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The Clinical Significance Of The Urodynamic Investigation In Incontinence

Y. Homma
Published 2002 · Medicine

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Urodynamic investigation is a functional assessment of the lower urinary tract to provide a pathophysiological explanation for urinary symptoms and signs [1]. Urinary incontinence is a deficiency in the storage function of the lower urinary tract [2] and results from a complex spectrum of anatomical and physiological disorders [3,4]. Therefore urodynamic studies appear to be indispensable and mandatory to diagnose urinary incontinence and to select appropriate treatments. This statement is valid in investigational situations but it may not be applicable clinically to all incontinent patients. Possibly the information provided by urodynamics is readily obtainable by other means, or the information may only poorly predict treatment outcomes and thus have almost no effect on treatment choice in reality. In this review the clinical significance of urodynamic investigation in urinary incontinence is discussed in relation to symptoms and treatment outcomes. The cost and invasiveness of the urodynamic tests or the treatment are not considered here.
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