Urodynamics in pelvic organ prolapse: when are they helpful and how do we use them?

The routine use of preoperative urodynamics in the woman considering surgery for pelvic organ prolapse is a topic of much debate. This article addresses the use of urodynamics in patients with pelvic organ prolapse. It specifically discusses the utility of urodynamics in the evaluation stress incontinence on prolapse reduction (occult stress urinary incontinence) as well as concomitant storage and voiding symptoms in these patients.