Objectives To assess the additional value of ambulatory urodynamics (AUDS) monitoring in the management of patients with unexplained lower urinary tract symptoms. Methods A retrospective review of the urodynamic data at a tertiary referral center between January 2006 and December 2018. During this period 12,123 urodynamic studies were conducted; 430 patients were arranged to have AUDS monitoring because their symptoms were not reproduced with either standard or video urodynamics (UDS). Results A total of 391 patients were included, (360 females, 31 males). Symptoms were reproduced in 74% of cases. The most common AUDS finding was detrusor overactivity with or without incontinence, followed by urodynamic stress incontinence. In 75.7% of the patients, the additional information from AUDS resulted in a change to patient management. Conclusions Additional UDS findings were made in the majority of patients who underwent AUDS. This helped in setting a new treatment plan for the bothersome urinary findings. AUDS monitoring is a useful additional diagnostic tool and can help to guide patient management where symptoms are not explained by standard or video UDS.

Purpose of Review This review will present the inflammatory contracted bladder as a clinical entity and will address its pathophysiology, diagnosis and treatment. Recent Findings The inflammatory contracted bladder is relevant since it is not a recognised urological condition and it can be found in several affections to the urinary tract. Its medical management depends on its aetiology and severity. Summary The inflammatory contracted bladder (ICB) is an ambiguous term that is used to describe the morphology of the inflamed bladder with a reduced volumetric capacity and compliance. This condition is found in some urological pathologies such as bladder outlet obstruction, infections, drug toxicity, radiation cystitis and other inflammatory diseases like interstitial cystitis, malacoplakia and eosinophilic cystitis. This entity is usually presented at the end stage of disease and represents an irreversible damage to the urinary tract.