Indications
Cystometry and videocystometry are expensive and time consuming. They are recommended for:
- stress incontinence:
- in patients being considered for surgery, to exclude detrusor instability
- in patients being considered for surgery, to exclude detrusor instability
- urge incontinence:
- if medical treatment has been unsuccessful and surgery is contemplated
- if bladder outflow obstruction is suspected
- bladder outflow obstruction:
- in men less than 55 years of age; in older men, it is reasonable to proceed to TURP on the basis of symptoms and flow rate alone
- to exclude detrusor instability
- incontinence following prostatectomy:
- if symptoms persist for several months, medical treatment is unhelpful, and surgery is contemplated
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