ISSN:
1433-3023
Keywords:
Diagnosis
;
History
;
Urodynamics
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract A very detailed history, including the scoring of symptoms, was taken from 207 patients in an effort to determine whether one could predict the urodynamic diagnosis. Using a previously devised model the symptoms of frequency, urgency, nocturia, urge incontinence, frequency of leakage and amount of protection required gave an index which predicted either genuine stress incontinence (GSI) or detrusor instability (DI). All patients underwent uroflowmetry and subtracted dual-channel cystometry. 124/207 patients had a pure diagnosis of either GSI or DI, and in these cases the model gave the correct answer 79% of the time. An analysis of variance demonstrated that patients with GSI, DI and a combined diagnosis had statistically different index values. However, the large number of patients with neither diagnosis (48) of which 39 had no urodynamic abnormality detected, limits the clinical application of this model and leads us to conclude that even a very detailed history does not allow one to predict the urodynamic diagnosis.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01901522
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