Citation for full version of review: Clement KD, Lapitan MCM, Omar MI, Glazener CMA. Urodynamic studies for management of urinary incontinence in children and adults. Cochrane Database of Systematic Reviews 2013, Issue 10. Art. No.: CD003195. D O I: 10.1002/14651858.CD003195.pub3.
Urodynamic studies for management of urinary incontinence in children and adults: A short version Cochrane systematic review and meta-analysis
Article first published online: 22 MAY 2014
© 2014 Wiley Periodicals, Inc.
Neurourology and Urodynamics
Volume 34, Issue 5, pages 407–412, June 2015
How to Cite
Clement, K. D., Lapitan, M. C. M., Omar, M. I. and Glazener, C. M. A. (2015), Urodynamic studies for management of urinary incontinence in children and adults: A short version Cochrane systematic review and meta-analysis. Neurourol. Urodyn., 34: 407–412. doi: 10.1002/nau.22584
This paper is based on a Cochrane review (Clement 2013) published in The Cochrane Library (see www.thechochranelibrary.com for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and The Cochrane Library should be consulted for the most recent version of the review. If you wish to comment on this or other Cochrane Reviews, please use the Cochrane Library Feedback System. The results of a Cochrane Review can be interpreted differently, depending on people's perspectives and circumstances. Please consider the conclusions presented carefully. They are the opinions of the review authors, and are not necessarily shared by The Cochrane Collaboration.
Contributions of authors: All review authors independently assessed the studies for inclusion, extracted data and wrote the text.
Christopher Chapple led the peer-review process as the Associate Editor responsible for the paper.
Conflict of interest: none.
- Issue published online: 13 JUN 2015
- Article first published online: 22 MAY 2014
- Manuscript Accepted: 18 FEB 2014
- Manuscript Received: 17 FEB 2014
- National Institute for Health Research (NIHR)
- Cochrane systematic review;
- randomized controlled trials;
- urinary incontinence;
Urodynamic tests are used to investigate people who have urinary incontinence or other urinary symptoms in order to make an objective diagnosis. The investigations are invasive and time consuming.
To determine if treatment according to a urodynamic-based diagnosis, compared to treatment based on history and examination, leads to more effective clinical care and better clinical outcomes.
Cochrane Incontinence Group Specialized Register (searched February 19, 2013); reference lists of relevant articles.
Randomized and quasi-randomized trials in people who were and were not investigated using urodynamics, or comparing one type of urodynamic test against another.
Data Collection and Analysis
At least two independent review authors carried out trial assessment, selection, and data abstraction.
We found eight trials but data were available for only 1,036 women in seven trials. Women undergoing urodynamics were more likely to have their management changed (17% vs. 3%, risk ratio [RR] 5.07, 95% CI 1.87–13.74). Two trials suggested that women were more likely to receive drugs (RR 2.09, 95% CI 1.32–3.31), but, in five trials, women were not more likely to undergo surgery (RR 0.99, 95% CI 0.88–1.12).
There was no statistically significant difference in urinary incontinence in women who had urodynamics (37%) compared with those undergoing history and clinical examination alone (36%) (RR 1.02, 95% CI 0.86–1.21).
While urodynamics did change clinical decision-making, there was some high-quality evidence that this did not result in lower urinary incontinence rates after treatment. Neurourol. Urodynam. 34:407–412, 2015. © 2014 Wiley Periodicals, Inc.