TY - JOUR AU - Axell, Richard G. AU - Guzelburc, Vahit AU - Yasmin, Habiba AU - Toia, Bogdan AU - Pakzad, Mahreen H. AU - Hamid, Rizwan AU - Ockrim, Jeremy L. AU - Greenwell, Tamsin J. PY - 2021/11/05 Y2 - 2024/03/29 TI - Ambulatory Urodynamic Findings Change Patient Outcomes JF - Société Internationale d'Urologie Journal JA - Soc Int Urol J VL - 2 IS - 6 SE - Original Research DO - 10.48083/MHMI1178 UR - https://siuj.org/index.php/siuj/article/view/148 SP - 354-361 AB - Objectives Whilst ambulatory urodynamics (aUDS) may be used as a second-stage test for patients with refractorylower urinary tract symptoms (LUTS) having non-diagnostic conventional urodynamics (UDS), the evidence for theiruse is limited. We have assessed the diagnostic utility and consequent symptomatic outcome of aUDS in patients withrefractory LUTS.Methods A retrospective review of a prospectively acquired urodynamics database was made of 84 consecutivepatients (23 male) with a median age 50.5 years (range 18 to 79) having aUDS following non-diagnostic orcontradictory baseline UDS over a 12-month period. Patient demographics and urodynamic and clinical diagnosisbefore and after aUDS were recorded. Forty-six patients (55%) had formal urinary symptom assessment recordedbefore and a minimum of 6 months following aUDS-related change in management.Results Eighty-two patients (98%) had a urodynamic diagnosis made following aUDS, 57(68%) of whomhad detrusor overactivity (DO); the final 2 patients had no abnormalities detected on aUDS. Change in primary UDSdiagnosis occurred in 66 patients (79%). Of these 66 patients, 59 (89%) also had their clinical diagnosis changed, and55 (83%) had their management pathway changed. There was a significant improvement in urinary symptoms6 months following aUDS.Conclusion Change in primary diagnosis following aUDS led to a significant change in treatment care pathway andresulted in significant improvement in urinary symptoms. ER -