ISSN:
1433-3023
Keywords:
Urinary incontinence
;
Urodynamic
;
Urogynecology
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract The aim of the study was to determine the possibility of establishing a genuine stress urinary incontinence severity grading from the combination of historical clinical and urodynamic parameters. Four hundred and eighty-three patients underwent complete investigation, including a questionnaire, clinical evaluation and multichannel urodynamic testing. They were then divided into four groups on the basis of the presence of only a SUI history (group 1,n=65); positive urine loss with a ‘continent’ stress urethral pressure profile (SUPP) (group 2,n=61); positive urine loss with an ‘incontinent’ SUPP (group 3,n=231); or no urine loss with an ‘incontinent' SUPP (group 4,n=126). Compared to group 1 the severity of incontinence was significantly greater in groups 2 and 3. and maximal urethral closure pressure and pressure transmission ratio were significantly reduced in group 3 and 4. Otherwise, history, clinical and urodynamic parameters showed no significant differences between the four groups. It was concluded that a scoring severity can be established when considering all the parameters of a woman suffering from GSI.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01892739
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