Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Is Urodynamic Evaluation Essential for Predicting Who Will Benefit From Treatment?
Assuming that clinical diagnosis includes an adequate assessment of conditions that may cause UI, the review of the clinical literature found no statistically significant differences in continence, improvement, or treatment failure between groups of women who did or did not have a baseline urodynamics diagnosis. One large analysis of 6,276 women from the United Kingdom indicated that urodynamic evaluation is essential to predict outcomes of surgical treatment for UI.
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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