Videourodynamics (VUDS) is an advanced diagnostic procedure that simultaneously combines functional and anatomical evaluation of the lower urinary tract. The goal of this synchronous assessment is to promote accurate diagnosis of the aetiology responsible for patient symptoms, improving therapeutic decision-making. Overall, high-quality VUDS is advocated when other tests such as traditional urodynamics might not provide sufficient data to guide therapy, particularly in patients with complex, persistent or recurrent dysfunctions of the lower urinary tract. Additionally, VUDS is often crucial in the follow-up monitoring of many patients with these dysfunctions. A VUDS study is frequently considered a gold standard in patients with neurogenic lower urinary tract dysfunction, female bladder outlet obstruction or congenital anomalies of the lower urinary tract. Nevertheless, this specialized test should be limited to patients in whom VUDS data add value. Particularly, reliable studies comparing the effect of diagnosis with and without imaging on management outcomes are lacking, and no standardized procedures for undertaking VUDS are available. Additionally, patients should be carefully selected for VUDS evaluation, considering the increased cost and risks associated with radiological imaging. In routine practice, clinicians should balance the additional value of synchronous imaging and the enhanced diagnostic precision of VUDS against the limitations of this approach, which mainly include an uncertain effect of VUDS on final treatment outcomes.

视频尿动力学 (VUDS) 是一种先进的诊断程序，同时结合了下尿路的功能和解剖学评估。这种同步评估的目标是促进对患者症状病因的准确诊断，改善治疗决策。总体而言，当传统尿动力学等其他测试可能无法提供足够的数据来指导治疗时，尤其是对于患有复杂、持续或复发性下尿路功能障碍的患者，提倡高质量的 VUDS。此外，VUDS 对于许多患有这些功能障碍的患者的后续监测通常至关重要。 VUDS 研究通常被认为是神经源性下尿路功能障碍、女性膀胱出口梗阻或先天性下尿路异常患者的金标准。然而，这种专门的测试应仅限于 VUDS 数据增值的患者。特别是，缺乏比较使用和不使用影像学诊断对治疗结果的影响的可靠研究，并且没有进行 VUDS 的标准化程序。此外，考虑到与放射成像相关的成本和风险增加，应仔细选择患者进行 VUDS 评估。在常规实践中，临床医生应平衡同步成像的附加价值和 VUDS 提高的诊断精度与该方法的局限性，其中主要包括 VUDS 对最终治疗结果的不确定影响。