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Type: Journal article
Title: Urodynamics or history? Clinical decision-making in women presenting with urinary incontinence
Author: Duggan, P.
Citation: Australian and New Zealand Journal of Obstetrics and Gynaecology, 2010; 50(6):556-561
Publisher: Blackwell Publishing Asia
Issue Date: 2010
ISSN: 0004-8666
Statement of
Paul Duggan
Abstract: Background: Preoperative urodynamic testing is recommended by experts, but evidence for clinical benefit is limited. Aims: To determine whether urodynamic stress incontinence could be confirmed in women presenting with a history of stress incontinence. Methods: History and urodynamic diagnoses of 444 women presenting to a general unit between June 2003 and July 2007 are described. Results: Urodynamic Stress Incontinence (USI) or mixed USI and detrusor overactivity were observed in 61% reporting any stress incontinence. 15% who reported no stress incontinence had USI. Compared with a normal urodynamic diagnosis, incontinence occurred more frequently in all other diagnostic categories (P < 0.0001) and was worst in the USI and mixed groups (P < 0.0004). Conclusions: Urodynamic Stress Incontinence is a more severe entity than stress incontinence diagnosed by history. It is yet to be established if this information benefits patients.
Keywords: History
urinary incontinence
Rights: © 2010 The Author. Australian and New Zealand Journal of Obstetrics and Gynaecology © 2010 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
DOI: 10.1111/j.1479-828X.2010.01224.x
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Appears in Collections:Aurora harvest 5
Obstetrics and Gynaecology publications

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