Authors' response re: Do preoperative urodynamics still have a role in female stress urinary incontinence? Neurourol Urodyn 2013;32:1144–5

Urodynamics Useless in Female Stress Urinary Incontinence? Time for Some Sense—A European Expert Consensus

“…Robustly designed RCTs must always be welcomed, and if their findings challenge accepted clinical practice, they must be taken very seriously. However, no fewer than six major criticisms of the VALUE and VUSIS studies have been highlighted [14,15,[21][22][23][24][25][26][27][28][29][30][31][32][33][34][35], including the fact that the narrow participant cohort was unrepresentative of the SUI population. These criticisms are explained in full in Table 1.…”

“…1. Authors of the VUSIS studies argue that the strength of their research was its focus on a "homogenous group of women with predominant SUI" [24]. Del Popolo et al [25] countered that, by excluding women with conditions such as low leak point pressure, low maximum urethral closure pressure, pelvic organ prolapse, previous failed surgery, or voiding dysfunction, the VUSIS (and VALUE) studies focused on the subpopulation least likely to benefit from UDS.…”