Ambulatory Urodynamic Findings Change Patient Outcomes
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 sym...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Société Internationale d’Urologie Journal |
| Subjects: | |
| Online Access: | https://siuj.org/index.php/siuj/article/view/148/84 |
| _version_ | 1797227230605082624 |
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| author | Richard G. Axell Vahit Guzelburc Habiba Yasmin Bogdan Toia Mahreen H. Pakzad Rizwan Hamid Jeremy L. Ockrim Tamsin J. Greenwell |
| author_facet | Richard G. Axell Vahit Guzelburc Habiba Yasmin Bogdan Toia Mahreen H. Pakzad Rizwan Hamid Jeremy L. Ockrim Tamsin J. Greenwell |
| author_sort | Richard G. Axell |
| collection | DOAJ |
| description | 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 |
| first_indexed | 2024-04-24T14:37:30Z |
| format | Article |
| id | doaj.art-802a972a7b0b45948a95f84b49be1852 |
| institution | Directory Open Access Journal |
| issn | 2563-6499 |
| language | English |
| last_indexed | 2024-04-24T14:37:30Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Société Internationale d’Urologie Journal |
| spelling | doaj.art-802a972a7b0b45948a95f84b49be18522024-04-02T23:18:13ZengMDPI AGSociété Internationale d’Urologie Journal2563-64992021-11-012635436110.48083/MHMI1178Ambulatory Urodynamic Findings Change Patient OutcomesRichard G. AxellVahit GuzelburcHabiba YasminBogdan ToiaMahreen H. PakzadRizwan HamidJeremy L. OckrimTamsin J. GreenwellObjectives: 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 symptomshttps://siuj.org/index.php/siuj/article/view/148/84lower urinary tract symptomsoveractive bladderurinary leakagedetrusor overactivityurge urinary incontinencestress urinary incontinencevoiding dysfunctionambulatory urodynamics |
| spellingShingle | Richard G. Axell Vahit Guzelburc Habiba Yasmin Bogdan Toia Mahreen H. Pakzad Rizwan Hamid Jeremy L. Ockrim Tamsin J. Greenwell Ambulatory Urodynamic Findings Change Patient Outcomes Société Internationale d’Urologie Journal lower urinary tract symptoms overactive bladder urinary leakage detrusor overactivity urge urinary incontinence stress urinary incontinence voiding dysfunction ambulatory urodynamics |
| title | Ambulatory Urodynamic Findings Change Patient Outcomes |
| title_full | Ambulatory Urodynamic Findings Change Patient Outcomes |
| title_fullStr | Ambulatory Urodynamic Findings Change Patient Outcomes |
| title_full_unstemmed | Ambulatory Urodynamic Findings Change Patient Outcomes |
| title_short | Ambulatory Urodynamic Findings Change Patient Outcomes |
| title_sort | ambulatory urodynamic findings change patient outcomes |
| topic | lower urinary tract symptoms overactive bladder urinary leakage detrusor overactivity urge urinary incontinence stress urinary incontinence voiding dysfunction ambulatory urodynamics |
| url | https://siuj.org/index.php/siuj/article/view/148/84 |
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