The Diagnostic Values of Medical History, Physical Examination and Urodynamic Study in Women With Urinary Incontinence
1Department of Urology, Abant Izzet Baysal University, Medical Faculty,Bolu,Turkey
2Department of Urology, Dumlupinar University Medical Faculty, Evliya CelebTraining and Research Hospital, Kutahya, Turkey
3Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
4Department of Urology, Istanbul Training and Research Hospital, Istanbul, Turkey
5Department of Urology, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
2Department of Urology, Dumlupinar University Medical Faculty, Evliya CelebTraining and Research Hospital, Kutahya, Turkey
3Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey
4Department of Urology, Istanbul Training and Research Hospital, Istanbul, Turkey
5Department of Urology, Bezmialem Vakif University, Faculty of Medicine, Istanbul, Turkey
Eray Kemahli. “ The Diagnostic Values of Medical History, Physical Examination and Urodynamic Study in Women With Urinary Incontinence”. American Research Journal of Urology; 1(1): 1-9
Abstract
Introduction: To evaluate and compare the diagnostic values of medical history, physical examination findings and urodynamic study in women with urinary incontinence.
Materials and Methods: This prospective, clinical study was implemented on 50 patients in the urology department of our tertiary care center. Women suffering from complaints of urinary incontinence underwent clinical evaluation including medical history, physical examination and urodynamic study. Accuracy and predictive values of urologic history, clinical evaluation findings and urodynamic study results in the diagnosis of urinary incontinence were investigated.
Results: Based on clinical evaluation, 14 patients (28%) were diagnosed with stress urinary incontinence, while 19 cases (38%) had urge urinary incontinence and mixed urinary incontinence was detected in 17 patients (34%). Urodynamic study yielded that numbers of patients diagnosed with stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence were 10 (20%), 14 (28%) and 12 (24%), respectively. Finally, definitive diagnoses were established as stress urinary incontinence in 13 (26%) patients, urge urinary incontinence in 18 (36%) cases and mixed urinary incontinence in 19 (38%) patients. Analysis of our data has shown there was a positive correlation between clinical, urodynamic and definitive diagnoses. The correlation between urodynamic and definitive diagnoses was moderate (κ: 0.60), whereas clinical and definitive diagnoses were highly correlated (κ: 0.70).
Conclusion: Our results indicated that urodynamic studies constitute an advanced diagnostic modality rather than a routine procedure. Medical history for micturition and a detailed clinical evaluation is the mandatory first-line step in evaluation of women with urinary incontinence.
Materials and Methods: This prospective, clinical study was implemented on 50 patients in the urology department of our tertiary care center. Women suffering from complaints of urinary incontinence underwent clinical evaluation including medical history, physical examination and urodynamic study. Accuracy and predictive values of urologic history, clinical evaluation findings and urodynamic study results in the diagnosis of urinary incontinence were investigated.
Results: Based on clinical evaluation, 14 patients (28%) were diagnosed with stress urinary incontinence, while 19 cases (38%) had urge urinary incontinence and mixed urinary incontinence was detected in 17 patients (34%). Urodynamic study yielded that numbers of patients diagnosed with stress urinary incontinence, urge urinary incontinence and mixed urinary incontinence were 10 (20%), 14 (28%) and 12 (24%), respectively. Finally, definitive diagnoses were established as stress urinary incontinence in 13 (26%) patients, urge urinary incontinence in 18 (36%) cases and mixed urinary incontinence in 19 (38%) patients. Analysis of our data has shown there was a positive correlation between clinical, urodynamic and definitive diagnoses. The correlation between urodynamic and definitive diagnoses was moderate (κ: 0.60), whereas clinical and definitive diagnoses were highly correlated (κ: 0.70).
Conclusion: Our results indicated that urodynamic studies constitute an advanced diagnostic modality rather than a routine procedure. Medical history for micturition and a detailed clinical evaluation is the mandatory first-line step in evaluation of women with urinary incontinence.
Keywords
Medical history; physical examination; urodynamic study; urinary incontinence.
