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©The Author(s) 2015. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Urol. Jul 24, 2015; 4(2): 75-77
Published online Jul 24, 2015. doi: 10.5410/wjcu.v4.i2.75
Published online Jul 24, 2015. doi: 10.5410/wjcu.v4.i2.75
Urodynamic test and female urinary stress incontinence: An open debate
Enrico Finazzi Agrò, Department of Experimental Medicine and Surgery, University of Rome Tor Vergata and UOSD of Functional Urology, Tor Vergata University Hospital, 00133 Rome, Italy
Valerio Iacovelli, School of Specialization in Urology, University of Rome Tor Vergata, 00133 Rome, Italy
Elisabetta Costantini, Department of Surgical and Biomedical Science, Urology and Andrology Clinic, Urogynaecological Section, University of Perugia, 06123 Perugia, Italy
Author contributions: Finazzi Agrò E and Costantini E contributed equally to this work; Iacovelli V contributed to writing the editorial.
Conflict-of-interest statement: None.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Elisabetta Costantini, MD, Urologist, Department of Surgical and Biomedical Science, Urology and Andrology Clinic, Urogynaecological Section, University of Perugia, Piazza Università, 1, 06123 Perugia, Italy. elisabetta.costantini@unipg.it
Telephone: +39-338-9942283 Fax: +39-075-5784416
Received: January 31, 2015
Peer-review started: February 5, 2015
First decision: June 3, 2015
Revised: June 13, 2015
Accepted: July 16, 2015
Article in press: July 17, 2015
Published online: July 24, 2015
Peer-review started: February 5, 2015
First decision: June 3, 2015
Revised: June 13, 2015
Accepted: July 16, 2015
Article in press: July 17, 2015
Published online: July 24, 2015
Abstract
In this editorial we discussed the pros and cons of urodynamics in the assessment of female stress urinary incontinence.
Core tip: In the last few years, the debate on the role of urodynamic tests in the preoperative evaluation of female urinary incontinence is hot. Even in absence of strong evidence, urodynamic investigation (UDI) is used to be considered mandatory before surgery in all female patients affected by stress urinary incontinence, according to several guidelines or recommendations. Nevertheless, a clear demonstration of an improvement of outcomes or change of clinical strategy after UDI was lacking.