Bladder outlet obstruction in women: Advanced evaluation.

Neurourol Urodyn

Departments of Urology and Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.

Published: January 2025

AI Article Synopsis

  • The text reviews the use of urodynamics (UDS) and cystourethroscopy for diagnosing bladder outlet obstruction (BOO) in women, outlining their indications and practical aspects.* -
  • A narrative review highlighted current literature and guidelines, noting that UDS can reveal high-pressure, low-flow patterns, while cystourethroscopy helps assess any structural issues.* -
  • Findings suggest that both UDS and cystourethroscopy are valuable tools for diagnosing BOO in selected female patients.*

Article Abstract

Introduction: Herein, we provide a review of the indications, practical considerations, and interpretation of urodynamics (UDS) with or without fluoroscopy, as well as cystourethroscopy, for women with suspected bladder outlet obstruction (BOO).

Methods And Results: A narrative review was performed focusing on the current primary literature and society guidelines around advanced diagnostic modalities for female BOO patients. UDS studies help diagnose BOO by identifying high-pressure low-flow voiding patterns and/or the characteristic radiographic appearance of the bladder neck and urethra during micturition. Cystourethroscopy aids in evaluating structural aberrations of the bladder outlet, and in surgical planning.

Conclusions: UDS studies and cystourethroscopy are useful adjuncts in carefully-selected female patients with suspected BOO.

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Source
http://dx.doi.org/10.1002/nau.25298DOI Listing

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