Trial reportThe Journal of urology2013
The effect of urodynamic testing on clinical diagnosis, treatment plan and outcomes in women undergoing stress urinary incontinence surgery.
Trial report in The Journal of urology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Pooled it
- Urodynamic studies for management of urinary incontinence in children and adults.The Cochrane database of systematic reviews · 2013Pooled it
- The cost of preoperative urodynamics: A secondary analysis of the ValUE trial.Neurourology and urodynamics · 2016Trial
- Patient Reported Outcomes and Complications of Stress Incontinence Surgery: Effect of Patient Characteristics.International urogynecology journal · 2026Article
- Current practice of colposuspension in the United Kingdom: Results of a national survey.Acta obstetricia et gynecologica Scandinavica · 2026Article
- Detrusor Overactivity and Urodynamics.Neurourology and urodynamics · 2026Review
- Postoperative Complications in Women Submitted to a Transobturator Tape Sling: An 11-Year Retrospective Cohort.Cureus · 2025Article
- 2024 Canadian Urological Association guideline: Female stress urinary incontinence.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2024Article
- Risk factors for 5-year complications after midurethral sling surgery for stress urinary incontinence: a retrospective cohort study from Taiwan.Scientific reports · 2023Article
- Is urodynamics necessary to identify occult stress urinary incontinence?World journal of urology · 2019Article
- Efficacy and Safety of Incontinence Surgery According to the Surgeon's Specialty and Performance of a Preoperative Urodynamic Study.International neurourology journal · 2018Article
- Post-void residual urine under 150 ml does not exclude voiding dysfunction in women.International urogynecology journal · 2016Article
- Prevalence of "complicated" stress urinary incontinence in female patients: can urodynamics provide more information in such patients?International urogynecology journal · 2015Article
- Outcome measures for stress urinary incontinence treatment: can we minimally agree?World journal of urology · 2015Review
- Article
- Evaluating progress on longstanding issues.Nature reviews. Urology · 2014Article
- Utility of invasive urodynamics before surgery for stress urinary incontinence.International urogynecology journal · 2014Article
- [Stress incontinence in elderly women].Der Urologe. Ausg. A · 2013Article
- The evidence for urodynamic investigation of patients with symptoms of urinary incontinence.F1000prime reports · 2013Article
- Are urodynamics still useful?Canadian Urological Association journal = Journal de l'Association des urologues du CanadaArticle
Corrections and comments
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Authors and funding
14 authors at 13 institutions in 1 country.
Funding
Abstract
purposeWe evaluated the influence of preoperative urodynamic studies on diagnoses, global treatment plans and outcomes in women treated with surgery for uncomplicated stress predominant urinary incontinence. MATERIALS AND
methodsWe performed a secondary analysis from a multicenter, randomized trial of the value of preoperative urodynamic studies. Physicians provided diagnoses before and after urodynamic studies and global treatment plans, defined as proceeding with surgery, surgery type, surgical modification and nonoperative therapy. Treatment plan changes and surgical outcomes between office evaluation and office evaluation plus urodynamic studies were compared by the McNemar test.
resultsOf 315 subjects randomized to urodynamic studies after office evaluation 294 had evaluable data. Urodynamic studies changed the office evaluation diagnoses in 167 women (56.8%), decreasing the diagnoses of overactive bladder-wet (41.6% to 25.2%, p <0.001), overactive bladder-dry (31.4% to 20.8%, p = 0.002) and intrinsic sphincter deficiency (19.4% to 12.6%, p = 0.003) but increasing the diagnosis of voiding dysfunction (2.2% to 11.9%, p <0.001). After urodynamic studies physicians canceled surgery in 4 of 294 women (1.4%), changed the incontinence procedure in 13 (4.4%) and planned to modify mid urethral sling tension (more or less obstructive) in 20 women (6.8%). Nonoperative treatment plans changed in 40 of 294 women (14%). Urodynamic study driven treatment plan changes were not associated with treatment success (OR 0.96, 95% CI 0.41, 2.25, p = 0.92) but they were associated with increased postoperative treatment for urge urinary incontinence (OR 3.23, 95% CI 1.46, 7.14, p = 0.004).
conclusionsUrodynamic studies significantly changed clinical diagnoses but infrequently changed the global treatment plan or influenced surgeon decision to cancel, change or modify surgical plans. Global treatment plan changes were associated with increased treatment for postoperative urgency urinary incontinence.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.