The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence

Introduction and hypothesis: The aim of this study is to assess variations in practice in the use of preoperative urodynamics in women with stress urinary incontinence (SUI). Methods: We performed an E-survey among all Dutch gynecologists and urologists who have SUI as focus in daily practice. The questions concerned the common policy and preferred policy. Descriptive statistics were used. Results: Of the 260 targeted specialists, 163 (63%) responded. We found that 37% of the respondents performed standard preoperative urodynamics; in the preferred practice, this would reduce to only 18%. Eighty percent indicated they would operate a patient with a positive stress test without urodynamic SUI, whereas 21% would do this also in case the clinical stress test was negative. Only 9% of the respondents indicated they adapted the choice of the type of sling based on urethral pressure profilometry parameters. Conclusions: Urodynamics are not routinely performed, and outcomes hardly influence the choice of treatment.Sanne A. L. van Leijsen, Kirsten B. Kluivers, Ben Willem J. Mol, Mark E. Vierhout, John P. F. A. Heesakker