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  • 1
    Electronic Resource
    Electronic Resource
    A randomized controlled trial of urodynamic investigations prior to conservative treatment of urinary incontinence in the female (1995)
    Springer
    International urogynecology journal 6 (1995), S. 277-281 
    Details
    ISSN: 1433-3023
    Keywords: Bladder retraining ; Incontinence ; Physiotherapy ; Urodynamics
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Sixty patients complaining of frequency, urgency, nocturia, urge incontinence and stress incontinence were randomly allocated to either undergo conservative treatment by way of combined physiotherapy and bladder retraining as an inpatient without prior urodynamics, or to have urodynamic investigations and treatment tailored to the urodynamic diagnosis. The assessment period was 3 months and assessment was made pre- and posttreatment by urinary diary, pad testing and subjective questionnaire. There was a significant improvement posttreatment for each parameter studied, with the exception of pad testing. There was no significant difference between the two groups for any parameter. Two-thirds of patients were cured to the extent that they did not require further treatment, and again there was no difference between the two groups. We conclude that patients attending for the first time with an uncomplicated story of urinary incontinence can be effectively treated conservatively without prior urodynamics.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01901525
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
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  • 2
    Electronic Resource
    Electronic Resource
    A prospective, randomized controlled trial of inpatient versus outpatient continence programs in the treatment of urinary incontinence in the female (1996)
    Springer
    International urogynecology journal 7 (1996), S. 260-263 
    Details
    ISSN: 1433-3023
    Keywords: Bladder retraining ; Incontinence ; Outpatient ; Physiotherapy
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Seventy-four patients presenting with a mixed pattern of urinary symptoms were randomly allocated to undergo either inpatient or outpatient continence programs as initial treatment, without prior urodynamic investigation. Both programs consisted of physiotherapy, bladder retraining, fluid normalization, dietary advice and general support and advice. Nine out of 39 in the outpatient group and 8 out of the 35 of the impatient group failed to complete the study. There was a significant decrease in frequency, nocturia, number of incontinent episodes and visual analog scores for both groups. In addition the outpatients had a significant reduction in loss on pad testing, and a significantly greater improvement in their visual analog score. In each group 63% were cured or improved to the extent that they did not require further treatment. Staff costs per outpatient were half those for an inpatient. We conclude that outpatient conservative treatment as detailed above is a successful first-line treatment of urinary incontinence in women. It is as successful and possibly better than inpatient treatment, and is significantly cheaper.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF01901248
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 3
    Electronic Resource
    Electronic Resource
    The symptomatic characterization of patients with detrusor instability and those with genuine stress incontinence (1993)
    Springer
    International urogynecology journal 4 (1993), S. 23-26 
    Details
    ISSN: 1433-3023
    Keywords: Incontinence ; Instability ; Logistic regression ; Symptomatology
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract The histories of 100 patients with detrusor instability and 100 with genuine stress incontinence were studied to define the symptomatology of these two conditions, looking particularly at certain areas which had not been reported previously, namely the severity of incontinence and its relationship to the menstrual cycle. By using a scoring system for the four most significant symptoms, as determined by logistic regression analysis, a model was constructed in an effort to more accurately predict the diagnosis from history alone. Frequency, urgency and nocturia scored together, and urge incontinence were significantly associated with detrusor instability. The frequency of urinary leakage and the amount of protection required were significantly associated with genuine stress incontinence. By scoring these four sets of symptoms alone, it is predicted from the logistic model constructed that the diagnosis can be correctly made from the history in 76% of cases.
    Type of Medium: Electronic Resource
    URL: http://dx.doi.org/10.1007/BF00372805
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
  • 4
    Electronic Resource
    Electronic Resource
    Can scoring the severity of symptoms help to predict the urodynamic diagnosis? (1995)
    Springer
    International urogynecology journal 6 (1995), S. 267-270 
    Details
    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
    Library Location Call Number Volume/Issue/Year Availability
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    Paper (German National Licenses)
    Fulltext
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