Women who require surgical treatment for uncomplicated stress urinary incontinence may forgo an invasive bladder test prior to surgery, suggest the results of a randomized trial funded by the National Institute of Diabetes and Digestive and Kidney Diseases and the Eunice Kennedy Shriver National Institute of Child Health and Human Development.
Before having surgery to treat urinary incontinence, many women undergo urodynamic testing to better characterize their condition. But some researchers have questioned whether this is necessary. To find out, a team of researchers conducted a multicenter clinical trial comparing outcomes of 630 women who were randomized to undergo either urodynamic testing or only an office evaluation before surgery (Nager CW et al. N Engl J Med. doi: 10.1056/NEJMoa1113595 [published online May 2, 2012]). There were no significant differences in outcomes, with about 77% of women in each group having a successful result.
Kuehn BM. Bladder Testing. JAMA. 2012;307(24):2578. doi:10.1001/jama.2012.6098