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June 20, 2026Current Bladder Dysfunction ReportsOpen Access

Beyond Obstruction: Detrusor Underactivity and the Role of Urodynamics Before Bladder Outlet Procedures

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Authors

KSKathryn SawyerUniversity of MichiganPPParth PatelNational Institute of Technology RourkelaGIGiulia M. IppolitoUniversity of Michigan

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Overview

Review evaluates urodynamic studies predicting surgical outcomes in men with BPH and LUTS, suggesting careful counseling.

Key Points

  • This review evaluates the role of preoperative urodynamic studies in men with benign prostatic hyperplasia and lower urinary tract symptoms.
  • Assessment of urodynamic studies in characterizing detrusor function in BPH patients.
  • Evaluation of surgical outcome prediction across various surgical modalities.
  • Discussion of emerging imaging technologies for enhancing diagnostic precision.
  • Detrusor underactivity correlates with variable short-term outcomes post-surgery, but many patients still achieve meaningful improvements.
  • UDS remains the gold standard for diagnosing detrusor underactivity, though its routine preoperative use is debated due to invasiveness and standardization issues.
  • Careful counseling is required for patients with detrusor underactivity considering surgical intervention.

Cite This Study

Sawyer et al. (2026) studied this question.

synapsesocial.com/papers/6a362f3bdb0793dc1a536bc4https://doi.org/10.1007/s11884-026-00816-x
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