Details

Autor(en) / Beteiligte

• Nager, Charles W
• Brubaker, Linda
• Litman, Heather J
• Zyczynski, Halina M
• Varner, R. Edward
• Amundsen, Cindy
• Sirls, Larry T
• Norton, Peggy A
• Arisco, Amy M
• Chai, Toby C
• Zimmern, Philippe
• Barber, Matthew D
• Dandreo, Kimberly J
• Menefee, Shawn A
• Kenton, Kimberly
• Lowder, Jerry
• Richter, Holly E
• Khandwala, Salil
• Nygaard, Ingrid
• Kraus, Stephen R
• Johnson, Harry W
• Lemack, Gary E
• Mihova, Marina
• Albo, Michael E
• Mueller, Elizabeth
• Sutkin, Gary
• Wilson, Tracey S
• Hsu, Yvonne
• Rozanski, Thomas A
• Rickey, Leslie M
• Rahn, David
• Tennstedt, Sharon
• Kusek, John W
• Gormley, E. Ann

Titel

A Randomized Trial of Urodynamic Testing before Stress-Incontinence Surgery

Ist Teil von

• The New England journal of medicine, 2012-05, Vol.366 (21), p.1987-1997

Ort / Verlag

Waltham, MA: Massachusetts Medical Society

Erscheinungsjahr

2012

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• This trial assessed the utility of preoperative urodynamic testing in women with uncomplicated stress–predominant urinary incontinence. Women having office evaluation alone had 1-year treatment-success rates noninferior to those of women also having urodynamic testing. In the United States in 2010, approximately 260,000 women underwent surgical treatment of stress urinary incontinence. 1 Urodynamic studies, which assess physiological variables during bladder storage and emptying, are often performed preoperatively to confirm and characterize the clinical features of stress urinary incontinence or to guide decisions about modifications in treatment. 2 – 4 However, these studies have not been shown to improve surgical outcomes, they are uncomfortable and costly (payments allowed by Medicare are greater than $500 for the three-part study), 5 and they increase the risk of urinary tract infection. 6 A Cochrane review 7 and the National Institute for Health and Clinical Excellence . . .