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Title of Journal: World J Urol

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Abbravation: World Journal of Urology

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Springer Berlin Heidelberg

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10.1002/jmv.2202

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1433-8726

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Is multichannel urodynamic assessment necessary be

Authors: Xavier Biardeau Mohamed A Elkoushy Shachar Aharony Mostafa Elhilali Jacques Corcos
Publish Date: 2015/07/28
Volume: 34, Issue: 4, Pages: 463-469
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Abstract

Lower urinary tract symptoms LUTS are common in middleaged men and could be consequences of multiple etiologies responsible for bladder outlet obstruction BOO detrusor underactivity DUA and/or overactive bladder When LUTS are suggestive of BOO secondary to benign prostatic hyperplasia a surgical treatment can sometimes be consider Even if multichannel urodynamic study UDS is currently the gold standard to properly assess LUTS its use in nonneurogenic men is still a matter of controversy Here we aim to explore the evidence supporting or not the use of systematic multichannel UDS before considering an invasive treatment in men LUTSThe “pro” side mainly based their argumentation on the poor correlation of LUTS and officebased tests with BOO or DUA Furthermore since a multichannel UDS could allow selecting men that will most benefit of a surgical procedure they hypothesized that such an approach could reduce the overall morbidity rate and cost associated with The “con” side considered that in most cases medical history and symptoms were reliable enough to consider surgery Finally they underlined the UDS limitations and the frequent lack of alternative to surgery in this context

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