Ambulatory urodynamics in clinical practice: A single centre experience. Issue 8 (30th August 2019)

• Record Type: Journal Article
• Authors: Cantu, Hector; Sharaf, Ala'a; Bevan, Wendy; Hassine, Anna; Hashim, Hashim
• Is Part Of: Neurourology and urodynamics. Volume 38:Issue 8(2019:Nov.)
• Page Start: 2077
• Page End: 2082
• Publication Date: 2019-08-30
• Subjects: ambulatory urodynamics (AUDS) -- detrusor overactivity (DO) -- detrusor overactivity incontinence (DOI) -- lower urinary tract symptoms (LUTS) -- urodynamics (UDS) -- urodynamic stress incontinence (USI); Urinary organs -- Periodicals; Urodynamics -- Periodicals; Urology -- Periodicals; 616.6
• DOI: 10.1002/nau.24153
• Languages: English
• ISSNs: 0733-2467

Abstract

Abstract: Objectives: To assess the additional value of ambulatory urodynamics (AUDS) monitoring in the management of patients with unexplained lower urinary tract symptoms. Methods: A retrospective review of the urodynamic data at a tertiary referral center between January 2006 and December 2018. During this period 12, 123 urodynamic studies were conducted; 430 patients were arranged to have AUDS monitoring because their symptoms were not reproduced with either standard or video urodynamics (UDS). Results: A total of 391 patients were included, (360 females, 31 males). Symptoms were reproduced in 74% of cases. The most common AUDS finding was detrusor overactivity with or without incontinence, followed by urodynamic stress incontinence. In 75.7% of the patients, the additional information from AUDS resulted in a change to patient management. Conclusions: Additional UDS findings were made in the majority of patients who underwent AUDS. This helped in setting a new treatment plan for the bothersome urinary findings. AUDS monitoring is a useful additional diagnostic tool and can help to guide patient management where symptoms are not explained by standard or video UDS.