When does urodynamics actually change management and when is it unnecessary? In BackTable Urology’s latest collaboration with the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU), Dr. Howard Goldman and Dr. David Ginsberg join Dr. Giulia Ippolito to discuss the evidence-based use of urodynamics across a range of clinical scenarios.

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Timestamps

00:00 - Introduction
05:04 - Case: Male Urinary Retention
12:38 - Case: Failed Sling
18:44 - Case: Parkinson’s OAB
21:50 - Case: Post-Prostatectomy
26:48 - Prolapse Without Urodynamics
32:29 - Obstruction Workup
36:16 - Refractory OAB
42:49 - Interstitial Cystitis
45:18 - Recurrent UTI Evaluation
50:16 - Conclusions

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More about this episode

They review guideline-driven indications and limitations of urodynamic testing, emphasizing that many common conditions do not routinely require testing. Through case-based discussion, they highlight situations where urodynamics can meaningfully inform care, such as complex neurogenic patients and cases requiring differentiation between obstruction and detrusor underactivity. The conversation highlights the importance of clinical judgment, targeted use of adjuncts such as uroflow, and aligning testing with decision-making to optimize patient outcomes.
This podcast is supported by the Society of Urodynamics, Female Pelvic Medicine & Urogenital Reconstruction (SUFU).

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Resources

Female Urgency, Trial of Urodynamics as Routine Evaluation (FUTURE study)
https://pubmed.ncbi.nlm.nih.gov/34702331/

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Ep. 299 Clinical Decision-Making in Urodynamics: From Stress Incontinence to Neurogenic Bladders with Dr. Howard Goldman and Dr. David Ginsberg