AIM: To present the teaching module "Pad Weight Testing in the Evaluation of Urinary Incontinence." This teaching module embodies a presentation, in combination with this manuscript. This manuscript serves as a scientific background review; the evidence base made available on ICS website to summarize current knowledge and recommendations. METHODS: This review has been prepared by a Working Group of The ICS Urodynamics Committee. The methodology used included comprehensive literature review, consensus formation by the members of the Working Group, and review by members of the ICS Urodynamics Committee core panel. RESULTS: The pad test is a non-invasive diagnostic tool for urinary incontinence. It is an easy to perform, inexpensive test with utilization in both the daily patient care and clinical research. Despite it is clear value in initial diagnosis, selection of treatment, and follow-up evaluation, only less than 10% of urologists perform the test routinely. A number of testing protocols with varying lengths of recording time exist, however, only a 1-hr pad test has been standardized. One-hour pad tests are most suitable in establishing initial diagnosis, the 24-hr test serves most often for evaluation of treatment outcomes, and longer pad tests are used in clinical studies. CONCLUSIONS: The pad test is clearly underutilized. Well-designed studies providing level one evidence are lacking. Numerous variations in how the test is performed by individual urologists make the evaluation of published literature difficult. Future research goals should include randomized studies leading to establishment of optimal protocols of testing for clinical research and daily care.
AIM: To present the teaching module "Pad Weight Testing in the Evaluation of Urinary Incontinence." This teaching module embodies a presentation, in combination with this manuscript. This manuscript serves as a scientific background review; the evidence base made available on ICS website to summarize current knowledge and recommendations. METHODS: This review has been prepared by a Working Group of The ICS Urodynamics Committee. The methodology used included comprehensive literature review, consensus formation by the members of the Working Group, and review by members of the ICS Urodynamics Committee core panel. RESULTS: The pad test is a non-invasive diagnostic tool for urinary incontinence. It is an easy to perform, inexpensive test with utilization in both the daily patient care and clinical research. Despite it is clear value in initial diagnosis, selection of treatment, and follow-up evaluation, only less than 10% of urologists perform the test routinely. A number of testing protocols with varying lengths of recording time exist, however, only a 1-hr pad test has been standardized. One-hour pad tests are most suitable in establishing initial diagnosis, the 24-hr test serves most often for evaluation of treatment outcomes, and longer pad tests are used in clinical studies. CONCLUSIONS: The pad test is clearly underutilized. Well-designed studies providing level one evidence are lacking. Numerous variations in how the test is performed by individual urologists make the evaluation of published literature difficult. Future research goals should include randomized studies leading to establishment of optimal protocols of testing for clinical research and daily care.
Authors: Irina Soljanik; Ricarda M Bauer; Christian G Stief; Christian Gozzi; Armin J Becker Journal: World J Urol Date: 2014-10-14 Impact factor: 4.226
Authors: Alexandra Kelp; Anika Albrecht; Bastian Amend; Mario Klünder; Philipp Rapp; Oliver Sawodny; Arnulf Stenzl; Wilhelm K Aicher Journal: World J Urol Date: 2017-09-22 Impact factor: 4.226
Authors: Rahel Nardos; Elena K Phoutrides; Laura Jacobson; Allyson Knapper; Christopher K Payne; L Lewis Wall; Bharti Garg; Senait Tarekegn; Almaz Teamir; Melaku Abriha Marye Journal: Int Urogynecol J Date: 2020-03-16 Impact factor: 2.894