Clinical Correlation of Urodynamic Testing in Patients with Urinary Incontinence

Thomas J. Sunshine, Gerald A. Glowacki

Research output: Contribution to journalArticlepeer-review

Abstract

One hundred nine women were evaluated for urinary incontinence. A clinical diagnosis was assigned on the basis of history and physical examination. Urodynamic testing was then performed and included a measurement of postvoid residual urine, cystometrogram with concomitant urethral electromyography, urethral pressure profile, assessment of the transmission pressure capacity ratio, and cystourethroscopy. The findings of the urodynamic testing were compared with the clinical diagnosis. Clinical diagnosis showed a 100% sensitivity for the presence of stress urinary incontinence and a 78% sensitivity for stress urinary incontinence as genuine. Twenty cases of unsuspected urethral pathology were identified. Thirteen of these were discovered by urethral electromyography. Urodynamic testing is demonstrated to be necessary in the evaluation of urinary incontinence.

Original languageEnglish (US)
Pages (from-to)93-98
Number of pages6
JournalJournal of Gynecologic Surgery
Volume5
Issue number1
DOIs
StatePublished - Jan 1 1989

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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