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Physiologic Outcome Measures For Urinary Incontinence.
Published 2004 · Medicine
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Physiologic outcome measures are divided into 2 groups: (1) measures that visualize, quantify, and analyze the reasons for urine loss and (2) measures that assess the anatomy and neuromuscular function of continence-related structures. Few of the frequently used physiologic outcome measures have been rigorously tested. The evidence in support of their use derives mainly from case series information and expert opinion. Perineal pad testing is used to quantify urine leakage associated with stress incontinence. One-hour pad tests are commonly used for clinical trials and office visits; 24- and 48-hour tests are more reliable and reproducible. Urodynamic testing simultaneously assesses bladder and urethral function during bladder filling and emptying to help guide therapy and identify patients who are at risk for surgical failure. Testing usually includes (1) uroflowmetry, an assessment of voiding without catheters in place; (2) cystometry, which assesses bladder sensation, capacity, compliance, and inappropriate detrusor activity during filling; (3) urethral pressure profilometry, to gauge urethral closing pressures and pressure transmission ratios; (4) leak-point pressure, the minimum intra-abdominal pressure required to cause incontinence, which serves as a measure of urethral function; and (5) pressure flow studies, which diagnose obstruction by evaluating detrusor pressure and flow rate during voiding. The cotton swab test is used to assess bladder neck mobility after surgical interventions. Using the Pelvic Organ Prolapse Quantification system, researchers can describe pelvic support in a standardized, reproducible fashion. Applications of ultrasonography and magnetic resonance imaging in urogynecology are promising but remain in the investigational stages.
This paper references
Vaginal ultrasound studies of bladder neck mobility
M. Hol (1995)
Interobserver and intraobserver reliability of the proposed International Continence Society, Society of Gynecologic Surgeons, and American Urogynecologic Society pelvic organ prolapse classification system.
A. Hall (1996)
Clinical assessment of urethral sphincter function.
E. Mcguire (1993)
Is urethral mobility really being assessed by the pelvic organ prolapse quantification (POP-Q) system?
Stephanie L Cogan (2002)
Reproducibility of pressure transmission ratios in stress incontinent women
D. A. Richardson (1993)
Urethral axis and sphincteric function.
J. A. Fantl (1986)
Urethral pressure measurement by microtransducer: the results in symptom‐free women and in those with genuine stress incontinence
P. Hilton (1983)
The impact of bladder neck suspension on the resting and stress urethral pressure profile: a prospective study comparing controls with incontinent patients preoperatively and postoperatively.
M. Faysal (1981)
Leak Point Pressure
J. Gajewski (2001)
Interobserver variation in the assessment of pelvic organ prolapse
W. Kobak (2005)
Urodynamic investigations in healthy fertile females during the menstrual cycle.
S. Sorensen (1988)
The standardisation of terminology of lower urinary tract function: Report from the standardisation sub‐committee of the International Continence Society
P. Abrams (2002)
Bladder neck mobility in continent nulliparous women
U. Peschers (2001)
Quantification of Cough‐Related Urine Loss Using the Paper Towel Test
J. Miller (1998)
Effect of patient position on clinical evaluation of pelvic organ prolapse.
M. Barber (2000)
Imaging the urethral sphincter with three-dimensional ultrasound.
S. Athanasiou (1999)
Analysis of the pattern of urine loss in women with incontinence as measured by weighing perineal pads.
J. Sutherst (1986)
M. D. Walters (1987)
Supine urethroscopic and standing cystometry as screening methods for the detection of detrusor instability.
P. Sand (1987)
The one‐hour pad‐weighing test: Reproducibility and the correlation between the test result, the start volume in the bladder, and the diuresis
G. Lose (1986)
The Q‐Tip Test: Standardization of the Technique and Its Interpretation in Women With Urinary Incontinence
M. Karram (1988)
Fluid weight uroflowmetry in women.
J. A. Fantl (1983)
Pressure transmission ratio reproducibility in stress continent and stress incontinent women
G. Cundiff (1997)
A Comparison of Stress Leak‐Point Pressure and Maximal Urethral Closure Pressure in Patients With Genuine Stress Incontinence
S. Swift (1995)
Leak-Point Pressure: Clinical Application of Values at Two Different Volumes
M. McLennan (2000)
Is Urethral Pressure Profilometry a Useful Diagnostic Test for Stress Urinary Incontinence?
A. Weber (2001)
Pad Test with Fixed Bladder Volume in Urinary Stress Incontinence
A. Kinn (1987)
Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology
J. Blaivas (2000)
URETHRAL PRESSURE PROFILE BEFORE, DURING AND AFTER PUBOCOCCYGEAL REPAIR FOR STRESS INCONTINENCE
A. Öbrink (1978)
Relationships of the female urethra and bladder in urinary stress incontinence.
C. Hodgkinson (1953)
Efficacy of pelvic floor muscle exercises in women with stress, urge, and mixed urinary incontinence.
I. Nygaard (1996)
Improvement of Perineal Sonographic Bladder Neck Imaging With Ultrasound Contrast Medium
G. Schaer (1995)
ASSESSING THE SEVERITY OF URINARY INCONTINENCE IN WOMEN BY WEIGHING PERINEAL PADS
J. Sutherst (1981)
Internal urinary sphincter in maintenance of female continence.
E. Versi (1986)
Q-Tip test in female urinary incontinence.
F. Montz (1986)
Reproducibility and reliability of urinary incontinence assessment with a 60 min test.
P. Klarskov (1984)
A simple patient-administered test for objective quantitation of the symptom of urinary incontinence.
A. Victor (1987)
Pad‐weighing tests: A literature survey on test accuracy and reproducibility
B. Kromann-Andersen (1989)
Development of a plan for the diagnosis and treatment of urinary stress incontinence.
T. Green (1962)
Ambulatory monitoring and conventional cystometry in asymptomatic female volunteers
K. Heslington (1996)
The Q-tip Test
P. Sand (1995)
Letter: Pituitary function and intermittent cytotoxic and corticosteriod therapy.
K. Wilson (1976)
Simultaneous recording of intravesical and intra-urethral pressure. A study on urethral closure in normal and stress incontinent women.
G. Enhorning (1961)
Study of the female urethra's submucous vascular plexus by color Doppler
J. Beco (1998)
Comparison of Microtransducer and Fiberoptic Catheters for Urodynamic Studies
P. Culligan (2001)
Urethral Closure Pressure and Leak‐Point Pressure in Incontinent Women
C. Sultana (1995)
Q‐Tip Test: A Study of Continent and Incontinent Women
M. D. Walters (1987)
The urethral pressure profiles in continent and stress-incontinent women.
L. Henriksson (1979)
Bladder outlet obstruction in women.
L. Carr (1996)
Valsalva leak point pressures in women with genuine stress incontinence: Reproducibility, effect of catheter caliber, and correlations with other measures of urethral resistance
Richard C. Bump (1995)
Supine empty stress test as a predictor of low valsalva leak point pressure
M. McLennan (1998)
Q-tip test in stress urinary incontinence.
Crystle Cd (1971)
Bladder outlet obstruction in women: Definition and characteristics
A. Groutz (2000)
A urodynamic evaluation of the effects of abdominal urethrocystopexy and vaginal sling urethroplasty in women with stress incontinence.
L. Henriksson (1978)
Diagnosis of the Unstable Detrusor: Comparison of an Incremental and Continuous Infusion Technique
J. Low (1985)
Fluid Loss Quantitation Test in Women With Urinary Incontinence: A Test‐Retest Analysis
J. A. Fantl (1987)
Pressure flow analysis may aid in identifying women with outflow obstruction.
G. Lemack (2000)
The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction.
R. Bump (1996)
Pelvic floor muscle thickness measured by perineal ultrasonography.
I. Bernstein (1991)
Urodynamic investigations and their reproducibility in healthy postmenopausal females.
S. Sorensen (1988)
Long term reproducibility of urodynamic investigations in healthy fertile females.
S. Sørensen (1988)
This paper is referenced by
Accuracy of Methods for Urinary Detection in Women with Stress Urinary Incontinence
H. Jung (2010)
Concordance between one-hour pad test and subjective assessment of stress incontinence.
M. Liebergall-Wischnitzer (2010)
Pelvic organ prolapse and the lower urinary tract: The Relationship of vaginal prolapse to stress urinary incontinence
Phillip P Smith (2005)
Visualization of the Dynamics of the Female Pelvic Floor Reflex and Steady State Function
C. Constantinou (2011)
The New England Research Institutes, Inc. (NERI) Nocturia Advisory Conference 2012: focus on outcomes of therapy
J. Weiss (2013)
Factors affecting continence after radical prostatectomy
Vladimír Študent (2017)
Are Multichannel Urodynamics Required Prior to Surgery in a Woman with Stress Urinary Incontinence?
Arthur Mourtzinos (2010)
39 – Medidas de resultados y calidad de vida en la investigación del suelo pélvico
M. Barber (2008)
Transactivation of the EGFR by AP-1 Is Induced by Helicobacter pylori in Gastric Cancer
H. Ashktorab (2007)
Pelvic organ prolapse and the lower urinary tract: The relationship of vaginal prolapse to stress urinary incontinence
Phillip P Smith (2006)
Awareness of General Practitioners towards Treatment of Laryngopharyngeal Reflux: A British Survey
P. Karkos (2005)
Urinary Leakage Detection Continues to be an Overlooked Diagnostic Pitfall of the Valsalva Leak Point Pressure in Female Stress Urinary Incontinence
Long-Hu Jin (2011)
Pelvic Floor Function in the Female
C. Constantinou (2014)
Muscarinic receptor antagonists for overactive bladder
P. Abrams (2007)
Dynamics of female pelvic floor function using urodynamics, ultrasound and Magnetic Resonance Imaging (MRI).
C. Constantinou (2009)
Dynamics of the Female Pelvic Floor
C. Constantinou (2016)
Key Symptoms Analysis and Diagnostic Algorithms
Giancarlo Vignoli (2017)
The role of urodynamics in the treatment of lower urinary tract symptoms in women
J. Heesakkers (2005)
Faktory ovlivňující kontinenci po radikální prostatektomii
V. Študent (2017)
Self-reported pad use per day reflects patient quality of life after pubovaginal sling surgery
J. Stoffel (2009)
Guide to the Use of Proton Pump Inhibitors in Adult Patients
V. Boparai (2012)