Evaluación de la severidad de la incontinencia urinaria de esfuerzo con estudios urodinámicos: un estudio comparativo para detectar deficiencia intrínseca del esfínter uretral externo

Abstract

AimsTo determine the sensitivity and specificity of the abdominal leak point pressure (ALPP) in order to comparatively evalúate the presence of intrinsic sphincter deficiency (ISD) with máximum urethral closure pressure (MUCP) and establish the corresponding clinical and urodynamic correlation. ResultsThirty-four patients with stress urinary incontinence (SUI) were evaluated. Seventeen of those patients (50%) were urodynamically diagnosed with ISD through ALPP and 9 of them had severe SUI. Only 2 patients were diagnosed with ISD through MUCP; one of them had severe SUI and the other presented with modérate SUI. Eighteen patients were clinically classified with severe SUI, 17 of whom had moderate to severe ISD diagnosed through ALPP (94%). ConclusionsUrodynamic evaluation of SUI made it possible to clearly establish the pathophysiology of concomitant lower urinary tract dysfunction and to objectify the presence of SUI through ALPP in at least 85% of the cases. ALPP had a much higher sensitivity and specificity for diagnosing ISD than MUCP.