Review
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World J Clin Urol. Jul 24, 2014; 3(2): 96-112
Published online Jul 24, 2014. doi: 10.5410/wjcu.v3.i2.96
Comprehensive urodynamics: Being devoted to clinical urologic practice
Chuang-Yu Qu, Dan-Feng Xu
Chuang-Yu Qu, Dan-Feng Xu, Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China
Author contributions: Qu CY and Xu DF contributed to this paper.
Correspondence to: Chuang-Yu Qu, MD, Department of Urology, Changzheng Hospital, Second Military Medical University, 440 North Chengdu Road, Shanghai 200003, China. qu_cy@sohu.com
Telephone: +86-21-81885730 Fax: +86-21-81885721
Received: March 12, 2014
Revised: May 14, 2014
Accepted: June 14, 2014
Published online: July 24, 2014
Processing time: 127 Days and 2.7 Hours
Core Tip

Core tip: Scant progress during the last 2 decades and poor prognostic value of urodynamics (UDS) for benign prostatic hyperplasia interventional therapy may come from some technological problems, here we mean the underestimation of the role of electromyogram and some shortcomings of the UDS technology. Based on individualized UDS evaluation of more than 9000 cases, some so-called cut-off values, for example, degrees of bladder outlet obstruction and dyssynergia between the detrusor and sphincter, could be gained; however, in most cases, their qualitative description, such as stress urinary incontinence, idiopathic detrusor underactivity, detrusor overactivity, low compliance, and idiopathic sphincter overactivity, is more preferable and important.