Urodynamic investigations for management of XXXX in adults.

@entity1 @entity322
BACKGROUND: Urodynamic tests are used to investigate @entity1 who have @entity322 or other urinary symptoms in order to make a definitive objective diagnosis. The aim is to help to select the treatment most likely to be successful. The investigations are invasive and time consuming. OBJECTIVES: The objective of this review was to discover if treatment according to a urodynamic-based diagnosis led to clinical improvements in @entity322 , compared to treatment based on history and examination. SEARCH STRATEGY: We searched the Cochrane Incontinence Group trials register. Date of the most recent search: April 2002. SELECTION CRITERIA: Randomised and quasi-randomised trials comparing clinical outcomes in groups of @entity1 who were and were not investigated using urodynamics, or comparing one type of urodynamics against another. DATA COLLECTION AND ANALYSIS: Two reviewers independently assessed trial quality and extracted data. Authors of one study were contacted for more information, including adverse effects. MAIN RESULTS: Two small trials involving 128 @entity1 were included. In one small trial, @entity1 who were investigated with urodynamics were more likely to receive active treatment with drugs or surgery. However, the numbers in both trials were too small to determine if this affected clinical outcomes such as a reduction in @entity322 . REVIEWER'S CONCLUSIONS: A larger definitive trial is needed, in which @entity1 are randomly allocated to management according to urodynamic findings or to standard management based on history and clinical examination.
