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International Urogynecology Journal
Published in: International Urogynecology Journal 4/2012

Open Access 01-04-2012 | Original Article

The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence

Authors: Sanne A. L. van Leijsen, Kirsten B. Kluivers, Ben Willem J. Mol, Mark E. Vierhout, John P. F. A. Heesakkers

Published in: International Urogynecology Journal | Issue 4/2012

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Abstract

Introduction and hypothesis

The aim of this study is to assess variations in practice in the use of preoperative urodynamics in women with stress urinary incontinence (SUI).

Methods

We performed an E-survey among all Dutch gynecologists and urologists who have SUI as focus in daily practice. The questions concerned the common policy and preferred policy. Descriptive statistics were used.

Results

Of the 260 targeted specialists, 163 (63%) responded. We found that 37% of the respondents performed standard preoperative urodynamics; in the preferred practice, this would reduce to only 18%. Eighty percent indicated they would operate a patient with a positive stress test without urodynamic SUI, whereas 21% would do this also in case the clinical stress test was negative. Only 9% of the respondents indicated they adapted the choice of the type of sling based on urethral pressure profilometry parameters.

Conclusions

Urodynamics are not routinely performed, and outcomes hardly influence the choice of treatment.
Appendix
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Metadata
Title
The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence
Authors
Sanne A. L. van Leijsen
Kirsten B. Kluivers
Ben Willem J. Mol
Mark E. Vierhout
John P. F. A. Heesakkers
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 4/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1565-2

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