Christopher Chapple led the peer-review process as the Associate Editor responsible for the paper.
Fourth International Consultation on Incontinence - Research Society 2013
Do patients with symptoms and signs of lower urinary tract dysfunction need a urodynamic diagnosis? ICI-RS 2013
Article first published online: 20 MAY 2014
© 2014 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 33, Issue 5, pages 581–586, June 2014
How to Cite
Rosier, P. F.W.M., Giarenis, I., Valentini, F. A., Wein, A. and Cardozo, L. (2014), Do patients with symptoms and signs of lower urinary tract dysfunction need a urodynamic diagnosis? ICI-RS 2013. Neurourol. Urodyn., 33: 581–586. doi: 10.1002/nau.22580
Conflict of interest: none.
- Issue published online: 18 JUN 2014
- Article first published online: 20 MAY 2014
- Manuscript Accepted: 5 FEB 2014
- Manuscript Received: 13 DEC 2013
- bladder outlet obstruction;
- evidence summary;
- lower urinary tract dysfunction;
- neurogenic bladder dysfunction;
- overactive bladder;
- post prostatectomy incontinence;
- stress urinary incontinence;
- urinary incontinence
The ICI-RS Think Tank discussed the diagnostic process for patients who present with symptoms and signs of lower urinary tract (LUT) dysfunction. This manuscript reflects the Think Tank's summary and opinion.
An overview of the existing evidence and consensus regarding urodynamic testing was presented and discussed in relation to contemporary treatment strategies.
Evidence of the validity of the diagnostic process in relation to the contemporary management paradigm is incomplete, scattered, and sometimes conflicting and therefore a process redesign may be necessary. The Think Tanks' suggestion, contained in this manuscript, is that the symptoms and signs that the patients present can be more precisely delineated as syndromes. The overactive bladder syndrome (OAB-S); the stress urinary incontinence syndrome (SUI-S); the urinary incontinence syndrome (UI-S); the voiding dysfunction syndrome (VD-S); and or the neurogenic LUT dysfunction syndrome (NLUTD-S) may become evidence based starting point for initial management. Consistent addition of the word syndrome, if adequately defined, acknowledges the uncertainty, but will improve outcome and will improve selection of patients that need further (invasive) diagnosis before management.
The ICS-RS Think Tank has summarized the level of evidence for UDS and discussed the evidence in association with the currently changing management paradigm. The ICI-RS Think Tank recommends that the diagnostic process for patients with LUTD can be redesigned. Carefully delineated and evidence based LUTD syndromes may better indicate, personalize and improve the outcome of initial management, and may also contribute to improved and rational selection of patients for invasive UDS. Neurourol. Urodynam. 33:581–586, 2014. © 2014 Wiley Periodicals, Inc.