Editing Functional: Urodynamics (section)

== Video-urodynamics ==

* '''Procedure of choice for confirming bladder neck dysfunction in men and women'''
** '''The AUA/SUFU Urodynamic Guideline supports the use of VUDS in young men and women without an obvious anatomic cause of obstruction'''
*** '''Can differentiate between functional causes of obstruction such as primary bladder neck obstruction and dysfunctional voiding.'''
*** Can be extremely useful for the diagnosis of BOO in women
*** '''Primary bladder neck obstruction can be only diagnosed on VUDS'''
** '''VUDS can confirm sphincteric dysfunction diagnosed by EMG'''
* '''In addition, patients at high risk for complicated voiding dysfunction, such as those with known or suspected neurogenic lower urinary tract dysfunction, unexplained urinary retention in women, prior radical pelvic surgery, urinary diversion, prerenal or post renal transplant status, or prior pelvic radiation,''' should be considered for referral to a center with VUDS capabilities if a complete and accurate diagnosis cannot otherwise be obtained.
* '''Other uses:'''
*# '''Localize obstruction'''
*# '''Detecting incontinence not seen on physical exam'''
*# '''Evaluating VUR during storage and/or voiding'''
*# '''Determine if a known anatomic abnormality is playing a role if voiding dysfunction''' (e.g. bladder or urethral diverticulum, VUR)
*# '''Particularly useful in cases of neuropathic voiding dysfunction'''