What is the predictive value of urodynamics to reproduce clinical findings of urinary frequency, urge urinary incontinence, and/or stress urinary incontinence?

被引：15

作者：

Caruso, Daniel J. ^{[1
]}

Kanagarajah, Prashanth ^{[1
]}

Cohen, Brian L. ^{[1
]}

Ayyathurai, Rajinikanth ^{[1
]}

Gomez, Christopher ^{[1
]}

Gousse, Angelo E. ^{[1
]}

机构：

[1] Univ Miami, Miller Sch Med, Dept Urol, Miami, FL 33136 USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2010年 / 21卷 / 10期

关键词：

Detrusor overactivity; Maximum cystometric capacity; Stress urinary incontinence; Urge urinary incontinence; Urodynamics; Voiding dysfunction; QUALITY-OF-LIFE; UROGENITAL DISTRESS INVENTORY; SACRAL NEUROMODULATION; IMPACT QUESTIONNAIRE; OVERACTIVE BLADDER; SYMPTOMS; WOMEN; DYSFUNCTION; ICIQ;

D O I：

10.1007/s00192-010-1180-7

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

The aim of this study was to determine the predictive value of urodynamics to reproduce clinical findings of urinary frequency (UF), urge urinary incontinence (UUI), and/or stress urinary incontinence (SUI). We retrospectively reviewed the data of patients diagnosed with UF, UUI, and/or SUI and subsequently underwent urodynamics. Urodynamic findings were correlated with clinical findings to determine the predictive value of urodynamics. A total of 537 patients (366 females and 171 males) met study criteria. Two hundred seventy-eight patients had symptoms of UUI; 59% demonstrated detrusor overactivity on urodynamics. Three hundred eight patients had SUI on history and physical examination; 45% had urodynamic stress incontinence. A low maximum cystometric capacity (< 200 ml) was not significantly associated with urinary frequency (p = 0.4). Urodynamics has a low predictive value to reproduce clinical findings of UF, UUI, and/or SUI. Many patients with evidence of UF, UUI, and/or SUI on history and/or physical examination do not demonstrate supporting urodynamic evidence.

引用

页码：1205 / 1209

页数：5

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