Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy.
Depaerment of Obstetrics and Gynecology, EOC-Beata Vergine Hospital, Mendrisio, Swiss.
Neurourol Urodyn. 2019 Aug;38 Suppl 4:S42-S50. doi: 10.1002/nau.23865. Epub 2019 May 2.
The role of urodynamic study (UDS) in the management of female stress urinary incontinence (SUI) is one of the most controversial and debated topic in urogynecology. Here, we aimed to systematically assess the most relevant available evidence on urodynamics' value in the management of women with stress urinary incontinence.
A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement was performed in May 2018. Only randomized clinical trials, prospective studies, or retrospective studies articles evaluating the use of urodynamic studies in women with stress urinary incontinence were included.
After screening a total of 3055 records, 39 studies published from 1996 to 2018 were included.
In an uncomplicated population of women with SUI, it is not demonstrated that preoperative urodynamic evaluation can improve the outcome of continence surgery; however, UDS provides additional information regarding lower urinary tract function that could guide the physician to make the right therapeutic choice. UDS should be considered mandatory before surgery in complicated patients, but its use should also be evaluated in index patients when the results may help counseling and management of these women.
尿动力学研究（UDS）在女性压力性尿失禁（SUI）管理中的作用是尿外科学中最具争议和争论的话题之一。在这里，我们旨在系统评估关于尿动力学在压力性尿失禁女性管理中的价值的最相关的现有证据。
根据系统评价和荟萃分析的首选报告项目（PRISMA）声明，于 2018 年 5 月进行了系统评价。仅纳入评估尿动力学研究在压力性尿失禁女性中的应用的随机临床试验、前瞻性研究或回顾性研究文章。
共筛选出 3055 条记录，纳入了 1996 年至 2018 年发表的 39 项研究。
在单纯性 SUI 女性人群中，术前尿动力学评估不能改善控尿手术的结局，这一点尚未得到证实；然而，UDS 提供了关于下尿路功能的额外信息，这可能有助于医生做出正确的治疗选择。在复杂患者中，UDS 应在术前视为强制性检查，但在指数患者中也应评估其使用，因为其结果可能有助于对这些女性的咨询和管理。
