Reliability of Urodynamic Interpretation in Women Presenting with Urinary Incontinence at a Tertiary Hospital

Rizvi, Raheela Mohsin; Chughtai, Novera G.

doi:10.1159/000334540

Cited by 5 publications

(4 citation statements)

References 32 publications

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“…The percentage of patients with pure SUI symptoms varied between 5.2 and 29.9% in different studies [4,5,6,11,12,13]. In the present study, 19.9% (group 1) of the whole patient population (table 2) had pure SUI symptoms, and the PPV (76.7%) was not high enough for the prediction of pure uSUI in this group.…”

Section: Discussioncontrasting

confidence: 71%

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Is It Possible to Predict Urodynamic Stress Urinary Incontinence in Women with Minimal Diagnostic Evaluation?

Çeti̇nel

Demi̇rkesen²,

Önal³

et al. 2014

Urol Int

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Objectives: To determine whether it is possible to predict urodynamic stress urinary incontinence (uSUI) in women with minimal diagnostic evaluation. Materials and Methods: Medical records of 2,643 female incontinent patients were reviewed and 301 women were eligible for this study. The positive predictive values (PPV), sensitivity, specificity and negative predictive values (NPV) for uSUI and uSUI with or without detrusor overactivity (DO), and DO patients of pure SUI symptom (group 1), combination of pure SUI symptom and positive provocative stress test (+PST; group 2) and combination of pure SUI symptom, +PST and absence of overactive bladder symptoms (group 3) were calculated for each group. Results: Mean age was 51.03 years (22-88). PPV, sensitivity and specificity values for uSUI with or without DO of group 3 were 100, 7.4, and 100%, while these values for pure uSUI were 93.3, 9.3, and 99.3%, respectively. Interestingly, none of the patients in groups 2 and 3 had DO. Conclusions: Our results show that it was possible to predict uSUI with high accuracy using minimal diagnostic evaluation in a group of female patients with pure stress incontinence symptoms +PST while it was also possible to eliminate DO accurately in this group of patients.

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Section: Discussioncontrasting

confidence: 71%

“…In the present study, 19.9% (group 1) of the whole patient population (table 2) had pure SUI symptoms, and the PPV (76.7%) was not high enough for the prediction of pure uSUI in this group. In one study, only 68.08% of the patients with pure SUI symptoms had uSUI [13]. …”

Section: Discussionmentioning

confidence: 99%

Is It Possible to Predict Urodynamic Stress Urinary Incontinence in Women with Minimal Diagnostic Evaluation?

Çeti̇nel

Demi̇rkesen²,

Önal³

et al. 2014

Urol Int

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“…It can categorize the degree of obstruction and identify patients with low-pressure detrusor contraction or patients with detrusor acontractility. However, the invasive nature of PFS, together with financial and time costs, limits its application and in developing countries has limited accessibility [1,2]. …”

Section: Introductionmentioning

confidence: 99%

Catheterized Uroflowmetry as a Noninvasive Test for Detrusor Acontractility

Eğilmez

Gören²

2014

Urol Int

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Objective: To evaluate the efficacy of uroflowmetry performed through an indwelling catheter on the differential diagnosis of detrusor acontractility. Patients and Methods: 50 men aged between 51 and 85 years (mean 66 years) presenting to the outpatient urology department with indwelling catheters due to urinary retention were included in the study. In the supine position, 300 ml of saline was instilled into the bladder and the catheter was blocked; with the patient standing by the flowmeter, the catheter was opened, allowing the patient to void through the catheter. The evaluation continued with a cystometry and pressure-flow study (PFS). The patients were separated into two groups according to the results of the PFS - group 1 with positive detrusor pressure and group 2 with negative detrusor pressure (detrusor acontractility) - and the catheterized uroflow and PFS data were compared. Results: Statistical significance was seen between detrusor acontractility and peak flow rate (Q_max) on catheterized uroflow when Q_max <10 ml/s was taken as a threshold value (p = 0). Conclusion: A quick, noninvasive and inexpensive means of assessing lower urinary tract function would improve the management of men needing PFS. This study reveals that catheterized uroflow is a very easy and useful test if the question is whether the bladder is acontractile or not.

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“…7 Some urologists argued that the consideration for performing urodynamics was caused by the high cost of urodynamic study. 8 Moreover, urodynamics should be efficiently performed in selected patients to reduce the risk of emerging complications during and after the procedure. Hence, this study was aimed to identify several potential predictors of DU for a limited clinical setting.…”

mentioning

confidence: 99%

Potential predictors of detrusor underactivity in a urology outpatient clinic: a 5-year single center experience study

Soedarman

Rahardjo

2021

Med J Indones

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BACKGROUND Detrusor underactivity (DU) is diagnosed using urodynamics, which caused by a combination of strength and duration of the bladder muscle and resulted in prolonged bladder emptying. Invasive urodynamics, which are limited in many clinical settings, should be performed efficiently in high-risk patients to reduce the risk of emerging complications during and after the procedure. Therefore, this study was aimed to identify the potential predictors of DU for limited clinical settings. METHODS This retrospective study was retrieved from the medical records of patients who underwent urodynamics in the Department of Urology, Cipto Mangunkusumo Hospital from 2015 to 2020. Age, sex, bladder capacity, bladder compliance, bladder outlet obstruction, history of stroke, diabetes mellitus (DM) status, and neurological abnormalities were analyzed using chi-square and Mann–Whitney to examine the potential predictors of DU. The odds ratio (OR) of each factor was also calculated. Logistic regression was furtherly used for the analysis. RESULTS A total of 649 patients were included in this study. Male (OR = 1.74, 95% CI = 1.28–2.38) and DM patients (OR = 2.06, 95% CI = 1.36–3.11) had a higher risk of DU, while bladder outlet obstruction (OR = 0.54, 95% CI = 0.39–0.76) was the protective factor of DU. Furthermore, multivariate analysis showed that the potential predictors of DU were male (OR = 1.903, 95% CI = 1.37–2.64), DM (OR= 1.899, 95% CI = 1.22–2.95), and bladder outlet obstruction (OR = 0.32, 95% CI = 0.32–0.65). CONCLUSIONS Age, sex, bladder outlet obstruction, and history of DM could become the predictors of DU.

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Reliability of Urodynamic Interpretation in Women Presenting with Urinary Incontinence at a Tertiary Hospital

Cited by 5 publications

References 32 publications

Is It Possible to Predict Urodynamic Stress Urinary Incontinence in Women with Minimal Diagnostic Evaluation?

Is It Possible to Predict Urodynamic Stress Urinary Incontinence in Women with Minimal Diagnostic Evaluation?

Catheterized Uroflowmetry as a Noninvasive Test for Detrusor Acontractility

Potential predictors of detrusor underactivity in a urology outpatient clinic: a 5-year single center experience study

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