What are the indications for urodynamic testing in older adults with incontinence?

Abstract

Urodynamic testing is indicated for older adults with incontinence when the underlying cause remains unclear (Grade of Recommendation: B, based on multiple well designed, but inconsistent, randomized controlled trials [RCTs]). Simple cystometry -- specifically, measuring post void residual and bladder capacity -- is helpful in the evaluation of urinary incontinence when the cause has remained unclear. It may also offer benefit when surgery is under consideration, when there is a history of genitourinary surgery, or when a conservative therapeutic trial has not had an adequate response (Grade of Recommendation: C, based on a small number of RCTs, retrospective cohort studies and systemic reviews).