Clinical score predictive of abdominal leak point pressure (ALPP) &lt;60 cm H2O in the urodynamics study of women with stress urinary incontinence

Arribillaga, Leandro; Laganà, Marta; Montedoro, Ariel; Grutadauria, Gracia; Oulton, Guillermo; Bengió, Rubén H.

doi:10.1016/j.ejogrb.2019.02.016

Cited by 1 publication

(2 citation statements)

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“…In contrast, Arribillaga et al performed one of the latest studies showing a relationship between ALPP and the SEST and developed a clinical scoring system to predict ALPP < 60 cm H 2 O for women with SUI. In their study, the SEST was found to be positive in 75.8% (22/29) of women with low ALPP, and on multivariate analysis, a positive SEST was found to be an independent predictor of an ALPP < 60 cm H 2 O [OR:3.14 CI 95% (1.11-8.85, p = 0.03)] [30].…”

Section: Discussionmentioning

confidence: 95%

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The Role of the Supine Empty Stress Test in the Evaluation of Women with Stress Urinary Incontinence: A Retrospective Cohort Study

Varlı,

Çetinkaya,

Seval

et al. 2023

JCM

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The International Continence Society recommends the supine empty stress test (SEST) as an accessory test in the evaluation of women with urinary incontinence, especially for the presence of intrinsic sphincter deficiency (ISD). The aim of this study was to investigate the relationship between the SEST and clinical findings in women diagnosed with stress urinary incontinence with single voiding cycle ambulatory urodynamics (AUM). AUM tracings of patients with lower urinary tract symptoms (LUTS = Lower urinary tract symptoms) (n = 513) were retrospectively reviewed, and 364 charts with urodynamic SUI were analyzed. Demographics, examination findings, scores of the Sandvik Incontinence Severity Index and validated questionnaires, and AUM findings were compared between SEST-positive and -negative groups. Additionally, the diagnostic accuracy of the SEST in the diagnosis of low abdominal leak point pressure (ALPP ≤ 60 cm H2O) in women with pure urodynamic SUI was calculated. The SEST was positive in 41.8% (n = 152) of the cohort. Women with a positive SEST had higher scores on the Sandvik severity index (9.2 ± 3.6 vs. 7.5 ± 3.8, p = 0.003) and lower ALPP (79.6 ± 29.3 vs. 98.4 ± 31.3, p < 0.001). The negative predictive value of the SEST for ISD was found to be 92.4%. Thus, the SEST seems to be an objective clinical test reflecting urinary incontinence severity while excluding the presence of ISD.

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Section: Discussionmentioning

confidence: 95%

“…Previous studies investigating the relationship between the SEST and various urodynamic measures, including urethral function, have reported conflicting results [13][14][15]30]. Nager et al reported no association between the SEST and either MUCP or VLPP in their study with TOMUS trial participants [15].…”

Section: Discussionmentioning

confidence: 96%