The Role of Ambulatory Urodynamic Investigation in Patients with Urinary Incontinence (can It Become a Standard Clinical Investigation?)

Few studies in the literature have used ambulatory urodynamic evaluation to assess women with urinary incontinence (1). Some recent studies, comparing the results of ambulatory and conventional urodynamic observations, usually have no patient selection criteria omitting the cases with frequency, urgency and mixed symptoms without significant urinary incontinence. Although it is well recognized that ambulatory urodynamics is an extremely sensitive method for detecting involuntary detrusor activity during physiological filling phase (2), there is still no consensus for recommendations concerning clinical indications and technique of this method. Any developed technique which may prevent the subsequent misdiagnoses will prevent the unnecessary surgeries, even minimally invasive ones. From this point of view, we aimed to identify an acceptable clinical experience to emphasize the importance of ambulatory urodynamic observations prior to final decision of antiincontinence surgery especially in urinary incontinence cases, whose conventional urodynamics failed to show any confirming data related with their lower urinary tract symptoms (LUTS).