You have accessJournal of UrologyUrodynamics/Lower Urinary Tract Dysfunction/Female Pelvic Medicine: Incontinence: Evaluation (Urodynamic Testing) (PD06)1 Apr 2020PD06-07 CLINICAL AND URODYNAMIC CHARACTERIZATION OF WOMEN AFFECTED BY MIXED URINARY INCONTINENCE Antonella Giannantoni*, Marilena Gubbiotti, Emanuele Rubilotta, Matteo Balzarro, Lorenzo Pivetta, Raffaele Balsamo, Antonio Luigi Pastore, Antono Carbone, Vito Mancini, Giuseppe Carrieri, Enrico Finazzi Agrò, and Vittorio Bini Antonella Giannantoni*Antonella Giannantoni* More articles by this author , Marilena GubbiottiMarilena Gubbiotti More articles by this author , Emanuele RubilottaEmanuele Rubilotta More articles by this author , Matteo BalzarroMatteo Balzarro More articles by this author , Lorenzo PivettaLorenzo Pivetta More articles by this author , Raffaele BalsamoRaffaele Balsamo More articles by this author , Antonio Luigi PastoreAntonio Luigi Pastore More articles by this author , Antono CarboneAntono Carbone More articles by this author , Vito ManciniVito Mancini More articles by this author , Giuseppe CarrieriGiuseppe Carrieri More articles by this author , Enrico Finazzi AgròEnrico Finazzi Agrò More articles by this author , and Vittorio BiniVittorio Bini More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000833.07AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The definition of mixed urinary incontinence (MUI) of the International Continence Society assesses patient-reported symptoms without considering physical and urodynamic results, what is inadequate to reliably predict the pathophysiology of the underlying pathology. We compared clinical and urodynamic findings in women with MUI and assessed predictive variables for different MUI clinical presentations. METHODS: In a multicentre, prospective study, women with a history of MUI were classified into 3 sub-groups: stress-predominant or urge-predominant MUI (S-MUI; U-MUI) or MUI with equal symptoms’ presentation (E-MUI) and underwent physical examination, voiding diaries and urodynamics. Clinical subjective and objective findings of the 3 sub-groups were compared with the underlying urodynamic dysfunction. A multivariate, logistic, regression analysis was used to identify predictive variables for the 3 MUI sub-groups. RESULTS: 144 women were evaluated: 74 presented with S-MUI, 67 with U-MUI, 3 with E-MUI (these were excluded from the analysis). Table 1 shows the results of the comparison on clinical history and urodynamic findings between S-MUI and U-MUI sub-groups. CONCLUSIONS: Confounding clinical sign/symptom combination can be found in women with MUI. Clinical history alone corresponds to the supposed, underlying coexistence of detrusor overactivity with urodynamic SUI in only about half of cases. Objective physical findings can help confirming the clinical diagnosis of S-MUI. Urodynamics appears to be of a great value to investigate patients with MUI. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e156-e157 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Antonella Giannantoni* More articles by this author Marilena Gubbiotti More articles by this author Emanuele Rubilotta More articles by this author Matteo Balzarro More articles by this author Lorenzo Pivetta More articles by this author Raffaele Balsamo More articles by this author Antonio Luigi Pastore More articles by this author Antono Carbone More articles by this author Vito Mancini More articles by this author Giuseppe Carrieri More articles by this author Enrico Finazzi Agrò More articles by this author Vittorio Bini More articles by this author Expand All Advertisement PDF downloadLoading ...