Comparisons of urodynamic characteristics between female patients with overactive bladder and overactive bladder plus stress urinary incontinence

Lin, Long-Yau; Yeh, Nan‐Hung; Lin, Ching-Yi; Sheu, Bor‐Ching; Lin, Ho‐Hsiung

doi:10.1016/j.urology.2004.06.023

Cited by 23 publications

(8 citation statements)

References 19 publications

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“…In these patients preoperative assessment with UDS enabled us to start anticholinergics which improved surgical success rate. (30) In our study UDS has completely changed the course of management in many cases and guided us to give specific and appropriate treatment. (31) To mention a few cases.…”

Section: Discussionmentioning

confidence: 70%

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Role of Urodynamic Testing in the Evaluation of Persistent Urinary Incontinence in Postmenopausal Women

Lakshmi¹,

Suhasini²,

H³

et al. 2016

jemds

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AIMTo evaluate the importance of Urodynamic assessment in postmenopausal women for confirmation of the type of Incontinence, which is valuable in guiding the management by conservative or surgical measures. MATERIAL AND METHODSThis is a multicentric prospective study conducted from Nov 2010 -May 2012 on 88 postmenopausal women who presented with complaints of Urinary Incontinence at Outpatient dept. of Tertiary Teaching Hospital, Govt. Maternity Hospital, Petlaburz, Hyderabad and at Hyderabad Nursing Home, Basheerbagh, Hyderabad. Out of 88 patients who were recruited and evaluated, 26 patients responded to initial management and the remaining 62 patients were enrolled for Urodynamic study but 3 patients deferred and lost for follow up. UDS was conducted in these 59 patients, cystoscopy was optional and essential in 5 cases and hence it was performed in these cases.Methods and units of multichannel conventional UDS used in this study maintained the standards recommended by the international continence society. Filling, voiding cystometry and uroflowmetry was done. RESULTSThe distribution of the patients in our study according to age, parity, BMI, Literacy and mode of delivery were analysed. The presence of precipitating factors (1 or more), associative with cystocele and history of prior surgeries were also recorded. In our study out of 59 patients, Detrusor underactivity (37.28%) were seen in maximum number of patients followed by mixed incontinence (25.42%) and OAB (18.64%). Clinical experience and the literature suggests that older women have decreased detrusor contractility, increase in OAB and mixed incontinence and decrease in pure stress symptoms. Our results support this statement. In our study UDS has completely changed the course of management in many cases and guided us to specific and appropriate treatment. Established voiding and continent centres have advised that these patients should thoroughly evaluated with UDS and their treatment should be individualized according to their symptoms with team approach. CONCLUSIONUrodynamic study is gold standards in evaluation of urinary incontinence which guide us for specific management with better results. UDS provide enough information for treatment decision and prognosis in cases of UI. Research is critically needed to provide data that will allow better understanding of the unique nature of this urologic disease in these older postmenopausal women. KEYWORDSUrinary Incontinence (UI), Urodynamic Study (UDS), Quality of Life (QOL), Overactive Bladder (OAB, Body Mass Index (BMI). HOW TO CITE THIS ARTICLE:

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Section: Discussionmentioning

confidence: 70%

“…(30,31) CONCLUSION Urodynamic study is a gold standard in evaluation of urinary incontinence which guide us for specific management with better results. UDS provide enough information for treatment decision and prognosis in cases of UI.…”

Section: Fig: Severe Intrinsic Sphincter Deficiency With Detrusor Undmentioning

confidence: 99%

Role of Urodynamic Testing in the Evaluation of Persistent Urinary Incontinence in Postmenopausal Women

Lakshmi¹,

Suhasini²,

H³

et al. 2016

jemds

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“…Lin et al [25] found more pads per day were used and pads were heavier in women with overactive bladder and stress urinary incontinence than in women suffering from stress urinary incontinence alone. Our data seem to be quite different as 76/107 patients (71%) who presented DO had a positive pad test, but only 9/76 (12%) complained of pure urge incontinence, and 8/16 (50%) of women who did not complain of DO had a positive pad test.…”

Section: Discussionmentioning

confidence: 99%

Sensitivity and Specificity of One-Hour Pad Test as a Predictive Value for Female Urinary Incontinence

et al. 2008

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Aim: To analyze the sensitivity and specificity of the 1-hour pad test, as suggested by the International Continence Society, in the diagnosis of female urinary incontinence. Methods: 158 female patients, with or without urinary incontinence, underwent a 1-hour pad test. The pad test was assessed as positive or negative and pad weight was recorded. Uni- and multivariate analysis investigated correlation with age, body mass index (BMI), symptoms, prolapse grade, urinary incontinence grade and type, number of pads daily, urodynamic variables and Urogenital Distress Inventory and Incontinence Impact Quality of Life questionnaires. Results: A positive 1-hour pad test was significantly associated with urinary incontinence grade, with a positive stress test, with detrusor overactivity (DO), urine leakage and a positive Valsalva leak point pressure at urodynamics. The association between presence/absence of incontinence and DO, stress test, urine leakage and pad weight had 83% sensitivity and 89% specificity in predicting urinary incontinence. When the 1-hour pad test result was added to stress test and urine leakage versus presence/absence of incontinence, the sensitivity was 90%, and specificity 65%. Conclusions: Our data seem to confirm the 1-hour pad test has poor predictive value in the diagnosis of female urinary incontinence when associated to stress test and urine leakage.

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“…A sample size of 26 patients was calculated to have 80% power if the mean bladder volumes would differ by 30 ml with a standard deviation of 51 ml. The difference and standard deviation were estimated from previous studies by De Wachter et al4 and Lin et al7 We considered that a mean change of 50 ml in bladder volume at which the first detrusor contraction would occur and/or a 50% change in the number of detrusor contractions would be of clinical significance. Statistical analysis was performed with a paired t ‐test using JMP version 7.0 (SAS Institute, Inc., Cary, NC).…”

Section: Methodsmentioning

confidence: 99%

The effect of rectal distension on bladder function in patients with overactive bladder

Akl

Jacob

Klauschie

et al. 2012

Neurourology and Urodynamics

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Comparisons of urodynamic characteristics between female patients with overactive bladder and overactive bladder plus stress urinary incontinence

Cited by 23 publications

References 19 publications

Role of Urodynamic Testing in the Evaluation of Persistent Urinary Incontinence in Postmenopausal Women

Role of Urodynamic Testing in the Evaluation of Persistent Urinary Incontinence in Postmenopausal Women

Sensitivity and Specificity of One-Hour Pad Test as a Predictive Value for Female Urinary Incontinence

The effect of rectal distension on bladder function in patients with overactive bladder

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