Considerations for Videourodynamics and How It Impacts Practice.

AIMS: Provide urologists with a comprehensive understanding to guide the optimal and evidence-based utilization of VUDS in contemporary practice.

METHODS

We performed a literature review of VUDS use in modern-day urologic practice, as well as innovative technological advancements and research endeavors to improve VUDS.

RESULTS

VUDS offers enhanced diagnostic precision, which directly influences treatment planning and can lead to more tailored and effective therapies. The increased resource intensity of VUDS underscores the critical need for appropriate patient selection. Contrast-enhanced voiding ultrasonography (ceVUS), using microbubble contrast agents, shows promise for eliminating the need for radiation through fluoroscopy in the identification of vesicoureteral reflux. Further, artificial intelligence holds considerable potential to transform various aspects of VUDS.

CONCLUSIONS

VUDS is a diagnostic tool for complex lower urinary tract dysfunction (LUTD) where UDS findings are insufficient or where detailed anatomical information is paramount for safe and effective treatment planning.