What Is the Role of Invasive Urodynamics in the Assessment of Male Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia

Invasive urodynamics (iUDS) should be selectively performed in male patients with lower urinary tract symptoms before invasive treatment for benign prostatic obstruction. Recent evidence highlights the relevance of iUDS, particularly in patients with mixed symptomatology or significant comorbidities. Parameters such as the maximum flow rate, Bladder Outlet Obstruction Index, Bladder Contractility Index play a crucial role in predicting surgical outcomes, which emphasizes the importance of meticulous patient selection to maximize therapeutic efficacy.