{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T19:19:45Z","timestamp":1791227985474,"version":"4.1.0"},"reference-count":49,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:00:00Z","timestamp":1747180800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Urodynamic studies (UDS) are essential for evaluating lower urinary tract function but are limited by patient discomfort, lack of standardization and diagnostic variability. Advances in technology aim to address these challenges and improve diagnostic accuracy and patient comfort.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ambulatory Urodynamic Monitoring (AUM)<\/jats:title>\n                    <jats:p>AUM offers physiological assessment by allowing natural bladder filling and monitoring during daily activities. Compared to conventional UDS, AUM demonstrates higher sensitivity for detecting detrusor overactivity and underlying pathophysiology. However, it faces challenges like motion artifacts, catheter\u2010related discomfort, and difficulty measuring continuous bladder volume.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Remote Monitoring Technologies<\/jats:title>\n                    <jats:p>Emerging devices such as Urodynamics Monitor and UroSound offer more patient\u2010friendly alternatives. These tools have the potential to improve diagnostic accuracy for bladder pressure and voiding metrics but remain limited and still require further validation and testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ultrasonography in UDS<\/jats:title>\n                    <jats:p>Ultrasound\u2010based modalities, including dynamic ultrasonography and shear wave elastography, provide real\u2010time, noninvasive assessment of bladder structure and function. These modalities are promising but will require further development of standardized protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Artificial Intelligence in UDS<\/jats:title>\n                    <jats:p>AI and machine learning models enhance diagnostic accuracy and reduce variability in UDS interpretation. Applications include detecting detrusor overactivity and distinguishing bladder outlet obstruction from detrusor underactivity. However, further validation is required for clinical adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Advances in AUM, wearable technologies, ultrasonography, and AI demonstrate potential for transforming UDS into a more accurate, patient\u2010centered tool. Despite significant progress, challenges like technical complexity, standardization, and cost\u2010effectiveness must be addressed to integrate these innovations into routine practice. Nonetheless, these technologies provide the possibility of a future of improved diagnosis and treatment of lower urinary tract dysfunction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70074","type":"journal-article","created":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T06:14:09Z","timestamp":1747203249000},"page":"293-298","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["The Future of Urodynamics: Innovations, Challenges, and Possibilities"],"prefix":"10.1002","volume":"45","author":[{"given":"Lauren E.","family":"Chew","sequence":"first","affiliation":[{"name":"University Hospitals Cleveland Medical Center Cleveland OH USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica H.","family":"Hannick","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Children's Hospital Cleveland OH USA"},{"name":"Glickman Urological and Kidney Institute Cleveland Clinic 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