[Videourodynamics: Current indications, technique and considerations.]

2021 
espanolOBJETIVO: Describir la tecnica, las indicaciones y la correcta interpretacion dados los hallazgos en diferentes entidades clinicas, y servir como guia para urologos, residentes de urologia e incluso estudiantes de medicina. MATERIAL Y METODO: Se realizo una revision bibliografica internacional de articulos o guias en las bases de datos PubMed, Cochrane y Scopus entre enero de 1970 y junio de 2020. RESULTADOS: La videourodinamia es un procedimiento diagnostico que integra el estudio urodinamico con imagenes simultaneas del tracto urinario inferior para evaluar la anatomia y la funcion durante las diferentes fases de miccion. Este estudio aporta informacion relevante que puede modificar la conducta terapeutica y por ende los desenlaces clinicos de los pacientes. CONCLUSION: El papel de la videourodinamia cada vez toma mas relevancia en la evaluacion de la fisiopatologia de la disfuncion miccional, siendo incluso el patron de oro para el estudio de disfuncion vesical neurogenica y trastornos del vaciado en jovenes y mujeres y, posiblemente la incontinencia recidivada tanto en hombres como en mujeres. EnglishOBJECTIVES: Describe the technique, indications and the correct interpretation given the findings in different clinical entities, and to serve as a guide for urologists, urology residents and even medical students. MATERIAL AND METHODS: A literature search was performed using Pubmed, Cochrane and Scopus database for articles and guidelines published between January 1970 and June 2020. RESULTS: Videourodynamics is a diagnostic procedure that combines the urodynamic study with simultaneous images of the lower urinary tract to assess the anatomy and function during the different phases of micturitionThis study provides important information that can modify therapeutic behavior and therefore clinical outcomes of patients. CONCLUSION: The role of videourodynamics becomes more relevant nowadays in the assessment of the pathophysiology of voiding dysfunction, being the gold standard for the workup of neurogenic bladder and voiding dysfunction in young people and women and, possibly in persistent/recurrent incontinence in both men and women.
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