Correlation Between Urodynamic and Clinical Diagnoses in Classifying the Type of Urinary Incontinence in Women.

Konstantinos Palaiologos,Manjula Annappa,Georgios Grigoriadis

doi:10.7759/cureus.6016

Konstantinos Palaiologos, Manjula Annappa + Show 1 more

Open Access

https://doi.org/10.7759/cureus.6016

Copy DOI

Journal: Cureus	Publication Date: Oct 28, 2019
Citations: 2	License type: cc-by

Affiliation: Diana Princess of Wales Hospital, Hull Royal Infirmary

Abstract

Urodynamic tests are considered the gold standard for investigating and managing patients with urinary incontinence symptoms. The objective of this review is to determine the correlation between urodynamic and clinical diagnoses in identifying the type of urinary incontinence in pre and postmenopausal women. This is a retrospective review of 116 women with urinary incontinence symptoms that were evaluated clinically initially and then investigated further with urodynamic tests. The results of the urodynamic studies were compared with the diagnosis assigned based on the clinical evaluation. For 69 women, the clinical diagnosis was not confirmed by urodynamic tests. In addition to this, the clinical diagnosis was confirmed by urodynamic investigations in only 38% of the patients. This is in accordance with current literature, which is suggestive that the agreement between urodynamic studies and clinical evaluation in identifying the type of urinary incontinence is poor. Larger definite trials are needed to provide further evidence of the diagnostic value of urodynamic tests in the management of patients with urinary incontinence symptoms.

Highlights

Urinary incontinence is defined as involuntary urine loss and the inability to retain urine in the bladder between voluntary acts of urination [1]
The findings of our study suggest that there is an overall poor correlation between the clinical diagnosis of the type of urinary incontinence and the results of urodynamic investigations
The poor congruity between clinical evaluation and urodynamic testing was more evident in the group of patients with the clinical diagnosis of overactive bladder

Summary

Introduction

Urinary incontinence is defined as involuntary urine loss and the inability to retain urine in the bladder between voluntary acts of urination [1]. It often causes social and hygiene problems. The Royal College of Obstetrics and Gynaecology recommends urodynamic testing prior to surgery for stress incontinence for patients with suspected complicating factors such as voiding dysfunction or detrusor overactivity [4]. It has been shown that there may be a poor correlation between the type of urinary incontinence based on clinical evaluation and the results of urodynamic investigations [6,7]

Objectives

Methods

Results

Discussion

Conclusion