How often does detrusor overactivity cause urinary leakage during a stress test in women with mixed urinary incontinence?
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Introduction and hypothesis
The study examined how often detrusor overactivity (DO) causes leakage during a stress test in women with mixed urinary incontinence (MUI) and whether there are differences between those who do and those who do not have DO during the stress test.
A retrospective study was performed in 100 women who had an ambulatory urodynamic recording done where bladder, urethral, and vaginal pressures, and leakage were recorded. The stress test consisted of 20 jumping jacks and three forceful coughs.
All the women leaked during the stress test: five due to simultaneous stress test and DO, 87 due to the stress test only, and eight during the stress test as well as due to DO before or after the stress test.
During the stress test, 5 % of women with MUI leaked due to the coughs and jumps and simultaneous DO. Women in whom DO was detected had significantly higher Urgency Incontinence Index and leakage during the 24-h pad test.
- Nager, CW, Brubaker, L, Litman, HJ, Zyczynski, HM, Varner, RE, Amundsen, C, Sirls, LT, Norton, PA, Arisco, AM, Chai, TC, Zimmern, P, Barber, MD, Dandreo, KJ, Menefee, SA, Kenton, K, Lowder, J, Richter, HE, Khandwala, S, Nygaard, I, Kraus, SR, Johnson, HW, Lemack, GE, Mihova, M, Albo, ME, Mueller, E, Sutkin, G, Wilson, TS, Hsu, Y, Rozanski, TA, Rickey, LM, Rahn, D, Tennstedt, S, Kusek, JW, Gormley, EA, Urinary Incontinence Treatment, N (2012) A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med 366: pp. 1987-1997 CrossRef
- Chou, EC, Flisser, AJ, Panagopoulos, G, Blaivas, JG (2003) Effective treatment for mixed urinary incontinence with a pubovaginal sling. J Urol 170: pp. 494-497 CrossRef
- Rezapour, M, Ulmsten, U (2001) Tension-Free vaginal tape (TVT) in women with mixed urinary incontinence–a long-term follow-up. Int Urogynecol J 12: pp. S15-S18 CrossRef
- Kulseng-Hanssen, S, Husby, H, Schiotz, HA (2008) Follow-up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J 19: pp. 391-396 CrossRef
- Lose G, Brostrom S (2010) Current evidence and practice in female mixed incontinence. http://www.touchurology.com/system/files/private/articles/1313/pdf/brostrom.pdf Accessed 12.12.18
- Lewis, JB, Ng, AV, O’Connor, RC, Guralnick, ML (2007) Are there differences between women with urge predominant and stress predominant mixed urinary incontinence?. Neurourol Urodyn 26: pp. 204-207 CrossRef
- Paick, JS, Oh, SJ, Kim, SW, Ku, JH (2008) Tension-free vaginal tape, suprapubic arc sling, and transobturator tape in the treatment of mixed urinary incontinence in women. Int Urogynecol J 19: pp. 123-129 CrossRef
- Kulseng-Hanssen, S, Husby, H, Schiotz, HA (2007) The tension free vaginal tape operation for women with mixed incontinence: do preoperative variables predict the outcome?. Neurourol Urodyn 26: pp. 115-121 CrossRef
- Jensen, JK, Nielsen, FR, Ostergard, DR (1994) The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol 83: pp. 904-910
- Videla, FL, Wall, LL (1998) Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol 91: pp. 965-968 CrossRef
- Wall, LL, Wiskind, AK, Taylor, PA (1994) Simple bladder filling with a cough stress test compared with substracted cystometry for the diagnosis of urinary incontinence. Am J Obstet Gynecol 171: pp. 1472-1480 CrossRef
- Scotti, RJ, Myers, DL (1993) A comparison of the cough stress test and single-channel cystometry with multichannel urodymanic evaulation in genuine stress incontinence. Obstet Gynecol 81: pp. 430-433
- Swift, SE, Ostergard, DR (1995) Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence. Obstet Gynecol 86: pp. 85-91 CrossRef
- Kulseng-Hanssen, S, Borstad, E (2003) The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. Brit J Obstet Gynecol 110: pp. 983-988 CrossRef
- Haylen, BT, Ridder, D, Freeman, RM, Swift, SE, Berghmans, B, Lee, J, Monga, A, Petri, E, Rizk, DE, Sand, PK, Schaer, GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21: pp. 5-26 CrossRef
- Machin, D (2009) Sample size tables for clinical studies. Wiley-Blackwell, Chichester
- Laurikainen, E, Kiilholma, P (2003) The tension-free vaginal tape procedure for female urinary incontinence without preoperative urodynamic evaluation. J Am Coll Surg 196: pp. 579-583 CrossRef
- Leijsen, SA, Kluivers, KB, Mol, BW, Vierhout, ME, Heesakkers, JP (2012) The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence. Int Urogynecol J 23: pp. 423-428 CrossRef
- James, M, Jackson, S, Shepherd, A, Abrams, P (1999) Pure stress leakage symptomatology: is it safe to discount detrusor instability?. Br J Obstet Gynaecol 106: pp. 1255-1258 CrossRef
- How often does detrusor overactivity cause urinary leakage during a stress test in women with mixed urinary incontinence?
International Urogynecology Journal
Volume 24, Issue 9 , pp 1537-1541
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- Springer London
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- Stress test
- Detrusor overactivity
- Ambulatory urodynamic recording
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