ABSTRACT

Laboratory assessment includes a obtaining urine sample for analysis and culture. Urodynamic study (UDS) is critical to assess bladder function and determine bladder storage capabilities. Urine storage at low intravesical pressures is critical for placement of the AUS, given the compressive effect of the device. UDS evaluates bladder filling pressures and bladder capacity. High-pressure urinary storage is a contraindication to AUS placement and critical to determine so as to optimize therapy. UDS also may detect detrusor overactivity, which may require additional medical therapy for optimization of care. Abdominal leak point pressure assist in the assessment of sphincteric function and assists in the delineation of ISD. Urethral pressure profilometry confirming low urethral closure pressures (<25 cmH

(5) . Additional testing modalities may include uroflowmetry and measurement of post-void residual urine. Intermittent catheterization post-operatively may be a component of therapeutic strategy for some women with poor bladder contractility.