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Ambulatory Urodynamic Findings Change Patient Outcomes
- Source :
- Société Internationale d’Urologie Journal, Vol 2, Iss 6, Pp 354-361 (2021)
- Publication Year :
- 2021
- Publisher :
- The Société Internationale d’Urologie (SIU), 2021.
-
Abstract
- Objectives: Whilst ambulatory urodynamics (aUDS) may be used as a second-stage test for patients with refractory lower urinary tract symptoms (LUTS) having non-diagnostic conventional urodynamics (UDS), the evidence for their use is limited. We have assessed the diagnostic utility and consequent symptomatic outcome of aUDS in patients with refractory LUTS. Methods: A retrospective review of a prospectively acquired urodynamics database was made of 84 consecutive patients (23 male) with a median age 50.5 years (range 18 to 79) having aUDS following non-diagnostic or contradictory baseline UDS over a 12-month period. Patient demographics and urodynamic and clinical diagnosis before and after aUDS were recorded. Forty-six patients (55%) had formal urinary symptom assessment recorded before and a minimum of 6 months following aUDS-related change in management. Results: Eighty-two patients (98%) had a urodynamic diagnosis made following aUDS, 57(68%) of whom had detrusor overactivity (DO); the final 2 patients had no abnormalities detected on aUDS. Change in primary UDS diagnosis occurred in 66 patients (79%). Of these 66 patients, 59 (89%) also had their clinical diagnosis changed, and 55 (83%) had their management pathway changed. There was a significant improvement in urinary symptoms 6 months following aUDS. Conclusion: Change in primary diagnosis following aUDS led to a significant change in treatment care pathway and resulted in significant improvement in urinary symptoms
Details
- Language :
- English
- ISSN :
- 25636499
- Volume :
- 2
- Issue :
- 6
- Database :
- Directory of Open Access Journals
- Journal :
- Société Internationale d’Urologie Journal
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.802a972a7b0b45948a95f84b49be1852
- Document Type :
- article
- Full Text :
- https://doi.org/10.48083/MHMI1178