The Role of Urodynamics in Female Urinary Stress Incontinence

Abstract

The cystometrograms of 61 patients with a history of stress incontinence and no other urinary symptoms were evaluated. Of the sixty-one patients, seven had unstable bladders and in seven of the patients stress incontinence could not be demonstrated. It was concluded that all patients with stress incontinence in whom surgery is being contemplated should be subjected to urodynamic study regardless of their history.

Overactive bladder symptoms: Do we need urodynamics?

“…In fact, LUTS are not speci¢c, and poor indicators of the underlying cause of the incontinence. Thus, they cannot form a scienti¢c basis for treatment [Byrne et al, 1987;Maes and Wyndaele, 1988].…”

Relationship between urinary symptoms reported in a postal questionnaire and urodynamic diagnosis

“…Although symptoms have consistently failed to predict the diagnosis accurately enough to obviate urodynamic investigation before surgery [Cardozo and Stanton, 1980;Jarvis et al, 1980;Bent et al, 1983;Eastwood and Warrell, 1984;Byrne et al, 1987;Korda et al, 1987;Versi et al, 1991;Haeusler et al, 1995;Ramsay et al, 1995;Clarke, 1997;Kirschner-Hermanns et al, 1998;Amundsen et al, 1999], most people with lower urinary tract symptoms (LUTS), including incontinence, will not require surgery. There is evidence that many surgeons in secondary care do not have access to urodynamic investigations or do not utilize them preoperatively [Duggan et al, 2003].…”

Transvaginal colposuspension for the treatment of genuine stress incontinence combined with vaginal hysterectomy: a preliminary report

“…Proper patient selection is essential [1], and surgical approaches have evolved from an anterior vaginal repair followed by the suprapubic approach to the different needle suspension procedures. Based on the knowledge that cure of genuine stress incontinence in the female depends upon moving the vesical neck to a position forward and upward behind the symphysis pubis, we describe a simple and fast vaginal operative procedure which we combine with vaginal hysterectomy.…”