Abstract

Introduction and objectivesUrodynamic testing is the functional evaluation of the urinary tract that allows lower urinary tract symptoms to be assessed, as well as to obtain valuable information for clinical decision making. This review aims to present an overview of the topic of the urodynamic study, its technical aspects, clinical application, and correct interpretation of results in lower urinary tract pathologies. Materials and methodsThis study is a narrative review, summarizing the information found by performing a literature search in the PubMed, MEDLINE, EMBASE databases, evidence-based guidelines, congress abstracts, as well as printed books and eBooks. Selected publications had to be in the English or Spanish language. Information from the selected articles was extracted and a summary is included in this document. ResultsThis review includes a description of the basic principles of urodynamic study, with emphasis on topics such as indications, urodynamic phases (uroflowmetry, cystometry, pressure-flow study), video-urodynamics, and electromyography. Of these topics, the normal values, the correct interpretation of results, and the application to patients with lower urinary tract symptoms, are described. ConclusionsUrodynamic study is a useful and complementary tool in making decisions on the management of lower urinary tract in both men and women. Adherence to international standards for calibration, best practices, and applicability can give optimal results, and thus useful in daily practice.© 2013 Sociedad Colombiana de Urología. Published by Elsevier España, S.L. All rights reserved.

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