OBJECTIVES: To evaluate the value of performing urodynamic investigations in the assessment of women with a history of pure stress urinary incontinence (SUI). METHODS: Consecutive women with lower urinary tract symptoms were studied retrospectively. Urinary symptoms were determined from the frequency-volume chart and symptom section of the King's Health Questionnaire. Only women with pure SUI symptoms were included. RESULTS: A total of 3428 women aged 24-81 years were studied. Only 308 women (8.9%) could be classified as having pure SUI from the questionnaire. Of these, 241 of women (78.2%) had urodynamic stress incontinence, 23 women (7.5%) had detrusor overactivity, 9 women (2.9%) had mixed urodynamic diagnosis, and 35 women (11.4%) had inconclusive urodynamics. Postvoid residual volumes greater than 100 mL were noted in 24 (7.8%) women. CONCLUSIONS: Our results show that urodynamic investigations provide useful information in the assessment of women with a history of pure SUI, because as many as 20% of them might not need surgery as the first line of treatment.
OBJECTIVES: To evaluate the value of performing urodynamic investigations in the assessment of women with a history of pure stress urinary incontinence (SUI). METHODS: Consecutive women with lower urinary tract symptoms were studied retrospectively. Urinary symptoms were determined from the frequency-volume chart and symptom section of the King's Health Questionnaire. Only women with pure SUI symptoms were included. RESULTS: A total of 3428 women aged 24-81 years were studied. Only 308 women (8.9%) could be classified as having pure SUI from the questionnaire. Of these, 241 of women (78.2%) had urodynamic stress incontinence, 23 women (7.5%) had detrusor overactivity, 9 women (2.9%) had mixed urodynamic diagnosis, and 35 women (11.4%) had inconclusive urodynamics. Postvoid residual volumes greater than 100 mL were noted in 24 (7.8%) women. CONCLUSIONS: Our results show that urodynamic investigations provide useful information in the assessment of women with a history of pure SUI, because as many as 20% of them might not need surgery as the first line of treatment.
Authors: Amie Kawasaki; Jennifer M Wu; Cindy L Amundsen; Alison C Weidner; John P Judd; Ethan M Balk; Nazema Y Siddiqui Journal: Int Urogynecol J Date: 2012-03-09 Impact factor: 2.894
Authors: Charles W Nager; Linda Brubaker; Heather J Litman; Halina M Zyczynski; R Edward Varner; Cindy Amundsen; Larry T Sirls; Peggy A Norton; Amy M Arisco; Toby C Chai; Philippe Zimmern; Matthew D Barber; Kimberly J Dandreo; Shawn A Menefee; Kimberly Kenton; Jerry Lowder; Holly E Richter; Salil Khandwala; Ingrid Nygaard; Stephen R Kraus; Harry W Johnson; Gary E Lemack; Marina Mihova; Michael E Albo; Elizabeth Mueller; Gary Sutkin; Tracey S Wilson; Yvonne Hsu; Thomas A Rozanski; Leslie M Rickey; David Rahn; Sharon Tennstedt; John W Kusek; E Ann Gormley Journal: N Engl J Med Date: 2012-05-02 Impact factor: 91.245
Authors: Jamie Drossaerts; Kevin Rademakers; Gommert van Koeveringe; Philip Van Kerrebroeck Journal: World J Urol Date: 2015-02-14 Impact factor: 4.226