Abstract
OBJECTIVE: To determine the most accurate of cystourethrometric parameters in detecting urodynamic stress incontinence (USI ) in women. METHODS: A case-control study was carried out in the Urodynamic Units in Aleppo University Hospitals, Aleppo, Syria, between January 2008 and June 2010. Seventy-six women suffering from either urgency, urge incontinence, stress incontinence, or mixed symptom, and attended to the urodynamic units were included in this study. Two groups were recruited, USI group (study group; n=52), who had the diagnosis of USI by the urodynamic study and non-USI group (control group; n=24), who did not have this diagnosis by urodynamic study. Comparison between the 2 groups in urodynamic findings was carried out. RESULTS: In the urodynamic study, maximal urethral closure pressure (MUCP) in the sitting position, transmission ratio (TR) in the sitting position, MUCP change (changing position from supine to sitting), and MUCP change% (percentage of maximal closure pressure change with position) were statistically lower in the USI group compared to control group. The most accurate parameters in detecting USI were MUCP change and MUCP change%, with a sensitivity of more than 90% and specificity of more than 70% at cut off values of
Article Type
Research Article
First Page
1350
Last Page
1354
Recommended Citation
Al-Hasan, Abdelsattar H.; Al-Hadid, Ibrahim M.; and Zayyat, Roula A.
(2010)
"Accuracy of cystourethrometric findings in detecting urodynamic stress incontinence in women,"
Saudi Medical Journal: Vol. 31:
Iss.
12, Article 10.
DOI: https://doi.org/10.15537/1658-3175.5193