O&G Vivas · Urogynaecology — lower urinary tract evaluation
Urodynamics — structured oral station (12 minutes)
FRANZCOG oral station on when urodynamics is indicated before stress-incontinence surgery (NICE NG123), what it adds before prolapse surgery, ICS-GUP2016 standards and the evidence from randomised trials.
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Target exams
FRANZCOGMRCOGABOG
Prompt
A 62-year-old woman with mixed incontinence, a positive cough stress test and stage II anterior vaginal wall prolapse wants surgery. Does she need urodynamics?
The question
"A 62-year-old woman with mixed urinary incontinence, a positive cough stress test and stage II anterior vaginal wall prolapse wants surgery. Does she need urodynamics, and why?"[1]
References4ShowHide
- [1]National Institute for Health and Care Excellence Urinary incontinence and pelvic organ prolapse in women: management (NG123) — Recommendations NICE guideline NG123, 2019.Source
- [2]Rosier PFWM, Schaefer W, Lose G, et al. International Continence Society Good Urodynamic Practices and Terms 2016: Urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourology and urodynamics, 2017.PMID 27917521
- [3]Glass D, Lin FC, Khan AA, et al. Impact of preoperative urodynamics on women undergoing pelvic organ prolapse surgery. International urogynecology journal, 2020.PMID 31456030
- [4]Nager CW, Brubaker L, Litman HJ, et al. A randomized trial of urodynamic testing before stress-incontinence surgery. The New England journal of medicine, 2012.PMID 22551104