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Author Spotlight: Enhanced Urodynamic Method for Precise Urine Measurement in Awake Mice with Neurogenic Bladder
Published on: June 7, 2024
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Surveillance urodynamics for neurogenic lower urinary tract dysfunction: A systematic review
Alex Kavanagh1, Hamed Akhavizadegan1,2, Matthias Walter3
1Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Summary
Surveillance urodynamics (sUDS) for neurogenic lower urinary tract dysfunction (NLUTD) lacks evidence for optimal frequency. However, sUDS often reveals abnormalities prompting treatment, even in asymptomatic patients, suggesting its clinical utility.
Area of Science:
- Urology
- Neurology
- Nephrology
Background:
- Neurogenic lower urinary tract dysfunction (NLUTD) requires monitoring for safe bladder pressures.
- Surveillance urodynamics (sUDS) studies aim to monitor bladder function in NLUTD patients post-baseline.
- Optimal frequency and indications for repeat sUDS in NLUTD are not well-established.
Purpose of the Study:
- To evaluate the evidence supporting sUDS in NLUTD by assessing its impact on patient management, diagnostic findings, and patient outcomes.
- To review current sUDS practice patterns among urologists for NLUTD assessment.
Main Methods:
- A systematic literature review of PubMed, EMBASE, and Cochrane Library databases was conducted.
- English-language studies published between January 1975 and March 2018 were included.
- Data from 28 articles involving 1368 patients were analyzed.
Main Results:
- 49% of asymptomatic subjects showed sUDS abnormalities that prompted treatment.
- A survey indicated that 53% of urologists perform sUDS every 1-3 years.
- Evidence for optimal surveillance protocols is limited.
Conclusions:
- Current evidence for optimal sUDS surveillance in NLUTD is insufficient.
- sUDS frequently identifies findings that lead to treatment modifications, even without overt symptoms or imaging changes.
- Further research is needed to establish evidence-based guidelines for sUDS in NLUTD.
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