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Symptoms analysis for the diagnosis of genuine stress incontinence
Author(s) -
VERSI EBOO,
CARDOZO LINDA,
ANAND DINA,
COOPER DEREK
Publication year - 1991
Publication title -
bjog: an international journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.157
H-Index - 164
eISSN - 1471-0528
pISSN - 1470-0328
DOI - 10.1111/j.1471-0528.1991.tb13488.x
Subject(s) - medicine , cystourethrography , urinary incontinence , stress incontinence , urodynamic testing , urology , urodynamic studies , lower urinary tract symptoms , gold standard (test) , radiology , reflux , cancer , vesicoureteral reflux , prostate , disease
Objective— To determine the accuracy of an analysis of symptoms alone for the diagnosis of genuine stress incontinence. Design— A comparison of results of symptoms analysis with urodynamic findings. Setting— A gynaecological video‐urodynamic unit. Subjects— 252 consecutive patients referred for urodynamic investigations. Interventions— A questionnaire of 20 symptoms of lower urinary tract dysfunction, midstream specimen of urine, pad testing, uroflowmetry, and video‐cystourethrography. Main Outcome Measures— Using the urodynamic diagnosis as the ‘gold standard’, the accuracy of discriminant function analysis of symptoms was determined. Results— Symptoms analysis achieved a correct classification of 81% with a false positive rate of 16%. Use of an accumulative probability curve defines patients who fall into the equivocal range. Conclusions— All women presenting with incontinence should undergo pre‐operative urodynamic studies.