Publication:
The bladder is an unreliable witness: the case for urodynamic investigations in female stress urinary incontinence

dc.contributor.coauthorSerati, Maurizio
dc.contributor.coauthorFinazzi-Agro, Enrico
dc.contributor.coauthorSoligo, Marco
dc.contributor.coauthorBraga, Andrea
dc.contributor.coauthorAthanasiou, Stavros
dc.contributor.coauthorBalzarro, Matteo
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorTarcan, Tufan
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T13:13:31Z
dc.date.issued2020
dc.description.abstractFor some years, the role of urodynamics (UDS) in female stress urinary incontinence (SUI) has been a topic of intense debate. The findings of the VaLUE and VUSIS-11 randomised clinical trials (RCTs) published in 2012 appeared to suggest that UDS is not useful in women with uncomplicated SUI, with the result that several authoritative guidelines were amended and the routine use of UDS in this setting fell sharply. However, many experts have raised concerns about the design of these two RCTs and their subsequent interpretation - including the inappropriate generalisation of the findings beyond uncomplicated cases, which represent only a small minority of the overall patient population. In this paper, we consider a range of issues and confounding factors which raise doubts about how influential these RCTs should have been and reflect on the potential value of UDS both for objective diagnosis and patient counselling in female SUI.
dc.description.fulltextYES
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.indexedbyPubMed
dc.description.openaccessYES
dc.description.publisherscopeInternational
dc.description.sponsoredbyTubitakEuN/A
dc.description.sponsorshipN/A
dc.description.versionPublisher version
dc.description.volume244
dc.identifier.doi10.1016/j.ejogrb.2019.10.046
dc.identifier.eissn1872-7654
dc.identifier.embargoNO
dc.identifier.filenameinventorynoIR02113
dc.identifier.issn0301-2115
dc.identifier.quartileN/A
dc.identifier.scopus2-s2.0-85074769837
dc.identifier.urihttps://hdl.handle.net/20.500.14288/2942
dc.identifier.wos508768900008
dc.keywordsStress urinary incontinence
dc.keywordsUrodynamics
dc.keywordsMid-urethral sling
dc.keywordsSurgery
dc.language.isoeng
dc.publisherElsevier
dc.relation.grantnoNA
dc.relation.ispartofEuropean Journal of Obstetrics _ Gynecology and Reproductive Biology
dc.relation.urihttp://cdm21054.contentdm.oclc.org/cdm/ref/collection/IR/id/8752
dc.subjectMedicine
dc.subjectObstetrics and gynecology
dc.subjectReproductive biology
dc.titleThe bladder is an unreliable witness: the case for urodynamic investigations in female stress urinary incontinence
dc.typeReview
dspace.entity.typePublication
local.contributor.kuauthorTarcan, Tufan
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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