Table 4.
Facilitators related to not routinely performing urodynamics (UDS) and barriers related to routinely performing UDS in the preoperative phase for women with stress urinary incontinene (SUI) according to professionals
| Respondents | All (%) n = 117 | No routine UDS (%) n = 109 | Routine UDS (%) n = 8 | P value |
|---|---|---|---|---|
| Facilitators | ||||
| Related to care provider | ||||
| I like the design of the VUSIS study | 56% (66/107) | 61% 66/109 | 0% (0/8) | <0.01 |
| The combination of voiding diary, uroflow/postvoid residual volume, and physical examination gives me enough information | 77% (90/107) | 82% 89/109 | 13% (1/8) | <0.01 |
| Related to study outcome | ||||
| Outcome of the VUSIS study | 62% (73/107) | 66% (72/109) | 13% (1/8) | <0.01 |
| Recommendation of the study VUSIS not to routinely perform UDS | 65% (76/107) | 69% (75/109) | 13% (1/8) | <0.01 |
| Uncertainty about the value of UDS | 48% (56/107) | 51% (56/109) | 0% (0/8) | <0.01 |
| Related to environmental factors | ||||
| The latest national guideline regarding urinary incontinence | 67% (78/107) | 71% 77/109 | 13% 1/8 | <0.01 |
| Barriers | ||||
| Reated to care provider | ||||
| I think the importance of urodynamics are wide | 6% (8/107) | 4% 4/109 | 50% 4/8 | <0.01 |
| UDS are additional value to me to know if there is detrusor overactivity | 53% (61/107) | 49% 53/109 | 100% (8/8) | <0.01 |
| UDS are additional value to me to know the pressure transmission ratio | 18% (18/107) | 16% 17/109 | 50% (4/8) | 0.01 |
| Related to environmental factors | ||||
| The flow of patients, including the routinely performed urodynamics, was optimally regulated | 5% (6/107) | 2% 2/109 | 50% 4/8 | <0.01 |
Value of Urodynamics prior to Stress Incontinence Surgery, Value of Urodynamic Evaluation
P values are measured with Fisher’s exact test