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
Similar content being viewed by others
References
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
Swift SE, Ostergard DR (1995) Evaluation of current urodynamic testing methods in the diagnosis of genuine stress incontinence. Obstet Gynecol 86:85–91
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
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
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
Renganathan A, Duckett J, Nayak K (2009) Female urinary incontinence—urodynamics: yes or no? J Obstet Gynaecol 29:473–479
Videla FL, Wall LL (1998) Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol 91:965–968
Jensen JK, Nielsen FR Jr, Ostergard DR (1994) The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol 83:904–910
Swift SE, Yoon EA (1999) Test-retest reliability of the cough stress test in the evaluation of urinary incontinence. Obstet Gynecol 94:99–102
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
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
Patel AK, Chapple CR (2008) Urodynamics in the management of female stress incontinence—which test and when? Curr Opin Urol 18:359–364
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
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
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
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
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
Conflicts of interest
None.
Author information
Authors and Affiliations
Corresponding author
Rights 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
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-012-1733-z