title: The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence.
abstract: OBJECTIVE
  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.
authors.affiliation: Department of Obstetrics & Gynecology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands. s.vanleijsen@obgyn.umcn.nl
authors.forename: Sanne A L
authors.initials: SA
authors.lastname: van Leijsen
authors.forename: Kirsten B
authors.initials: KB
authors.lastname: Kluivers
authors.forename: Ben Willem J
authors.initials: BW
authors.lastname: Mol
authors.forename: Mark E
authors.initials: ME
authors.lastname: Vierhout
authors.forename: John P F A
authors.initials: JP
authors.lastname: Heesakkers
mesh_terms: D003625:Data Collection; D003657:Decision Making; D005260:Female; D013509:Gynecologic Surgical Procedures; D006176:Gynecology; D006801:Humans; D009426:Netherlands; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000379:methods*; D013038:Specialization; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery*; D014563:Urodynamics; D014572:Urology