Predictive Value of History and Clinical Examination in Diagnosing Female Stress Incontinence

1998 ◽  
Vol 65 (4) ◽  
pp. 522-525
Author(s):  
M. Moretti ◽  
A. Cichero ◽  
B. Malcangi ◽  
P. Pittaluga ◽  
M. Varaldo
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Clinical Examination ◽  
Predictive Value ◽  
Female Stress Urinary Incontinence ◽  
Diagnostic Tools ◽  
Specific Test ◽  
Female Stress Incontinence ◽  
Pad Test ◽  
Tip Test

History, clinical examination, imaging and urodynamics are useful steps in diagnosing female stress urinary incontinence; there is however no single specific test for grading and staging incontinence. We studied 75 patients with stress urinary incontinence to evaluate the predictive value of history and clinical examination in diagnosis, compared to imaging and urodynamics. We considered parity, concurrent pathologies and therapies or surgery, 24-hour PAD-test, Q-tip test and pubo-coccigeal test versus translabial introital ultrasonography and urodynamics. Patients were divided into one group with cysto-rectocele and another without prolapse; we found no meaningful correlations except for 7 patients with sphincter damage. In the other women, history and clinical examination may only be helpful to choose proper diagnostic tools.

scholarly journals Impact of supervised physiotherapeutic pelvic floor exercises for treating female stress urinary incontinence

2007 ◽  
Vol 125 (5) ◽  
pp. 265-269 ◽  
Author(s):  
Míriam Raquel Diniz Zanetti ◽  
Rodrigo de Aquino Castro ◽  
Adriana Lyvio Rotta ◽  
Patrícia Diniz dos Santos ◽  
Marair Sartori ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Pelvic Floor Muscle ◽  
Subjective Evaluation ◽  
Female Stress Urinary Incontinence ◽  
Control Group ◽  
Pelvic Floor Muscle Exercises ◽  
Pad Test

CONTEXT AND OBJECTIVE: Urinary incontinence is a public health problem that affects more than 200 million people worldwide. Stress incontinence is the most prevalent type. Pelvic floor muscle exercises have been used for treating it, although there is no consensus regarding their application. The aim of this study was to compare the results from treating female stress urinary incontinence with pelvic floor muscle exercises with or without physiotherapist supervision. DESIGN AND SETTING: This was a randomized, prospective, controlled trial in the Urogynecology and Vaginal Surgery Sector, Universidade Federal de São Paulo. METHODS: Forty-four women were randomized to be treated for stress urinary incontinence with pelvic floor exercises for three consecutive months, into two groups: one with and the other without physiotherapist supervision. They were evaluated before and after treatment using a quality-of-life questionnaire, pad test, micturition diary and subjective evaluation. Descriptive analysis was used to evaluate the population. The homogeneity of the two groups was evaluated using the Kruskal-Wallis and Chi-squared tests. The success of the two groups after treatment was evaluated using the Wilcoxon test. RESULTS: The supervised group showed statistically greater improvement in the pad test, micturition diary and quality of life than did the control group. In the subjective evaluation, only 23.8% of the control group patients were satised with their treatment. In the supervised group, 66.8% of patients did not want any other treatment. CONCLUSION: Supervised pelvic floor muscle exercises presented better results in objective and subjective evaluations than did unsupervised exercises.

scholarly journals An in-house Composix™-based pubovaginal sling trial for female stress urinary incontinence: Five-year comparative followup to tension-free and transobturator vaginal tapes

2017 ◽  
Vol 11 (8) ◽  
pp. 275-80
Author(s):  
Tal Ben-Zvi ◽  
Katherine Moore ◽  
Nadim Haidar ◽  
Mireille Gregoire
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Preoperative Evaluation ◽  
Physical Exam ◽  
Female Stress Urinary Incontinence ◽  
Average Weight ◽  
Tension Free ◽  
Pad Test ◽  
Long Term Treatment ◽  
Quality Of Life Scale

Introduction: We compared the efficacy of three slings in the long-term treatment of stress urinary incontinence (SUI): tension-free vaginal tape (TVT), vaginal tape-obturator (TVT-O), and an in-housetwo-layered polypropylene mesh with a submicronic polytetrafluoroethylene (Composix™). Our primary endpoint was the objective measurement of continence (24-hour pad test). Secondarily, we measured the satisfaction and complication rates.Methods: This prospective, non-randomized study included 128 patients with SUI. Preoperative evaluation included medical history, physical exam, 24-hour pad test, Urinary Incontinence Quality of Life Scale (IQOL), FPSUND, and global satisfaction questionnaires. Patients were followed at one month postoperative, biannually for two years, and then annually for a total of five years. Followup visits included a focused questionnaire, physical exam, satisfaction questionnaire, 24-hour pad test, IQOL, and FPSUND questionnaires.Results: Composix, TVT, and TVT-O groups included 60, 34, and 34 patients, respectively. No significant differences were found in baseline characteristics except for the pad test. Length of catheterization was the only immediate operative significant parameter (Composix 4.7 days vs. TVT 1.1 days vs. TVT-O 2.6 days; p=0.03). The entire cohort had significant improvements in their IQOL, FPSUND, and pad test at one and four years (p<0.01). The cohortwide 24-hour pad test average weight was 30.4 g preoperatively vs. 5 g at 12 months (p<0.00001) (Composix 37 to 5 g, TVT 83 to 4 g, and TVT-O 55 to 5 g). The Composix group had a higher number of minor complications (Clavien I, II) and secondary procedures.Conclusions: This single-surgeon cohort with five-year followup demonstrated a large improvement and maintenance of continence in all three surgical groups. The Composix-based sling provided comparable continence outcomes at a fraction of the cost; however, its increased morbidity and higher complication rate raise concerns over future use

Low-Dose Intravaginal Estriol and Pelvic Floor Rehabilitation in Post-Menopausal Stress Urinary Incontinence

2015 ◽  
Vol 95 (4) ◽  
pp. 417-421 ◽  
Author(s):  
Daniele Castellani ◽  
Pietro Saldutto ◽  
Vikiela Galica ◽  
Gianna Pace ◽  
Daniela Biferi ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Pelvic Floor ◽  
Postmenopausal Women ◽  
Short Form ◽  
Female Stress Urinary Incontinence ◽  
Pelvic Floor Rehabilitation ◽  
Pad Test ◽  
Group 2 ◽  
Group 1

Introduction: Pelvic floor muscle training (PFMT) and electrical stimulation (ES) are conservative models of therapy for treating female stress urinary incontinence (SUI). The presence of estradiol receptors in the lower urinary tract advances the case for estradiol therapy in SUI. The aim of our study was to investigate the effects of the combination of pelvic floor rehabilitation and intravaginal estriol (IE) on SUI treatment in postmenopausal women. Material and Methods: Sixty-two women with SUI were randomized to PFMT, ES and biofeedback (Group 1) or the same treatment plus 1 mg IE (Group 2) for 6 months. Patients were evaluated with medical history, pelvic examination, urodynamics, 24-hour pad test. Urinary incontinence was evaluated using the International Consultation on Incontinence questionnaire on urinary incontinence short form and quality of life using the Incontinence Impact Questionnaire-Short Form. Results: Two patients were lost at follow-up and one discontinued the study. Mean urine leakage at the 24-hour pad test dropped from 42.3 ± 20.2 g/die to 31.5 ± 14.2 g/die in Group 1 and from 48.3 ± 19.8 g/die to 22.3 ± 10.1 g/die in Group 2. Symptoms scores and incontinence status were statistically significant better in Group 2 when compared to Group 1. Conclusion: IE added to PFMT, ES and BF is a safe and efficacious first-line therapy in postmenopausal women with SUI.

An ultra-short perineal pad-test for evaluation of female stress urinary incontinence treatment

2001 ◽  
Vol 20 (3) ◽  
pp. 277-285 ◽  
Author(s):  
Jan Persson ◽  
Christina Etén Bergqvist ◽  
Pål Wølner-Hanssen
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Female Stress Urinary Incontinence ◽  
Pad Test

Predictive Value of Urodynamics on Outcome After Midurethral Sling Surgery for Female Stress Urinary Incontinence

2009 ◽  
Vol 64 (10) ◽  
pp. 656-657 ◽  
Author(s):  
R Marijn Houwert ◽  
Pieter L. Venema ◽  
Annelies E. Aquarius ◽  
Hein W. Bruinse ◽  
Paul J. M. Kil ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Predictive Value ◽  
Midurethral Sling ◽  
Female Stress Urinary Incontinence ◽  
Sling Surgery ◽  
Midurethral Sling Surgery

scholarly journals Modified pubovaginal sling technique in the surgical management of female stress urinary incontinence

2015 ◽  
Vol 42 (6) ◽  
pp. 377-381 ◽  
Author(s):  
Armando Brites Frade ◽  
Camila Luz Frade ◽  
Thäis Gentil Leite ◽  
Thalita Russo Domenich ◽  
Antonio Pedro Flores Auge
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Female Stress Urinary Incontinence ◽  
Bladder Injury ◽  
Direct Visualization ◽  
Pad Test ◽  
Gynecological Examination ◽  
Objective Cure

Objective: To assess the application of aponeurotic sling by a modified technique with direct visualization of needles in patients with stress urinary incontinence. Methods: we applied the Kings Health Questionnaire (KHQ) for quality of life, gynecological examination, urinalysis I and urine culture approximately seven days prior to the urodynamic study (UDS) and the one-hour PAD test in patients undergoing making aponeurotic sling with its passing through the retropubic route with direct visualization of the needle, PAD test and King's Helth Questionnaire before and after surgery. Results: The mean age was 50.6 years, BMI of 28 and Leak Pressure (LP) 58,5cm H2O; 89% were Caucasian. Forty-six of them were monitored for three and six months, 43 for 12 months. The objective cure rate at 12 months postoperatively was approximately 93.5%. In evaluating quality of life, we observed a significant improvement in 12 months postoperatively compared with the preoperative period. There was no no urethral/bladder injury. As adverse results, we had one persistent urinary retention (2.3%), who was submitted to urethrolysis, currently without incontinence. Conclusion: The proposed procedure is safe as for the risk of bladder or urethral injuries, promoting significant improvement in quality of life and objective cure.

Predictive value of urodynamics on outcome after midurethral sling surgery for female stress urinary incontinence

2009 ◽  
Vol 200 (6) ◽  
pp. 649.e1-649.e12 ◽  
Author(s):  
R. Marijn Houwert ◽  
Pieter L. Venema ◽  
Annelies E. Aquarius ◽  
Hein W. Bruinse ◽  
Paul J.M. Kil ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Predictive Value ◽  
Midurethral Sling ◽  
Female Stress Urinary Incontinence ◽  
Sling Surgery ◽  
Midurethral Sling Surgery

scholarly journals Demirtaş Erciyes-Mid urethral fibrin fixation technique (DE-MUFFT) for female stress urinary incontinence: A case series

2021 ◽  
Vol 38 (4) ◽  
pp. 696-699
Author(s):  
Türev DEMİRTAŞ ◽  
Gökhan SÖNMEZ ◽  
Şevket Tolga TOMBUL ◽  
Abdullah DEMİRTAŞ
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Stress Urinary Incontinence ◽  
Clinical Outcomes ◽  
Female Stress Urinary Incontinence ◽  
Fixation Technique ◽  
Pad Test ◽  
Quality Of Life Scale ◽  
Urine Leakage

Factors including suburethral blood flow impairment, collagen deficiency, and the lack of tissue healing factors are known to play a role in stress urinary incontinence (SUI). Autologous fibrin (AF) appears to be a viable material for the treatment of SUI. The aim of this study was to present the initial clinical outcomes of a novel technique named “Demirtaş Erciyes-Mid Urethral Fibrin Fixation Technique (DE-MUFFT)” that involved the placement of AF material in the suburethral space instead of sling material (mesh). In this study, the clinical outcomes of five women with pure SUI who underwent the placement of AF material in the suburethral space were examined retrospectively. The complaint of urine leakage during physical exertion and patients’ quality of life were assessed using Incontinence Quality of Life Scale (I-QoL), International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form (ICIQ-UI SF), Incontinence Impact Questionnaire (IIQ-7), and 24-h pad test. Patient outcomes were evaluated preoperatively, at sixth week and third month postoperatively. Significant improvement was obtained in the quality-of-life tests and 24-h pad test. In all patients, the complaint of urine leakage disappeared almost completely. No adverse event or postoperative complication occurred in any of the patients. These results indicated that DE-MUFFT can be a promising procedure in the treatment of SUI due to its biocompatibility, minimally invasive nature, re-applicability, and cost-effectivity.

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