Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/8251
Citations
Scopus Web of ScienceĀ® Altmetric
?
?
Type: Journal article
Title: Utilization of preoperative urodynamic investigations by gynecologists who frequently operate for female urinary incontinence
Author: Duggan, P.
Wilson, P.
Norton, P.
Brown, A.
Drutz, H.
Herbison, P.
Citation: International Urogynecology Journal and Pelvic Floor Dysfunction, 2003; 14(4):282-287
Publisher: Springer-Verlag London Ltd
Issue Date: 2003
ISSN: 0937-3462
1433-3023
Statement of
Responsibility: 
Paul M. Duggan, P. Don Wilson, Peggy Norton, Alan D. G. Brown, Harold P Drutz and Peter Herbison
Abstract: Our objective was to determine the availability and utilization of urodynamic investigations by gynecologists in the preoperative evaluation of women with urinary incontinence. Gynecologists in the UK, USA, Australia, New Zealand and Canada were asked what urodynamic investigations were required for four clinical scenarios. Analysis was restricted to frequent operators. Urodynamic investigations were available to 70% of frequent operators. For uncomplicated stress incontinence, cystometry was utilized by 72% of subspecialists and 44% of generalists (P<0.001) who had access to urodynamic investigations. For stress incontinence and straining to void, uroflowmetry was utilized by 73% of subspecialists and 46% of generalists (P<0.001) who had access to urodynamic investigations. We concluded that many gynecologists who frequently operate for female urinary incontinence do not have access to urodynamic investigations or do not utilize urodynamic investigations, or utilize investigations in a way that may be inadequate for the clinical problem. There are differences in utilization between subspecialists and generalists that are not explained by access. These observations could be explained by poor understanding or a lack of belief in the value of urodynamic investigations.
Keywords: Humans
Urinary Incontinence, Stress
Treatment Outcome
Preoperative Care
Health Care Surveys
Risk Assessment
Sensitivity and Specificity
Follow-Up Studies
Gynecology
Urodynamics
Aged
Middle Aged
Female
Surveys and Questionnaires
Practice Patterns, Physicians'
Plastic Surgery Procedures
Description: The original publication is available at www.springerlink.com
DOI: 10.1007/s00192-003-1039-2
Published version: http://www.springerlink.com/content/9fpp599x0qfx12dw
Appears in Collections:Aurora harvest 4
Obstetrics and Gynaecology publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.