Current Status of Urodynamics for Evaluation of Incontinence

Benjamin M. Whittam, Melissa R. Kaufman, Roger R. Dmochowski

Research output: Contribution to journalReview article

Abstract

Urinary incontinence, defined by the International Continence Society as the complaint of any involuntary leakage of urine, remains a condition with profound impact for the individual patient and global medical economics. The etiology of a patient's urinary incontinence can be difficult to determine, even when using a combination approach of symptom appraisal, thorough history and physical examination, and noninvasive testing. Urodynamic evaluation provides an objective analysis of the storage and voiding aspects of detrusor function, often delineating the underlying mechanisms for bladder or sphincter dysfunction resulting in incontinence. This review summarizes current literature regarding recommendations for utilization of urodynamics in the evaluation of incontinence. Herein we recap the available data regarding use of urodynamics in intrinsic sphincter deficiency, overactive bladder, bladder outlet obstruction, and neurological disease. We intend for these data to highlight the need for a structured evaluation and treatment of urinary incontinence and appropriate use of resources to accommodate the dual missions of patient care and fiscal responsibility.

Original languageEnglish (US)
Pages (from-to)168-174
Number of pages7
JournalCurrent Bladder Dysfunction Reports
Volume5
Issue number3
DOIs
StatePublished - May 10 2010
Externally publishedYes

Keywords

  • Bladder outlet obstruction
  • Female incontinence
  • Incontinence
  • Intrinsic sphincter deficiency
  • Male incontinence
  • Overactive bladder
  • Stress urinary incontinence
  • Urodynamics

ASJC Scopus subject areas

  • Biochemistry
  • Molecular Biology

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