Urinary Incontinence symptom scores and urodynamic diagnoses

作者: Mary P. FitzGerald , Linda Brubaker

DOI: 10.1002/NAU.2116

关键词: Urinary incontinenceUrologyMedical diagnosisDistressPredictive value of testsUrodynamic testingPhysical therapyGenitourinary systemQuality of lifeMedicineUterine prolapse

摘要: The aim of this study was to determine whether scores on two validated urinary incontinence symptom scales predicted eventual urodynamic diagnoses. Two hundred ninety-three patients undergoing multi-channel testing rated their symptoms and/or pelvic organ prolapse (POP), using the Incontinence Impact Questionnaire, Urogenital Distress Inventory, and an obstructive subscale from long form Questionnaire. Among 202 (69%) without advance-stage POP, increasing scale items related stress urge frequency diagnoses genuine (GSI) detrusor instability, respectively. 91 (31%) with there no association. all GSI, presence intrinsic sphincter deficiency could not be by responses scales. Scores were inadequate predictors diagnoses, especially among women POP.

参考文章(9)
Jensen Jk, Ostergard Dr, Nielsen Fr, The role of patient history in the diagnosis of urinary incontinence. Obstetrics & Gynecology. ,vol. 83, pp. 904- 910 ,(1994)
S. A. Shumaker, J. F. Wyman, J. S. Uebersax, D. McClish, J. A. Fantl, , Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory Quality of Life Research. ,vol. 3, pp. 291- 306 ,(1994) , 10.1007/BF00451721
P. Abrams, J. G. Blaivas, S. L. Stanton, J. T. Andersen, The standardization of terminology of lower urinary tract function recommended by the international continence society International Urogynecology Journal. ,vol. 1, pp. 45- 58 ,(1990) , 10.1007/BF00373608
Richard C. Bump, Anders Mattiasson, Kari Bø, Linda P. Brubaker, John O.L. DeLancey, Peter Klarskov, Bob L. Shull, Anthony R.B. Smith, The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction American Journal of Obstetrics and Gynecology. ,vol. 175, pp. 10- 17 ,(1996) , 10.1016/S0002-9378(96)70243-0
Jerry G. Blaivas, Outcome measures for urinary incontinence Urology. ,vol. 51, pp. 11- 19 ,(1998) , 10.1016/S0090-4295(98)90002-4
Jerry G Blaivas, Rodney A Appell, J Andrew Fantl, Gary Leach, Edward J McGuire, Neil M Resnick, Shlomo Raz, Alan J Wein, None, Standards of efficacy for evaluation of treatment outcomes in urinary incontinence: Recommendations of the Urodynamic Society Neurourology and Urodynamics. ,vol. 16, pp. 145- 147 ,(1997) , 10.1002/(SICI)1520-6777(1997)16:3<145::AID-NAU2>3.0.CO;2-E