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
    
    
• 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