ABSTRACT
I. INTRODUCTION The evaluation of the incontinent woman must yield a proper diagnosis. Complications after incontinence operations related to preoperatively unrecognized detrusor instability or voiding dysfunction are not acceptable. Multichannel urodynamics provide a comprehensive evaluation of the underlying conditions related to incontinence and urinary retention. While researchers might like to perform urodynamic testing of every incontinent patient, the cost-effectiveness and feasibility must be addressed. Simple evaluation in the office can be helpful in most cases. However, if these evaluations do not help arrive at a comprehensive diagnosis that fully explains the patient’s symptoms, then more sophisticated testing in a urodynamics laboratory is warranted.
