Neurourology and urodynamics
Audio Summaries

Intraprocedural Pain During Intradetrusor Onabotulinum Toxin-A Injections: A Clinical Evaluation of Pain Distribution

Sep 21, 2026

This study aimed to evaluate the distribution and intensity of intraprocedural pain during intradetrusor onabotulinumtoxinA injections, specifically examining variations in pain perception based on gender, diagnosis, and injection site among patients with idiopathic detrusor overactivity, neurogenic detrusor overactivity, and wet overactive bladder. The results indicated that while overall pain levels were moderate, para-trigonal injections were particularly painful for patients with wet overactive bladder, suggesting that region-specific sensitivity should be considered to enhance procedural comfort.

Sacral Transcutaneous Electrical Nerve Stimulation Versus Oxybutynin in Children With Overactive Bladder: A Prospective Randomized Controlled Trial

Sep 21, 2026

This study aimed to compare the efficacy of sacral transcutaneous electrical nerve stimulation (TENS) versus oxybutynin in treating children with overactive bladder (OAB). The results indicated that TENS led to significantly higher response rates, better improvement in bladder function, and fewer adverse effects compared to oxybutynin, suggesting it as a more effective and well-tolerated treatment option for pediatric OAB. Further research with larger sample sizes is recommended to confirm these findings.

Storage-Pressure Urodynamic Risk in Children With Radiological Suspicion of Tethered Spinal Cord: A Single-Center Retrospective Comparative Study

Sep 21, 2026

The authors aimed to compare the prevalence of unsafe storage-pressure urodynamic findings in children with radiological suspicion or confirmation of tethered spinal cord against those without such tethering. Their study found that unsafe urodynamic patterns were significantly more common in the tethered group, although a notable percentage of children with radiological tethering exhibited safe findings, indicating that MRI alone cannot reliably predict functional bladder safety. Additionally, factors such as increased post-void residual urine and hydronephrosis were identified as potential indicators of higher risk, warranting further investigation.

Lower Urinary Tract Dysfunction in Renal Transplant Candidates: A Scoping Review of Assessment Methods and Post-Transplant Urological Outcomes

Sep 16, 2026

The authors conducted a scoping review to evaluate the assessment methods for lower urinary tract dysfunction (LUTD) in adult renal transplant candidates and to explore the relationship between pre-transplant LUTD and post-transplant urological outcomes. They found that pre-transplant LUTD is associated with an increased risk of post-transplant complications, particularly urinary tract infections, although the evidence is heterogeneous and largely based on observational studies. The review emphasizes the need for a standardized assessment framework to improve future research and clinical practices in this area.

Overactive Bladder as a Bioenergetic Disorder: A Sex-Convergent Mitochondrial-Oxidative Framework

Sep 14, 2026

The authors investigate whether the diverse associations of overactive bladder (OAB) symptoms in aging individuals can be organized within a sex-convergent mitochondrial-oxidative framework, distinguishing OAB from related conditions. They find evidence suggesting that mitochondrial-oxidative injury plays a role in various models of bladder dysfunction, but highlight the need for more direct comparative studies between sexes and further validation of their proposed framework. Ultimately, they propose that mitochondrial-oxidative dysfunction may contribute to OAB, but caution against viewing it as a universal cause without additional research.

Randomized Trial of Percutaneous Versus Transcutaneous Tibial Nerve Stimulation in The Treatment of Refractory Overactive Bladder: Results From The TRANSPER Trial

Sep 14, 2026

The authors aimed to compare the clinical efficacy of transcutaneous tibial nerve stimulation (TTNS) versus percutaneous tibial nerve stimulation (PTNS) in treating patients with refractory overactive bladder (OAB). The results showed that both TTNS and PTNS significantly improved symptom severity and quality of life without significant differences between the two methods, suggesting that TTNS could serve as a viable home-based treatment option to alleviate the healthcare burden associated with OAB management.

Long-Term Outcomes and Risk Factors for Failure After Transobturator Tape Surgery in Women With Stress Urinary Incontinence

Sep 14, 2026

The authors aimed to evaluate the long-term outcomes of transobturator tape (TOT) surgery for stress urinary incontinence (SUI) in women, identify predictors of surgical failure, and assess failure-free survival rates. The study found a 74.3% overall surgical success rate, with higher parity, greater baseline symptom severity, and lower abdominal leak point pressure identified as independent predictors of failure. Most recurrences occurred within the first 18 months post-surgery, highlighting the need for careful patient selection and follow-up.

Development and Validation of Urodynamic Report Writer: A Chat GPT App

Sep 14, 2026

The authors aimed to develop and validate the Urodynamic Report Writer App (URapp), a GPT-4o-based tool designed to assist in the interpretation of urodynamic data and the generation of reports for lower urinary tract dysfunction. The validation process demonstrated high scores in interpretative accuracy and adherence to evidence-based standards, suggesting that URapp could enhance standardized reporting in clinical practice. However, the authors note the need for prospective multicenter studies to confirm its effectiveness before routine implementation.

Outcomes Following OnabotulinumtoxinA Injection for Storage Symptoms in Patients Who Have Been Treated for Prostate Cancer

Sep 9, 2026

The authors aimed to evaluate the effectiveness and safety of onabotulinumtoxinA (BTXA) injections for treating storage symptoms in prostate cancer survivors, comparing outcomes based on treatment modalities (radical prostatectomy alone, radiation therapy alone, or both). They found that patients who underwent radical prostatectomy alone had lower rates of repeat BTXA injections and a lower risk of complications compared to those who received combined treatments. Overall, BTXA is a viable option for managing storage symptoms in these patients, but careful patient selection is essential.

Incidence of Urinary Retention Following OnabotulinumtoxinA: A Multi-Centre Audit Challenging the Necessity of Universal CISC Training

Sep 7, 2026

The authors aimed to assess the incidence of urinary retention following OnabotulinumtoxinA (BoNT-A) injections for overactive bladder and evaluate the necessity of universal clean intermittent self-catheterisation (CISC) training. Their retrospective audit of 250 procedures revealed a low urinary retention rate of 4%, suggesting that the current universal education pathway may be unnecessary and advocating for a selective, risk-stratified approach to CISC training. This proposed model could optimize hospital resources and improve patient experiences by focusing education on high-risk individuals.