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Comparison of different methods for quantification of urinary leakage in incontinent women
Author(s) -
Mouritsen Lone,
Berild Grethe,
Hertz Jens
Publication year - 1989
Publication title -
neurourology and urodynamics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 90
eISSN - 1520-6777
pISSN - 0733-2467
DOI - 10.1002/nau.1930080604
Subject(s) - medicine , urinary incontinence , urinary leakage , pathological , urology , urodynamic testing , urinary system , surgery
To evaluate different methods for assessment of diagnosis and severity of urinary incontinence, 72 women underwent two consecutive 24 hours pad tests, a 1 hour pad test, a stress test, urodynamic examination, and a voiding‐cysto‐urethrography. The results were analysed and related to clinical findings. The 24 hours pad test revealed a good patient compliance, was as informative as to grade of incontinence as a 48 hours test, was reliable for all grades and types of incontinence, and correlated to clinical findings. The 1 hour pad test underestimated the grade of incontinence and was less correlated to clinical parameters than the 24 hours test. To estimate a level for pathological leakage, 25 continent controls underwent a 24 hours pad test. The results of the pad tests could be stratified by mean leakage per 24 hours as follows: up to 5 g in continent women, 40 g in mild incontinence, 80 g in moderate incontinence, and 200 g in severe incontinence. It could be concluded that a 24 hours home test was the pad test of choice for quantification and diagnosis of urinary incontinence.