Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice

G. Ghoniem; E. Stanford; K. Kenton; C. Achtari; R. Goldberg; T. Mascarenhas; M. Parekh; K. Tamussino; S. Tosson; G. Lose; E. Petri

doi:10.1007/s00192-007-0495-5

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International Urogynecology Journal

January 2008, Volume 19, Issue 1, pp 5-33,

Open Access This content is freely available online to anyone, anywhere at any time.

Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice

G. Ghoniem,
E. Stanford,
K. Kenton,
C. Achtari,
R. Goldberg,
T. Mascarenhas,
M. Parekh,
K. Tamussino,
S. Tosson,
G. Lose,
E. Petri
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International Urogynecological Association

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Introduction
Background
Objectives
Materials and methods
Methods of review
Initial clinical evaluation
Clinical assessment
History
Physical examination
Pelvic floor muscle evaluation
Urinalysis
Residual urine
Cystoscopy
Blood tests
Imaging
Voiding diary
Introduction
Diary duration
Voiding diaries and patient history
Using voiding diaries in incontinent patients
Assessment of voiding dysfunction treatment
Research and asymptomatic populations
Conclusions and recommendations
Stress test
Introduction
Description of the cough test
Clinical use
Conclusions and recommendations
Incontinence severity and evaluation
Severity of incontinence
Subjective measures
Objective measures: pad testing
Conclusions and recommendations
Quality of life measures
Health-related quality of life
Recommended tools
General instruments
Disease-specific instruments
OAB and quality of life
Sexual dysfunction after surgery for SUI
How to measure the changes with surgical treatment of SUI
Effect of treatment on HRQOL
Conclusions and recommendations
Urethral mobility
Introduction
Cotton-tipped swab test
Perineal sonography
Videocystourethrography
Conclusions and recommendations
Pelvic organ prolapse assessment
Introduction
Pop and stress incontinence
Conclusions and recommendations
Patient satisfaction
Urodynamic testing
Role of UD testing
Urodynamic testing
Uroflowmetry and post-void residual (optional)
Cystometry (recommended)
Pressure flow study (optional)
Urethral pressure profilometry (optional)
Leak pressures (optional)
Prolapse
Outcomes and UD testing
Conclusions and recommendations
Neurophysiological testing of the pelvic floor for the diagnosis of stress urinary incontinence
Pudendal and perineal nerve conduction studies
Sacral reflex testing
Electromyography
Conclusions and recommendations
Surgical complications in the treatment of stress urinary incontinence
Introduction
Incidence
Prevention
Diagnosis and treatment
Conclusions and recommendations
Cost effectiveness in incontinence research
Introduction
Measuring costs
Categorizing costs
Economic analysis
Recommendations
Summary of recommendations
References
References

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References (230)

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About this Article

Title

Evaluation and outcome measures in the treatment of female urinary stress incontinence: International Urogynecological Association (IUGA) guidelines for research and clinical practice

Open Access

Available under Open Access This content is freely available online to anyone, anywhere at any time.

Journal

International Urogynecology Journal
Volume 19, Issue 1 , pp 5-33

Cover Date

2008-01-01

DOI

10.1007/s00192-007-0495-5

Print ISSN

0937-3462

Online ISSN

1433-3023

Publisher

Springer-Verlag

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Topics

Gynecology

Industry Sectors

Biotechnology
Health & Hospitals
Pharma

Authors

G. Ghoniem ⁽¹⁾
E. Stanford ⁽²⁾
K. Kenton ⁽³⁾
C. Achtari ⁽⁴⁾
R. Goldberg ⁽⁵⁾
T. Mascarenhas ⁽⁶⁾
M. Parekh ⁽⁷⁾
K. Tamussino ⁽⁸⁾
S. Tosson ⁽⁹⁾
G. Lose ⁽¹⁰⁾
E. Petri ⁽¹¹⁾

Author Affiliations

1. Cleveland Clinic Florida, Weston, FL, USA
2. Center for Advanced Pelvic Surgery, Belleville, IL, USA
3. Loyola University Medical Center Maywood, Maywood, IL, USA
4. Maternité, CHUV, Lausanne, Switzerland
5. Evanston, IL, USA
6. Hospital S. João, Porto, Portugal
7. Geisinger Medical Center, Danville, PA, USA
8. Medical University of Graz, Graz, Austria
9. University Hospital of Hartlepool, Hartlepool, UK
10. Glostrup Hospital, Glostrup, Denmark
11. Acad.Teaching Hospital University of Rostock, Schwerin, Germany

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