Urodynamics

Gamal M. Ghoniem and Usama M. Khater

Urodynamic investigation is a functional assessment of the lower urinary tract, which is performed to provide an objective pathophysiologic explanation of urinary tract dysfunction symptoms. Urodynamic studies comprise a series of tests, and the information provided by these tests is useful in establishing the etiology of the dysfunction and selecting the most appropriate intervention. The appropriate test should be selected and performed in an attempt to answer a specific question regarding the function to be evaluated. Urodynamic evaluation is an integral part of the evaluation of patients with voiding dysfunction. Before urodynamic investigation, a medical history, physical examination, and voiding diary should be completed. This information is necessary to select the appropriate studies and anticipate which events might occur during the urodynamic investigation.

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