REVIEW   Free access

Minerva Urologica e Nefrologica 2020 August;72(4):420-6

DOI: 10.23736/S0393-2249.20.03685-1

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English

Impact of urodynamic evaluation on the treatment of women with idiopathic overactive bladder: a systematic review

Maurizio SERATI ¹ ✉, Valerio IACOVELLI ^{2, 3}, Simona CANTALUPPI ¹, Andrea BRAGA ⁴, Matteo BALZARRO ⁵, Simone PLETTO ⁶, Marco SOLIGO ⁷, Enrico FINAZZI AGRÒ ²

¹ Unit of Urogynecology, Department of Obstetrics and Gynecology, University of Insubria, Varese, Italy; ² Unit of Urology, Department of Surgical Sciences, Tor Vergata University Hospital, Rome, Italy; ³ San Carlo di Nancy General Hospital, Rome, Italy; ⁴ Department of Obstetrics and Gynecology, Beata Vergine Hospital, Mendrisio, Switzerland; ⁵ Department of Urology, AOUI of Verona, Verona, Italy; ⁶ School of Specialization in Urology, Tor Vergata University, Rome, Italy; ⁷ Department of Obstetrics and Gynecology, Buzzi Hospital - ASST FBF Sacco, University of Milan, Milan, Italy

INTRODUCTION: Overactive bladder (OAB) is a common clinical condition affecting women. The impact of urodynamics (UDS) on the management of idiopathic OAB in women is highly debated. This systematic review analyzes the impact of UDS on the choice and on the outcomes of treatment of female idiopathic OAB.
EVIDENCE ACQUISITION: A systematic literature search in the PubMed/Medline, Web of Science, Scopus and Cochrane databases was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement to identify clinical trials, randomized controlled trials, meta-analyses, and guidelines on female OAB and UDS published from 2000. A total of 1554 records were initially identified and 12 articles were included in the final qualitative synthesis.
EVIDENCE SYNTHESIS: UDS represents the main tool to diagnose detrusor overactivity (DO) in OAB female patients which is considered one of the major OAB underlying pathophysiology factor. UDS can underline the presence of voiding dysfunction that could be considered as another underlying cause of uncomplicated female OAB. On the basis of this urodynamic findings, we can better define different aspects of OAB syndrome leading to a more tailored and proper treatment.
CONCLUSIONS: UDS can have a useful role in the diagnosis of idiopathic OAB in women given the possibility to gain a precise diagnosis and, therefore, a tailored treatment based on the underlying cause. The integration of clinics with UDS and all the other diagnostic available tools is desirable.

KEY WORDS: Urinary bladder, overactive; Urodynamics; Therapeutics