American Urogynecologic Society
View all recommendations from this societyReleased June 24, 2020; Updated September 30, 2021
Avoid performing multichannel urodynamics in women with uncomplicated stress urinary incontinence.
Women with uncomplicated stress urinary incontinence should undergo a thorough evaluation and screening that includes the following: a comprehensive history and physical, demonstration of stress incontinence, urinalysis, assessment of urethral mobility, and measurement of post void residual. If results of that screening are normal, and conventional non-surgical treatment fails, then mid-urethral sling surgery can be performed without further testing. Multichannel urodynamics have not been shown to affect surgical treatment outcomes in women with uncomplicated stress urinary incontinence.
These items are provided solely for informational purposes and are not intended as a substitute for consultation with a medical professional. Patients with any specific questions about the items on this list or their individual situation should consult their physician.
How The List Was Created
The Clinical Practice Committee of the American Urogynecologic Society (AUGS) reviewed clinical evidence to identify possible topics along with suggestions for possible topics from the AUGS Board of Directors. By consensus, the Clinical Practice Committee selected the top five most overused tests within specified parameters. Additional input was sought from the AUGS Board of Directors and incorporated. The final list was reviewed and approved by the AUGS Board of Directors.
AUGS’ listing of board and committee members and conflict of interest policy can be found at www.augs.org/about.
Sources
Committee Opinion No. 603: Evaluation of Uncomplicated Stress Urinary Incontinence in Women Before Surgical Treatment. Obstetrics & Gynecology. 2014 Jun;123(6):1403-7.
Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, Sirls LT, Norton PA, Arisco AM, Chai TC, Zimmem P, Barber MD, Dandreo KJ, Menafee SA, Kenton K, Lowder J, Richter HE, Khandwala S, Nygaard I, Kraus SR, Johnson HW, Lemack GE, Mihova M, Albo ME, Mueller E, Sutkin G, Wilson TS, Hsu Y, Rozanski TQ, Rickey LM, Rahn D, Tennstedt S, Kusek JW, Gormley EA: Urinary Incontinence Treatment Network. A randomized trial of urodynamic testing before stress-incontinence surgery. New England Journal of Medicine 2012 May;366(21):1987-97.
