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  4. Indications and added value of videourodynamics in men with spinal cord injury

Indications and added value of videourodynamics in men with spinal cord injury

BJUI Compass, 2024 · DOI: 10.1002/bco2.370 · Published: April 10, 2024

Spinal Cord InjuryUrology

Simple Explanation

This study looks at the usefulness of videourodynamic studies (VUDS) in men with spinal cord injuries. VUDS is a type of bladder test that uses imaging to see how well the bladder and urinary tract are working. The study found that VUDS provided extra information compared to standard bladder tests, helping doctors make better decisions about how to manage bladder problems in these patients, especially regarding surgery. VUDS helps in identifying the type and location of obstruction which impacts bladder management, and allows for more targeted treatment. It is especially useful when patients are not able to self-catheterize.

Study Duration
2011 to 2021
Participants
88 men with spinal cord injury
Evidence Level
Retrospective study

Key Findings

  • 1
    VUDS clarified the nature and extent of obstruction in men unable to self-catheterize, enabling targeted surgery.
  • 2
    VUDS clarified the type and level of obstruction in other patients, enabling targeted surgery in most.
  • 3
    VUDS was valuable in preoperative assessments and follow-ups for Brindley procedures, confirming the need for or guiding surgical revisions.

Research Summary

This study evaluated the indications and added value of videourodynamic study (VUDS) over urodynamic studies (UDS) in men with spinal cord injury (SCI) and neurogenic lower urinary tract dysfunction (NLUTD). The study found that VUDS had added value over UDS in specific situations; the additional information provided impacted on bladder management in men with SCI and NLUTD. VUDS was useful for the evaluation of NLUTD in men with SCI and allowed for more targeted treatment.

Practical Implications

Improved Surgical Planning

VUDS provides detailed information on the type and location of urinary tract obstructions, enabling surgeons to perform more targeted and effective procedures.

Enhanced Bladder Management

The additional information from VUDS helps clinicians choose the most appropriate voiding method and adjust treatment plans to improve bladder function and reduce complications.

Better Patient Selection for Procedures

VUDS can identify patients who are most likely to benefit from specific interventions, such as the Brindley procedure, and avoid unnecessary surgeries in those with contraindications.

Study Limitations

  • 1
    Retrospective design
  • 2
    Single-center study
  • 3
    Recruitment bias

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