A randomized trial of urodynamic testing before stress-incontinence surgery.

ABSTRACT:

Background

Urodynamic studies are commonly performed in women before surgery for stress urinary incontinence, but there is no good evidence that they improve outcomes.

Methods

We performed a multicenter, randomized, noninferiority trial involving women with uncomplicated, demonstrable stress urinary incontinence to compare outcomes after preoperative office evaluation and urodynamic tests or evaluation only. The primary outcome was treatment success at 12 months, defined as a reduction in the score on the Urogenital Distress Inventory of 70% or more and a response of "much better" or "very much better" on the Patient Global Impression of Improvement. The predetermined noninferiority margin was 11 percentage points.

Results

A total of 630 women were randomly assigned t

SUBMITTER: Nager CW 

PROVIDER: S-EPMC3386296 | biostudies-literature | 2012 May

REPOSITORIES: biostudies-literature