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Type: Journal article
Title: The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence
Author: van Leijsen, S.
Kluivers, K.
Mol, B.
Vierhout, M.
Heesakkers, J.
Citation: International Urogynecology Journal and Pelvic Floor Dysfunction, 2012; 23(4):423-428
Publisher: Springer-Verlag
Issue Date: 2012
ISSN: 0937-3462
Statement of
Sanne A. L. van Leijsen, Kirsten B. Kluivers, Ben Willem J. Mol, Mark E. Vierhout, John P. F. A. Heesakkers
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.
Keywords: Urodynamics; stress urinary incontinence; surgery; practice variation
Rights: © The Author(s) 2011
DOI: 10.1007/s00192-011-1565-2
Appears in Collections:Aurora harvest 2
Obstetrics and Gynaecology publications

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