Urodynamic testing

Bibliographic InformationReason for rejecting study
Authors: Blaivas JG;Groutz A;Verhaaren M;. Title: Does the method of cystometry affect the incidence of involuntary detrusor contractions? A prospective randomized urodynamic study. Journal Name: Neurourology and Urodynamics. Year: 2001Not relevant to UI guideline questions.
Authors: Castleden CM;Duffin HM;Asher MJ;. Title: Clinical and urodynamic studies in 100 elderly incontinent patients. Journal Name: British Medical Journal. Year: 1981Observation of urodynamic findings in 100 patients aged over 65 yrs with UI. Does not address UI guideline questions.
Authors: Digesu GA;Hutchings A;Salvatore S;Selvaggi L;Milani R;Khullar V;. Title: Pressure Flow Study: A Useful Diagnostic Test of Female Lower Urinary Tract Symptoms. Journal Name: Neurourology and Urodynamics. Year: 2004Observations of pressure flow parameters in women with LUTS; does not address guideline questions in relation to urodynamics.
Authors: Faysal MH;Constantinou CE;Rother LF;Govan DE;. Title: The impact of bladder neck suspension on the resting and stress urethral pressure profile: A prospective study comparing controls with incontinent patients preoperatively and postoperatively. Journal Name: Journal of Urology. Year: 1981Observations pre and post-op - does not consider whether the pre-op findings predict outcome therefore not relevant to UI guideline questions.
Authors: Hebert DB, Ostergard DR. Title: Vesical Instability: urodynamic parameters by microtip transducer catheters. Journal Name: Obstet Gynecol. Year: 1982Study describes findings in women with DO using different UD techniques (urethrocystometry, UPP, but unable to calculate all diagnostic accuracy data from results given).
Authors: Holtedahl K;Verelst M;Schiefloe A;Hunskaar S;. Title: Usefulness of urodynamic examination in female urinary incontinence. Lessons from a population-based, randomized, controlled study of conservative treatment. Journal Name: Scandinavian Journal of Urology and Nephrology. Year: 2000Groups did not receive same treatment therefore inappropriate to analyse findings in respect of pre-tx UD due to confounding factors
Authors: Kujansuu E;Kauppila A;Lahde S;. Title: Correlation between urethrovesical anatomy and urethral closure function in female stress urinary incontinence before and after operation: Urethrocystographic and urethrocystometric evaluation. Journal Name: Urologia Internationalis. Year: 1983Investigates whether pre-op urodynamics have prognostic value, but only reports pre- and post- operative observations. Does not address whether UD predict complications.
Authors: McLennan MT;Bent AE;. Title: Supine empty stress test as a predictor of low valsalva leak point pressure. Journal Name: Neurourology and Urodynamics. Year: 1998An investigation into whether the supine empty stress test was useful in predicting pts with low Valsalva LPP (above or below 60cm). Does not address guideline questions in relation to urodynamics.
Authors: McLennan MT;Melick CF;Bent AE;. Title: Leak-point pressure: clinical application of values at two different volumes. Journal Name: International Urogynecology Journal. Year: 2000 JunInvestigates MUCP and LPP at different bladder volumes. Does not address UI guideline questions in relation to urodynamics.
Authors: Pajoncini C;Costantini E;Rociola W;Porena M;. Title: The maximum urethral closure pressure and the Valsalva leak point pressure in the diagnosis of intrinsic sphincter deficiency: Preliminary results. Journal Name: Acta Urologica Italica. Year: 1999Correlates MUCP and VLPP values at different thresholds with pt characteristics. Does not address UI guideline questions in relation to urodynamics
Authors: Pajoncini C;Costantini E;Guercini F;Porena M;. Title: Intrinsic sphincter deficiency: do the maximum urethral closure pressure and the Valsalva leak-point pressure identify different pathogenic mechanisms?. Journal Name: International Urogynecology Journal. Year: 2002Study considers severity of UI vs MUCP and VLPP findings. Does not address UI guideline questions in relation to urodynamics
Authors: Pajoncini C;Costantini E;Guercini F;Bini V;Porena M;. Title: Clinical and urodynamic features of intrinsic sphincter deficiency. Journal Name: Neurourology and Urodynamics. Year: 2003Observations/correlations of features with ISD - does not address guidleline questions in relation to assessment.
Authors: Resnick NM;Brandeis GH;Baumann MM;DuBeau CE;Yalla SV;Abrams P;Blaivas JG;Malone-Lee J;. Title: Misdiagnosis of urinary incontinence in nursing home women: Prevalence and a proposed solution. Journal Name: Neurourology and Urodynamics. Year: 1996Study compared findings of single- and multi-channel cystometry in women with 'detrusor hyperactivity with impaired contractility', which is not an accepted/standardised definition, therefore study excluded.
Authors: Richardson DA;. Title: Value of the cough pressure profile in the evaluation of patients with stress incontinence. Journal Name: American Journal of Obstetrics and Gynecology. Year: 1986Considered UCP for diagnosis of stress UI - but pressure profilometry used to assess cause of stress UI not to confirm UI is stress UI, therefore exclude.
Authors: Versi E. Title: Discriminant analysis of urethral pressure profilometry data for the diagnosis of genuine stress incontinence. Journal Name: Br J Obs Gynae. Year: 1990Study evaluates diagnostic accuracy of UPP vs video UD; pressure studies vs cystometry not a valid comparison therefore excluded.
Authors: Versi E;Cardozo L;Studd J;Cooper D;. Title: Evaluation of urethral pressure profilometry for the diagnosis of genuine stress incontinence. Journal Name: World Journal of Urology. Year: 1986UPP not used to diagnose stress UI therefore study not relevant.

From: Excluded studies

Cover of Urinary Incontinence
Urinary Incontinence: The Management of Urinary Incontinence in Women.
NICE Clinical Guidelines, No. 40.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2006 Oct.
Copyright © 2006, National Collaborating Centre for Women’s and Children’s Health.

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