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https://hdl.handle.net/2440/85874
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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 1433-3023 |
Statement of Responsibility: | 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 |
Published version: | http://dx.doi.org/10.1007/s00192-011-1565-2 |
Appears in Collections: | Aurora harvest 2 Obstetrics and Gynaecology publications |
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