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Urodynamics: a mandatory preoperative investigation?

Liverpool Women's Hospital, Crown Street, Liverpool, L8 7SS, UK

David Richmond, MD FRCOG, Consultant Urogynaecologist

Liverpool Women's Hospital, Crown Street, Liverpool, L8 7SS, UK E-mail: david.richmond{at}lwh.nhs.uk (corresponding author)

Urodynamic testing is the accepted method of investigating urinary incontinence. The Royal College of Obstetricians and Gynaecologists recommends urodynamic testing prior to surgery for stress urinary incontinence. However, there are no clear guidelines for its use prior to other forms of gynaecological surgery. This review gives an overview of urodynamics, their role and indications, and discusses the evidence for urodynamic testing in different clinical scenarios.

Keywords preoperative investigation / urinary incontinence / urodynamics