An auxiliary test to supplement the 60-min pad-weighing test and the patient's impression about the amount of urine loss

Abstract

The clinical usefulness of an auxiliary pad-weighing test to supplement the 60-min pad-weighing test, which has been recommended by the International Continence Society, and the patient's impression about the amount of urine loss are reported. Our use of the 60-min test revealed that 134 (53%) of 253 patients lost more than 2.1 g/h of urine and 119 (47%) lost less than 2.0 g/h. Our auxiliary test was indicated in 153 patients who lost urine of less than 5.0 g/h. This test involved jumping 20 times with legs apart and rope-skipping 60 times. The use of this additional test increased the detection rate of urinary incontinence (more than 2.1 g/h) from 53% (134/253) to 75% (191/253). The patients' subjective impression was in accordance with the objective amount of urine loss in approximately half the cases. However, those patients whose leakage was less than 10.0 g/h claimed more often than other groups that their loss was less than usual. On the other hand, the patients with more than 10.1 g/h, tended to describe their loss as being overestimated.