Tolerability and morbidity of urodynamic testing: a questionnaire-based study.
OBJECTIVE
To determine the tolerability and morbidity rate of multichannel urodynamics (UDS).


METHODS
A total of 154 consecutive patients were included in the present study; 87 men and 67 women underwent UDS and completed a questionnaire. All patients undergoing UDS were given a two-part questionnaire. The first part, given immediately after UDS, contained four questions regarding pain, embarrassment, and physical burden (assessed with a visual analogue scale on which 0 = not at all, 10 = unbearable), as well as willingness to undergo UDS again. The second part, given within 2 weeks after UDS, contained five questions regarding micturition pain, gross hematuria, dysuria, cloudy urine, and fever episodes after UDS. Urine specimens were also analyzed.


RESULTS
The mean (+/-SD) degrees of pain, embarrassment, and physical burden were 2.27 +/- 2.53, 2.59 +/- 2.69, and 1.76 +/- 2.43, respectively, and 73.6% of men and 80.6% of women were willing to repeat UDS. The most common complaint after UDS was micturition pain. Two men and 1 woman had fever after UDS; there was no relationship between fever and urinary tract infections. Urinalysis showed that 4.6% of men and 7.5% of women had leukocyturia after the investigation.


CONCLUSIONS
The complication rates of UDS were relatively low. For most patients, UDS were tolerable and acceptable. Proper informed consent is necessary.
Yokoyama
Teruhiko
T
Department of Urology, Okayama University Graduate School of Medicine and Dentistry, Okayama, Japan. uroyoko@md.okayama-u.ac.jp
Nozaki
Kunihiro
K
Nose
Hiroyuki
H
Inoue
Miyabi
M
Nishiyama
Yasuhiro
Y
Kumon
Hiromi
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003955:Diagnostic Tests, Routine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011446:Prospective Studies; D012752:Shame; D011795:Surveys and Questionnaires; D014563:Urodynamics