Do Women With Pure Stress Urinary Incontinence Need Urodynamics? - 06/08/11
, Caroline Hendricken, Ruwan Fernando, Vik Khullar
Reprint requests: G. Alessandro Digesu, M.D., Ph.D., Via Bottalico 59, 70124 Bari, ItalyRésumé |
Objectives |
To evaluate the value of performing urodynamic investigations in the assessment of women with a history of pure stress urinary incontinence (SUI).
Methods |
Consecutive women with lower urinary tract symptoms were studied retrospectively. Urinary symptoms were determined from the frequency-volume chart and symptom section of the King's Health Questionnaire. Only women with pure SUI symptoms were included.
Results |
A total of 3428 women aged 24-81 years were studied. Only 308 women (8.9%) could be classified as having pure SUI from the questionnaire. Of these, 241 of women (78.2%) had urodynamic stress incontinence, 23 women (7.5%) had detrusor overactivity, 9 women (2.9%) had mixed urodynamic diagnosis, and 35 women (11.4%) had inconclusive urodynamics. Postvoid residual volumes greater than 100 mL were noted in 24 (7.8%) women.
Conclusions |
Our results show that urodynamic investigations provide useful information in the assessment of women with a history of pure SUI, because as many as 20% of them might not need surgery as the first line of treatment.
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| The authors declare the following for research, consultancy and/or advisory work: Vik Khullar: Astellas, Lilly, Allergan, Pfizer, Gynecare, Cook, Bioxell; G. A. Digesu: Astellas; Bioxell; Ruwan Fernando: Astellas; Pfizer. |
Vol 74 - N° 2
P. 278-281 - août 2009 Retour au numéro
Article précédent
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- Editorial Comment
- Roger R. Dmochowski, Roger Dmochowski
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