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Use of Urodynamics by Gynecologists and Urologists in Brazil / Uso da urodinâmica por ginecologistas e urologistas no Brasil
Diniz, Mucio Barata; Ribeiro, Marina Franklin; Dias, Luísa Aguiar Monteiro; Monteiro, Marilene Vale de Castro.
  • Diniz, Mucio Barata; Federal University of Minas Gerais. Department of Gynecology and Obstetrics. Belo Horizonte. BR
  • Ribeiro, Marina Franklin; Gynecology Unit of Vila da Serra Hospital. Belo Horizonte. BR
  • Dias, Luísa Aguiar Monteiro; Gynecology Unit of Vila da Serra Hospital. Belo Horizonte. BR
  • Monteiro, Marilene Vale de Castro; Federal University of Minas Gerais. Department of Gynecology and Obstetrics. Belo Horizonte. BR
Rev. bras. ginecol. obstet ; 44(7): 654-659, July 2022. tab
Article in English | LILACS | ID: biblio-1394812
ABSTRACT
Abstract Objective Urodynamic studies (UDSs) are a set of tests that assess the storage and emptying of urine, and they are widely used by gynecologists and urologists in the management of urinary incontinence (UI), despite the discussion about its indications. The objectives of the present study were to verify whether UDSs are routinely used in the conservative and surgical approaches to female UI, their other clinical indications, and to compare the responses of Brazilian gynecologists and urologists. Methods The present is an opinion survey applied from August 2020 to January 2021 through a semistructured questionnaire about the clinical practice sent by e-mail to all participants. The responses were compared through statistical analyses. Results Of the 329 participants, 238 were gynecologists (72.3%) and 91, urologists (27.7%). Most gynecologists (73.5%) and urologists (86.6%) do not request UDSs before the conservative treatment of UI; but UDSs are indicated in the preoperative period of anti-incontinence surgeries. Most participants request UDSs in the initial approach to overactive bladder (gynecologists 88.2%; urologists 96.7%), and the urologist has greater chance to request this study (odds ratio [OR] = 3.9). For most participants, it is necessary to request uroculture before the UDSs. Conclusion Most Brazilian gynecologists and urologists who participated in the present study do not request UDSs before the conservative treatment of UI, according to national and internacional guidelines, and often request it before the surgical treatment for female UI. The indication of this exam in the initial approach of idiopathic overactive bladder should be reviewed by the participants.
RESUMO
Resumo Objetivo O estudo urodinâmico (EU) é um conjunto de exames que avalia o armazenamento e esvaziamento da urina, e é amplamente utilizado por ginecologistas e urologistas no manejo da incontinência urinária (IU), apesar das discussões sobre suas indicações. O objetivo deste estudo foi verificar se a urodinâmica é rotineiramente utilizada nas abordagens conservadora e cirúrgica da IU feminina, além de outras de suas indicações clínicas, e comparar as respostas de ginecologistas e urologistas brasileiros. Métodos Trata-se de uma pesquisa de opinião, realizada entre agosto de 2020 e janeiro de 2021, por meio de questionário semiestruturado composto por perguntas sobre a prática clínica enviado por e-mail a todos os participantes. As respostas foram comparadas mediante análises estatísticas. Resultados Dos 329 participantes, 238 eram ginecologistas (72,3%) e 91, urologistas (27,7%). A maioria dos ginecologistas (73,5%) e urologistas (86,6%) não solicita EU antes do tratamento conservador da IU; mas o EU é indicado no pré-operatório de cirurgias para IU. A maioria dos participantes solicita EU na abordagem inicial da bexiga hiperativa (ginecologistas 88,2%; urologistas 96,7%), e os urologistas têm maior chance de solicitar esse exame (razão de chances [RC] = 3,9). Para a maioria dos entrevistados, é necessário solicitar urocultura junto com o EU. Conclusão A maioria dos ginecologistas e urologistas brasileiros que participaram deste estudo não solicita EU antes do tratamento conservador da IU, de acordo com as principais diretrizes nacionais e internacionais, e muitas vezes o solicita antes do tratamento cirúrgico da IU feminina. A indicação desse exame na abordagem inicial da bexiga hiperativa idiopática deve ser revista pelos participantes.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Urinary Incontinence / Urodynamics / Urinary Bladder, Overactive Type of study: Practice guideline / Qualitative research Limits: Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Minas Gerais/BR / Gynecology Unit of Vila da Serra Hospital/BR

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Full text: Available Index: LILACS (Americas) Main subject: Urinary Incontinence / Urodynamics / Urinary Bladder, Overactive Type of study: Practice guideline / Qualitative research Limits: Female / Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Federal University of Minas Gerais/BR / Gynecology Unit of Vila da Serra Hospital/BR