins aux patients › Soins périopératoires › Soins préopératoires › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Équipement et fournitures › Prothèses et implants › Bandelettes sous-urétrales › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Appareil urogénital › Voies urinaires › Vessie urinaire › The bladder is an unreliable witness: The case...
questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Manifestations urologiques › Symptômes de l'appareil urinaire inférieur › Incontinence urinaire › Incontinence urinaire d'effort › The bladder is an unreliable witness: The case...
questionsmedicales.fr › Phénomènes physiologiques des appareils urinaire et reproducteur › Phénomènes physiologiques des voies urinaires › Urodynamique › The bladder is an unreliable witness: The case...