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AUA: Female SUI (2023)
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==== UDS ==== * '''<span style="color:#ff0000">May be omitted for the index patient desiring treatment when SUI is clearly demonstrated''' **'''<span style="color:#ff00ff">VALUE (NEJM 2012)</span>''' ***Population: 630 females with uncomplicated SUI ***Randomized to preoperative office evaluation and urodynamic tests vs. evaluation only ***Primary outcome: Treatment success at 12 months, defined as a reduction in the score on the Urogenital Distress Inventory of 70% or more and a response of “much better” or “very much better” on the Patient Global Impression of Improvement ***Results: preoperative office evaluation alone was not inferior to evaluation with urodynamic testing ***[https://pubmed.ncbi.nlm.nih.gov/22551104/ Nager, Charles W., et al. "A randomized trial of urodynamic testing before stress-incontinence surgery." ''New England Journal of Medicine'' 366.21 (2012): 1987-1997.] * '''<span style="color:#ff0000">May be performed at the urologist’s discretion in certain non-index patients, including but not limited to (8):''' *# '''<span style="color:#ff0000">Neurogenic lower urinary tract dysfunction</span>''' *# '''<span style="color:#ff0000">Unconfirmed SUI</span>''' *# '''<span style="color:#ff0000">Mismatch between subjective and objective measures</span>''' *# '''<span style="color:#ff0000">Elevated PVR per clinician judgment</span>''' *# '''<span style="color:#ff0000">Significant voiding dysfunction</span>''' *# '''<span style="color:#ff0000">Significant urgency, UUI, overactive bladder (OAB)</span>''' *# '''<span style="color:#ff0000">History of prior pelvic organ prolapse surgery</span>''' *# '''<span style="color:#ff0000">History of prior anti-incontinence surgery</span>'''
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