Invasive urodynamics (iUDS) should be selectively performed in male patients with lower urinary tract symptoms before invasive treatment for benign prostatic obstruction. Recent evidence highlights the relevance of iUDS, particularly in patients with mixed symptomatology or significant comorbidities. Parameters such as the maximum flow rate, Bladder Outlet Obstruction Index, Bladder Contractility Index play a crucial role in predicting surgical outcomes, which emphasizes the importance of meticulous patient selection to maximize therapeutic efficacy.
European urology focus. 2025 Apr 29 [Epub ahead of print]
Enrico Finazzi Agrò, Eleonora Rosato, Simone Pletto, Gianluca Sampogna
Urology Unit, Department of Surgical Sciences, Policlinico Tor Vergata, Rome, Italy. Electronic address: ., Faculty of Medicine and Surgery, University of Rome Tor Vergata, Roma, Italy., Urology Unit, Department of Surgical Sciences, Policlinico Tor Vergata, Rome, Italy., Neurourology Service, Unipolar Spinal Division, Niguarda Hospital, University of Milan, Milan, Italy.