Use of routine videocystourethrography in the evaluation of female lower urinary tract dysfunction

Controversy remains over which tests are necessary in the routine evaluation of women with lower urinary tract dysfunction. Is cystometry alone sufficient, or is a more detailed investigation such as videocystourethrography justified? Two hundred consecutive new patients attending for urodynamic assessment were reviewed. In fifteen (7.5%) patients the correct diagnosis was made only on videocystourethrography. We therefore suggest that videocystourethrography should continue to be used as the routine investigation of female lower urinary tract dysfunction.