Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction
Lower urinary tract symptoms (LUTS) are complicated and cannot be used alone to diagnose lower urinary tract dysfunctions (LUTDs) and guide treatment. Patients with bladder outlet obstruction (BOO), impaired detrusor contractility, and hypersensitive bladder might present with voiding predominant sy...
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2020-01-01
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doaj-92e2394a86754bca98c946c9442ed9e82020-11-25T02:57:22ZengWolters Kluwer Medknow PublicationsTzu-Chi Medical Journal1016-31902223-89562020-01-0132212113010.4103/tcmj.tcmj_178_19Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunctionYuan-Hong JiangSheng-Fu ChenHann-Chorng KuoLower urinary tract symptoms (LUTS) are complicated and cannot be used alone to diagnose lower urinary tract dysfunctions (LUTDs) and guide treatment. Patients with bladder outlet obstruction (BOO), impaired detrusor contractility, and hypersensitive bladder might present with voiding predominant symptoms, whereas patients with detrusor overactivity (DO), dysfunctional voiding, or BOO might also present with storage symptoms. To clearly identify the pathophysiology of LUTD, a comprehensive urodynamic study (UDS) including pressure flow and image during the storage and emptying phases, naming videourodynamic study (VUDS), is necessary. This study is especially mandatory in the diagnosis of (1) male LUTS refractory to medical treatment for benign prostatic hyperplasia, (2) female voiding dysfunction and urinary retention, (3) diagnosis of overactive bladder syndrome refractory to first-line medication, (4) management of female stress urinary incontinence and postoperative LUTS, (5) diagnosis and management of neurogenic LUTD, (6) pediatric urinary incontinence and enuresis, (7) geriatric urinary incontinence, and (8) recurrent bacterial cystitis. Although VUDS should not be used as a screening test for any LUTS, it should be considered when the initial management cannot relieve LUTS, or when invasive surgical procedure is planning to undertake for patients with refractory LUTS. VUDS should be recommended as the second-line investigation when the initial diagnosis and treatment based on the symptoms alone or noninvasive tests fail to improve LUTS.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=2;spage=121;epage=130;aulast=Jiangdiagnosislower urinary tract symptomstreatmenturodynamics |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yuan-Hong Jiang Sheng-Fu Chen Hann-Chorng Kuo |
spellingShingle |
Yuan-Hong Jiang Sheng-Fu Chen Hann-Chorng Kuo Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction Tzu-Chi Medical Journal diagnosis lower urinary tract symptoms treatment urodynamics |
author_facet |
Yuan-Hong Jiang Sheng-Fu Chen Hann-Chorng Kuo |
author_sort |
Yuan-Hong Jiang |
title |
Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
title_short |
Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
title_full |
Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
title_fullStr |
Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
title_full_unstemmed |
Role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
title_sort |
role of videourodynamic study in precision diagnosis and treatment for lower urinary tract dysfunction |
publisher |
Wolters Kluwer Medknow Publications |
series |
Tzu-Chi Medical Journal |
issn |
1016-3190 2223-8956 |
publishDate |
2020-01-01 |
description |
Lower urinary tract symptoms (LUTS) are complicated and cannot be used alone to diagnose lower urinary tract dysfunctions (LUTDs) and guide treatment. Patients with bladder outlet obstruction (BOO), impaired detrusor contractility, and hypersensitive bladder might present with voiding predominant symptoms, whereas patients with detrusor overactivity (DO), dysfunctional voiding, or BOO might also present with storage symptoms. To clearly identify the pathophysiology of LUTD, a comprehensive urodynamic study (UDS) including pressure flow and image during the storage and emptying phases, naming videourodynamic study (VUDS), is necessary. This study is especially mandatory in the diagnosis of (1) male LUTS refractory to medical treatment for benign prostatic hyperplasia, (2) female voiding dysfunction and urinary retention, (3) diagnosis of overactive bladder syndrome refractory to first-line medication, (4) management of female stress urinary incontinence and postoperative LUTS, (5) diagnosis and management of neurogenic LUTD, (6) pediatric urinary incontinence and enuresis, (7) geriatric urinary incontinence, and (8) recurrent bacterial cystitis. Although VUDS should not be used as a screening test for any LUTS, it should be considered when the initial management cannot relieve LUTS, or when invasive surgical procedure is planning to undertake for patients with refractory LUTS. VUDS should be recommended as the second-line investigation when the initial diagnosis and treatment based on the symptoms alone or noninvasive tests fail to improve LUTS. |
topic |
diagnosis lower urinary tract symptoms treatment urodynamics |
url |
http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2020;volume=32;issue=2;spage=121;epage=130;aulast=Jiang |
work_keys_str_mv |
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