AUGS FPMRS Webinar: The Role of Urodynamics in FPMRS On Demand-AUGS FPMRS Webinar

Video Transcription

Video Summary

Dr. Charles Nager presented a webinar on the role of urodynamics in female voiding dysfunction and stress incontinence. He first discussed his experience and expertise in the field, including his research focus areas and achievements. He also outlined the objectives of his presentation, which included understanding normal values, diagnosing detrusor underactivity, evaluating the limitations of perineal surface EMG, and evaluating the arguments for urodynamics in stress incontinence. Dr. Nager emphasized that urodynamics should be used in cases with uncertain diagnoses or difficulty with treatment plans. He discussed the indications for urodynamics, such as confirming the diagnosis of stress incontinence, assessing poor urethral function, diagnosing other disorders, and evaluating difficult bladder emptying. However, he argued that urodynamics were not needed for women with uncomplicated stress incontinence and could be substituted with a prolapse reduction stress test. He also highlighted the lack of reliability of perineal surface EMG in measuring urethral sphincter function. Dr. Nager discussed the results of various studies, including his own, that supported his arguments. He concluded that urodynamics should be used judiciously and only when necessary in specific cases.

Keywords

urodynamics

female voiding dysfunction

stress incontinence

perineal surface EMG

bladder emptying

diagnosing other disorders

treatment plans

specific cases

uncertain diagnoses