Impact of Urodynamic and Video-urodynamic Testing on Surgical Outcomes in Women With Recurrent Urinary Incontinence

What this Trial Is About

Researchers are evaluating the feasibility of a prospective randomized trial comparing outcomes of surgery for recurrent urinary incontinence in women using two diagnostic tests: standard urodynamic testing (UDS) and video-urodynamic testing (VUDS). The study addresses the challenge of poor correlation between urinary symptoms and underlying dysfunction, aiming to determine which test better informs treatment decisions. This pilot study involves 30 adult women with recurrent stress urinary incontinence after failed continence surgery. Participants will be randomly assigned to undergo either UDS or VUDS before receiving medical or surgical treatment tailored to their diagnosis. UDS is performed in an outpatient setting without X-rays by trained medical personnel, while VUDS requires X-ray imaging in a radiology department with specialized staff. Both tests follow standardized protocols at University College London Hospitals. Treatment is provided by the Functional, Reconstructive and Adolescent Urology team. During the study, women will be assessed using validated questionnaires to measure urinary incontinence symptoms six months after treatment. Researchers will also evaluate patient characteristics, X-ray exposure, patient experience, outcomes, and costs. This comprehensive assessment will help identify subgroups of women who may benefit more from either UDS or VUDS and clarify when these tests should be avoided. Participation involves diagnostic testing, treatment, and follow-up over at least six months.

Impact of CMG vs VCMG in Recurrent Stress Incontinence- A Pilot Study