Department of Urology, University Medical Center, Utrecht, The Netherlands.
Department of Urology, Buddhist Tzu Chi General Hospital, Hualien, Taiwan.
Neurourol Urodyn. 2019 Feb;38(2):545-552. doi: 10.1002/nau.23903. Epub 2018 Dec 21.
The International Consultation on Incontinence has published an update of the recommendations for the diagnosis and management of urine incontinence (ICI2016). This manuscript summarizes the consultations committee-recommendations with regard to urodynamic assessment.
Expert consensus on the basis of structured evidence assessment has been the basis of the consultations publication and has been summarized by the committee for this manuscript.
Patients that are not satisfied with their initial management on the basis of their reported signs and symptoms of urinary incontinence, as well as all patients with neurological abnormalities that are potentially relevant for the function of the lower urinary tract, may very likely profit from objective diagnosis and staging and grading of their dysfunction, with urodynamic testing, regardless their age, vulnerability and/or comorbidities. The principles and technical innovations as well as the principal recommendations for the utilization of (invasive) urodynamic assessment for women, men, children, and vulnerable elderly, with or without neurogenic lower urinary tract dysfunction with urinary incontinence are provided in this abbreviated ICI recommendations-document.
The ICI2016 committee on urodynamics presents an executive summary of the most important reasons and recommendations for the use of urodynamic investigations for patients with urinary incontinence.
国际尿失禁咨询委员会发布了尿失禁诊断和管理建议的更新版（ICI2016）。本文稿总结了咨询委员会关于尿动力学评估的建议。
基于结构化证据评估的专家共识是咨询发布的基础，并由委员会为本手稿进行了总结。
根据其报告的尿失禁体征和症状对初始治疗不满意的患者，以及所有存在可能与下尿路功能相关的神经异常的患者，无论其年龄、脆弱性和/或合并症如何，通过尿动力学检查进行客观诊断、分期和功能障碍分级，都可能非常受益。本文提供了针对女性、男性、儿童和脆弱老年人的（侵入性）尿动力学评估的原则和技术创新，以及有或没有神经源性下尿路功能障碍伴尿失禁时使用尿动力学评估的主要建议。
ICI2016 尿动力学委员会提出了使用尿动力学检查的最重要原因和建议的执行摘要，适用于尿失禁患者。
