Negative urodynamic testing in women with stress incontinence.
Date
2015
Type:
Artículo
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Publisher
The Royal Australian and New Zealand College of Obstetricians and Gynaecologists by Wiley
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Abstract
INTRODUCTION:
A minority of women with a subjective complaint of stress urinary incontinence will have negative urodynamic stress incontinence (USI) findings.
AIM:
To test clinical and ultrasound measures as predictors of an unexpected absence of USI. We hypothesised that unexpectedly negative USI would be more common in young women with good pelvic floor and urethral function.
METHODS:
A retrospective study analysing 398 data sets from women attending a urogynaecology clinic for evaluation of lower urinary tract and pelvic floor dysfunction. Clinical, urodynamic and translabial ultrasound data were tested as possible predictors of negative USI findings.
RESULTS:
Women with unexpectedly negative USI findings were younger, had less anterior compartment prolapse and had a higher maximum urethral pressure. Measures of pelvic floor muscle function were not predictive.
CONCLUSIONS:
Women with unexpectedly negative USI are younger and have better urethral function, but voluntary pelvic floor muscle function seems unrelated to this phenomenon.
Description
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Citation
Liversidge K, Guzmán Rojas R, Kamisan Atan I, Dietz HP. Negative urodynamic testing in women with stress incontinence. Aust N Z J Obstet Gynaecol. 2015 Feb;55(1):76-80.
Keywords
Pelvic floor function, Translabial ultrasound, Urodynamic stress incontinence, Urodynamics