Excerpt
Current clinical practice in the assessment of women before stress urinary incontinence (SUI) surgery varies. Urodynamic assessment might add additional useful information to the clinical assessment to confirm the diagnosis or plan management of SUI. It was noted in the previous NICE guideline on urinary incontinence in women (CG171) that urodynamic investigation was not essential in every woman before primary surgery for stress urinary incontinence and so a recommendation was made that it should not be performed routinely (as a diagnostic tool) for women with a clearly defined clinical diagnosis of pure SUI. This recommendation only applied to a relatively small proportion of women, who have SUI but no symptoms of OAB and no recommendation was made about the use of urodynamic assessment before primary surgery in women who do not have pure SUI. This review aims to clarify previous recommendations by determining whether the addition of urodynamic assessment prior to SUI surgery improves outcomes for women.
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0000 [Epub]
National Guideline Alliance (UK)