Skip to main content

Advertisement

Log in

Reproducibility of a cough and jump stress test for the evaluation of urinary incontinence

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Introduction and hypothesis

The study seeks to determine whether a urinary cough and jump stress test is reproducible and whether there is a relationship between a stress test and a 24-h pad test and our subjective Stress Incontinence Index.

Methods

Multicenter prospective cohort study of women with subjective stress incontinence. Each patient completed a validated Stress and Urge Incontinence Questionnaire and a 24-h pad test and performed two standardized cough and jump stress tests.

Results

All 108 women were incontinent during both the first and second stress tests. There was a large variation in leakage and the leakage was significantly larger during stress test 2 than during stress test 1 (P < 0.02). Correlations found between the stress test and the 24hour pad test and between the stress test and the Stress Incontinence Index were poor.

Conclusion

The cough and jump stress test is reproducible and able to document stress leakage

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. 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 26:115–121, discussion 122

    Article  PubMed  Google Scholar 

  2. Swift SE, Ostergard DR (1995) Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence. Obstet Gynecol 86:85–91

    Article  PubMed  CAS  Google Scholar 

  3. Scotti RJ, Myers DL (1993) A comparison of the cough stress test and single-channel cystometry with multichannel urodynamic evaluation in genuine stress incontinence. Obstet Gynecol 81:430–433

    PubMed  CAS  Google Scholar 

  4. Wall LL, Wiskind AK, Taylor PA (1994) Simple bladder filling with a cough stress test compared with subtracted cystometry for the diagnosis of urinary incontinence. Am J Obstet Gynecol 171:1472–1477, discussion 1477–1479

    PubMed  CAS  Google Scholar 

  5. Hannestad YS, Rortveit G, Sandvik H, Hunskaar S (2000) A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of Incontinence in the County of Nord-Trondelag. J Clin Epidemiol 53:1150–1157

    Article  PubMed  CAS  Google Scholar 

  6. Renganathan A, Duckett J, Nayak K (2009) Female urinary incontinence—urodynamics: yes or no? J Obstet Gynaecol 29:473–479

    Article  PubMed  CAS  Google Scholar 

  7. Videla FL, Wall LL (1998) Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol 91:965–968

    Article  PubMed  CAS  Google Scholar 

  8. Jensen JK, Nielsen FR Jr, Ostergard DR (1994) The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol 83:904–910

    PubMed  CAS  Google Scholar 

  9. Swift SE, Yoon EA (1999) Test-retest reliability of the cough stress test in the evaluation of urinary incontinence. Obstet Gynecol 94:99–102

    Article  PubMed  CAS  Google Scholar 

  10. 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. Br J Obstet Gynaecol 110:983–988

    Article  Google Scholar 

  11. Haylen BT, de 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 21:5–26

    Article  PubMed  Google Scholar 

  12. Patel AK, Chapple CR (2008) Urodynamics in the management of female stress incontinence—which test and when? Curr Opin Urol 18:359–364

    Article  PubMed  Google Scholar 

  13. Laurikainen E, Kiilholma P (2003) The tension-free vaginal tape procedure for female urinary incontinence without preoperative urodynamic evaluation. J Am Coll Surg 196:579–583

    Article  PubMed  Google Scholar 

  14. Clemons JL, LaSala CA (2007) The tension-free vaginal tape in women with a non-hypermobile urethra and low maximum urethral closure pressure. Int Urogynecol J Pelvic Floor Dysfunct 18:727–732

    Article  PubMed  Google Scholar 

  15. Liapis A, Bakas P, Salamalekis E, Botsis D, Creatsas G (2004) Tension-free vaginal tape (TVT) in women with low urethral closure pressure. Eur J Obstet Gynecol Reprod Biol 116:67–70

    Article  PubMed  Google Scholar 

  16. Schmid C, Bloch E, Amann E, Mueller MD, Kuhn A (2010) An adjustable sling in the management of recurrent urodynamic stress incontinence after previous failed midurethral tape. Neurourol Urodyn 29:573–577

    PubMed  Google Scholar 

  17. Lemack GE (2004) Urodynamic assessment of patients with stress incontinence: how effective are urethral pressure profilometry and abdominal leak point pressures at case selection and predicting outcome? Curr Opin Urol 14:307–311

    Article  PubMed  Google Scholar 

Download references

Conflicts of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to S. Kulseng-Hanssen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Berild, G.H., Kulseng-Hanssen, S. Reproducibility of a cough and jump stress test for the evaluation of urinary incontinence. Int Urogynecol J 23, 1449–1453 (2012). https://doi.org/10.1007/s00192-012-1733-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-012-1733-z

Keywords

Navigation