International Urogynecology Journal

, Volume 14, Issue 3, pp 193–198 | Cite as

Is objective cure of mild undifferentiated incontinence more readily achieved than that of moderate incontinence? Costs and 2-year outcome

  • R. O'Sullivan
  • A. Simons
  • S. Prashar
  • P. Anderson
  • M. Louey
  • K. H. Moore
Original Article

Abstract

Because the prognostic value of 1-h pad testing has received scant attention, we tested the hypothesis that mild incontinence of any etiology is more readily cured than moderate incontinence. A consecutive series of 150 patients with mild (2–9.9 g) to moderate (10–49.9 g) incontinence (as judged by weight gain on 1-h pad testing) [1] attending a urogynecology unit were recruited, of whom 145 completed all baseline objective measures: 110 completed 12 weeks of conservative therapy, with follow-up data at 2 years available for 51 subjects. At 12 weeks 81% of 'mild' patients became 'dry' on the 1-h pad test versus 36.8% in the moderate group (χ2 <0.0001). Interestingly the post-treatment changes seen in all other outcomes demonstrated equally positive responses for the mild and moderate groups. At 2-year follow-up 29/71 (40.8%) of patients with mild incontinence and 22/74 (29.7%) of patients with moderate incontinence were satisfied and had no requirement for further therapy, the remainder having sought other treatments (χ2=1.963 P=0.161). Of the responders, (11/29) (37.9%) of mildly incontinent patients and (8/22 (36.4%)) of moderately affected subjects remained continent (on 20-point incontinence score ≤2 m, χ2=0.013, P=0.9087). Improvements in quality of life persisted to an equal degree in both groups.

Keywords

Incontinence Outcomes Costs Prevention Motivation score 

Abbreviations

GSI

Genuine stress incontinence

DI

Detrusor instability

SU

Sensory urgency

FVC

Frequency/volume chart

NCA

Nurse continence adviser

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Copyright information

© International Urogynecological Association 2003

Authors and Affiliations

  • R. O'Sullivan
    • 1
  • A. Simons
    • 1
  • S. Prashar
    • 1
  • P. Anderson
    • 1
  • M. Louey
    • 1
  • K. H. Moore
    • 1
    • 2
  1. 1.The Pelvic Floor Unit, St George HospitalUniversity of New South WalesSydneyAustralia
  2. 2.First Floor, Pitney Clinical Sciences BuildingSt. George HospitalKogarahAustralia

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