2022
DOI: 10.3390/medicina58030341
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The Learning Curve of Urodynamics for the Evaluation of Lower Urinary Tract Symptoms

Abstract: Background and Objectives: Urodynamics is considered the gold standard for lower urinary tract functional assessment. However, it requires very specific skills and training, which are currently difficult to master due to its reduced use. Moreover, no studies or data are available to define the workload and the learning curve of this diagnostic tool. As a consequence, we aimed to evaluate the learning curve of residents with no previous experience to correctly perform and interpret urodynamics, and properly add… Show more

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Cited by 5 publications
(5 citation statements)
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“…Although the ventral midline approach is preferable to the lateral flank approach in ovariohysterectomy, each method has its advantages and disadvantages (22,28,35,43). In large wild animals, the ventral midline approach may result in delayed wound healing at the surgical site and increased risk of potential rupture (9,27,31,34). Bears are wild animals that are dangerous and difficult to manage.…”
Section: Discussionmentioning
confidence: 99%
“…Although the ventral midline approach is preferable to the lateral flank approach in ovariohysterectomy, each method has its advantages and disadvantages (22,28,35,43). In large wild animals, the ventral midline approach may result in delayed wound healing at the surgical site and increased risk of potential rupture (9,27,31,34). Bears are wild animals that are dangerous and difficult to manage.…”
Section: Discussionmentioning
confidence: 99%
“…Diagnostic confirmation may involve urodynamic evaluation due to the well-established poor correlation between clinics and instrumental findings in bladder dysfunctions [ 15 , 16 ]. However, the role of urodynamics is currently under debate due to different definitions and inconstant performance [ 17 , 18 ]. Management can vary from conservative to surgical treatment according to the severity of symptoms, their impact on quality of life, and the patient’s medical history and comorbidities.…”
Section: Introductionmentioning
confidence: 99%
“…Urodynamics may be useful to confirm the diagnosis since clinical and instrumental findings poorly agree in the evaluation of bladder dysfunction [ 17 , 18 ]. However, its diagnostic importance in the work-up of urinary incontinence is currently debated due to differences in performance and adopted definitions [ 19 , 20 ]. Stress urinary incontinence management involves both surgical and conservative treatments based on the patient’s will, comorbidities, and quality-of-life impairment.…”
Section: Introductionmentioning
confidence: 99%