Urodynamic study in women with pure stress urinary incontinence

Valdevenito, Juan Pablo; Águila, Fernando Jaén; Naser, Michel; Manrı́quez, V.; Wenzel, Carina; Diaz, Jorge

doi:10.1016/j.acuroe.2015.01.007

Cited by 7 publications

(8 citation statements)

References 23 publications

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“…A later study by the same authors reported exactly the same former results . However, other studies place p det values in ranges between −5 and 10 cmH 2 O in at least 94% of cases . Our present study shows that 95% of patients had p det values between −4 and 8 cmH 2 O, with full ranges of −5 to 8 cmH 2 O, which are in accordance with the recent literature and reflect a good baseline quality control.…”

Section: Discussionsupporting

confidence: 92%

Correlation of Xiphopubic Distance, Body Weight, Height and Body Mass Index with Intravesical and Abdominal Initial Resting Pressures in Urodynamic Testing in the Sitting Position

Valdevenito

García-Mora

Rodríguez

et al. 2017

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Section: Discussionsupporting

confidence: 92%

Correlation of Xiphopubic Distance, Body Weight, Height and Body Mass Index with Intravesical and Abdominal Initial Resting Pressures in Urodynamic Testing in the Sitting Position

Valdevenito

García-Mora

Rodríguez

et al. 2017

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“…A variety of terms have been used to describe the phenomenon that the ICS now recognizes as “CADO.” These include “stress induced detrusor overactivity,” “cough activated detrusor instability,” “cough induced detrusor instability,” “stress induced detrusor instability,” “cough induced detrusor contractions,” “cough induced detrusor overactivity,” “cough induced bladder instability,” and “detrusor overactivity induced by cough.” ICS does not provide a corresponding term for the entity described as “valsalva induced detrusor instability.” Existing documents and textbooks provide little detail regarding CADO and cite no references . However, the need to identify the presence of stress incontinence or detrusor overactivity during filling phase in patients with CADO has been noted before .…”

Section: Discussionmentioning

confidence: 99%

“…However they speculated that the condition might explain mixed urinary incontinence symptoms in some of their patients who demonstrated exclusive detrusor overactivity . In a study of women with stress urinary incontinence, 1 out of 109 woman (0.9%) who underwent urodynamics was noted to have CADO …”

Section: Discussionmentioning

confidence: 99%

“…19 In a study of women with stress urinary incontinence, 1 out of 109 woman (0.9%) who underwent urodynamics was noted to have CADO. 12 A study of ambulatory urodynamics in women with mixed urinary incontinence showed that five of 100 women had a phasic contraction simultaneously with cough. A further eight had phasic contractions either before or immediately following a cough.…”

Section: Discussionmentioning

confidence: 99%

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Cough associated detrusor overactivity in women with urinary incontinence

Sinha

Lakhani²,

Singh³

2019

Neurourology and Urodynamics

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Aims This is the first study that attempts to define different forms of cough associated detrusor overactivity (CADO). Current literature lacks clarity regarding the types of CADO and clinical epidemiology. Methods Retrospective review of all adult women who underwent urodynamics for urinary incontinence (UI) over 7 years. Patients were stratified into four types: I, leak with CADO; II, leak with cough; III, leak with both; IV, leak with neither. Cough spike immediately preceding detrusor overactivity was defined as index cough. Stress leak occurring with any cough was classified as type II, not limited to the index cough that triggered the CADO. Statistical analysis by R statistical program (version 3.1.3). Results Of 7009 studies, urodynamics was performed in 174, 290, and 874 women with clinical urgency, stress and mixed UI during the study period. CADO was noted in 29 (2.2%) (median 52 y; IQR 14 y) including six urgency UI, two stress UI, and 21 mixed UI (P = 0.102;n.s.). Types I–IV CADO was noted in 15, 5, 8, and 1 women, respectively. Type III was most bothersome (Patient Perception of Bladder Condition score 5; P = 0.049) and had the longest duration of CADO contraction (39.6 s IQR 20.3 s; P = 0.041). Types II (0.9 s) and III (2.0 s) had shorter latency of onset compared with type I (2.8 s, IQR 1.7 s; P = 0.038). Concluding Message CADO is a heterogeneous entity. Subtle differences in presentation suggest distinct mechanisms for different forms of CADO. Recognizing different types of CADO introduces a precision into the subject that could ultimately benefit both clinicians and researchers.

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“…An IUS with poor periurethral support tissues due to [7] inadequate estrogen levels, previous vaginal surgery or certain neurologic lesions associated with poor urethral sphincter function is considered as an intrinsic sphincter deficient (ISD). Even though controversies on VLPP measurement in women with SUI remain, VLPP provides a reliable differentiation between these two conditions of the IUS and filling cystometry exclude other associated disease [23] such as detrusor overactivity in women with SUI. Distally, the Incontinence: At What Bladder Volume?.…”

Section: Introductionmentioning

confidence: 99%