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Diagnostic agreement of 3 incontinence questionnaire to video-urodynamics findings in women with urinary incontinence
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Diagnostic agreement of 3 incontinence questionnaire to video-urodynamics findings in women with urinary incontinence
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Diagnostic agreement of 3 incontinence questionnaire to video-urodynamics findings in women with urinary incontinence
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Journal Article
Diagnostic agreement of 3 incontinence questionnaire to video-urodynamics findings in women with urinary incontinence
2018
Overview
MATERIAL AND METHODS In this prospective study carried out in 2010 at a district general hospital registered with the Trust Research and Audit Department (Number P1080), we assessed two hundred female patients referred by primary care practitioners to the female urology clinic with urinary incontinence. Patients with recurrent urinary tract infections, recently failed incontinence surgery, suspected urinary fistulas, spinal cord injury, genitourinary malformations, pelvic malignancy and previous abdominopelvic radiotherapy were excluded. In the present study, symptoms of leakage of urine during physical activity (3IQ question 3, part a) identified less than half the women with UDSUI (sensitivity 43%), but a positive answer increased the probability significantly of UDSUI being present (predictive value 87%, positive likelihood ratio 5.4) This is in keeping with the findings of Bergman et al. wherein the correlation of detailed urinary symptoms 64-item questionnaire and urodynamics findings for SUI was 80% [13]. The 3IQ questionnaire showed low performance in diagnosing urodynamically demonstrated MUI. [...]we would suggest that a complete history, thorough clinical evaluation and in selected cases urodynamic testing are still essential in the accurate diagnosis and appropriate management of female urinary incontinence.
Publisher
Polish Urological Association
Subject
