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  • 1
    Electronic Resource
    Electronic Resource
    Federal guidelines for the management of urinary incontinence in the United States: Which patients should undergo urodynamic testing? (1995)
    Springer
    International urogynecology journal 6 (1995), S. 198-203 
    Details
    ISSN: 1433-3023
    Keywords: Practice guidelines ; United States Agency for Health Care Policy and Research ; Urinary incontinence, stress ; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract In 1992, the United States Agency for Health Care Policy and Research (AHCPR) proposed a guideline for the management of adults with urinary incontinence. The purpose of this study is to evaluate the criteria proposed by the AHCPR for the selective use of urodynamic testing in women complaining of stress incontinence. In order to examine the efficacy of these criteria, we retrospectively determined urodynamic diagnoses for 101 women presenting with the complaint of stress incontinence. These were then compared to the AHCPR recommendations for each subject's management. We found that the AHCPR algorithm would have recommended treatment without urodynamic testing for 65% of the population. If the AHCPR guideline had been followed, 32% of the overall population could have received inappropriate treatment. These results suggest that the implementation of the AHCPR guideline could result in inappropriate treatment for onethird of women presenting with symptoms of stress incontinence.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01894262
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    Stress Urinary Incontinence at Rest (1999)
    Springer
    International urogynecology journal 10 (1999), S. 290-294 
    Details
    ISSN: 1433-3023
    Keywords: Key words: Bladder compliance; Intrinsic urethral sphincter deficiency; Overflow incontinence; Urinary incontinence; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract: We retrospectively identified 37 cases in which urinary incontinence occurred at rest during urodynamic testing in the absence of a coincident detrusor contraction or urethral relaxation. This phenomenon, genuine stress incontinence at rest, was observed during 9.6% of multichannel cystometrograms performed at our institution. The observed urine loss occurred at bladder volumes between 145 ml and 800 ml. Loss occurred with bladder overdistension (overflow incontinence) in only 3 subjects (8%). Decreased bladder compliance was observed in 11 (30%) and decreased outlet resistance was demonstrated in 24 (65%). Our findings suggest that genuine stress incontinence at rest is relatively common in a referred population of incontinent women. This phenomenon is associated with impaired urethral function and/or decreased bladder compliance.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/s001929970004
    Library Location Call Number Volume/Issue/Year Availability
    BibTip Others were also interested in ...
    Paper (German National Licenses)
    Fulltext
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