[Techniques and current practice of urodynamics. Problems and traps].
Development of urodynamics particularly during the past decade are highlighted, as well as a number of issues to be faced in the near future: research into the etiopathogenesis of different conditions, finding more sensitive and specific diagnostic procedures to overcome the current ones, establishing more comprehensive indications for urodynamics examinations and, as a result of all the above achieving greater improvement of certain surgical procedures. Both the technique and interpretation of the different urodynamic examinations, as well as the more recent innovations, implementation issues and controversies are detailed to a highly up-to-date level. Neuromodulation and ambulatory urodynamics deserve thoughtful consideration in this paper. Finally, attention is given to the controversies and future challenges such as urodynamic research providing accurate diagnosis of lower urinary tract obstruction in women, establishing the indication of urodynamic studies in women with urinary exertional incontinence, outlining the indications of neuromodulation and ambulatory urodynamics, applicability of artificial intelligence systems, improvement of artificial sphincter materials, tissue growth for bladder enlargement and actual prevention of myelodysplasia.
Servicio de Urología, Unidad de Urodinámica, Hospital Universitario de San Juan, San Juan, Alicante.
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Romero Maroto
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Prieto Chaparro
D000328:Adult; D001341:Autonomic Nervous System / Q000503:physiopathology; D003950:Diagnostic Techniques, Urological / Q000295:instrumentation / Q000639:trends; D004576:Electromyography; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008365:Manometry / Q000295:instrumentation / Q000379:methods; D018670:Monitoring, Ambulatory; D012212:Rheology / Q000295:instrumentation / Q000379:methods; D014549:Urinary Incontinence / Q000175:diagnosis / Q000503:physiopathology; D014555:Urination Disorders / Q000175:diagnosis / Q000503:physiopathology; D014563:Urodynamics; D014570:Urologic Diseases / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy