Correlation between the 1-hour and 24-hour pad test in the assessment of male patients with post-prostatectomy urinary incontinence

González, Mercedes Soto; Carrera, Iria da Cuña; Caeiro, Eva María Lantarón; Nieto, Manuel Gutiérrez; García, S. López; Calvo, A. Ojea

doi:10.1016/j.purol.2018.06.011

Cited by 11 publications

(10 citation statements)

References 13 publications

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“…There seems to be a noticeable difference in rates depending on the pad test used. This coincides with a previous study conducted by Soto et al, 19 where the discrepancy in continence rates depended on whether it was measured with the 1-or 24-hour pad test; a higher percentage of continence was observed for the 1-hour pad test. However, this fact would not alter the significant differences found between the study groups.…”

Section: Discussionsupporting

confidence: 92%

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

González

Carrera

Nieto

et al. 2020

Neurourology and Urodynamics

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Aims The objective of this study is to ascertain whether an early three‐month treatment with electrotherapy and biofeedback restores continence in urinary incontinence patients after radical prostatectomy (RP). Methods Design: The study performed a randomized, controlled trial of parallel and open groups. Configuration: Secondary care, urology department of a university hospital complex. Participants: Patients sent for RP due to prostate cancer (n = 60), 47 patients finally completed the study. Interventions: The treatment group (TG) received physiotherapy consisting of electrotherapy and biofeedback, 3 days a week for 3 months, while the control group (CG) received no specific treatment. Both groups received a guide to perform pelvic floor exercises at home. The measurement instruments used were the 1‐ and 24‐hour pad tests and the International Consultation on Incontinence Questionnaire Short‐Form. The recording method used was a micturition (urinary) diary. Results The results of the 1‐hour pad test (PT) show statistically significant differences between groups at 3 months (P = .001) and 6 months (P = .001), in favor of those in the TG. Sixty‐four percent of patients in the TG recovered continence as against 9.1% in the CG after 3 months in the 1‐hour PT, in line with the objective of this study. Conclusions An early physiotherapy program helps RP patients with urinary incontinence recover continence after 3 months. Moreover, they lead a better quality life.

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Section: Discussionsupporting

confidence: 92%

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

González

Carrera

Nieto

et al. 2020

Neurourology and Urodynamics

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“…12 However, the reliability and reproducibility of this test have been questioned, as the short duration tests are restricted to experimental situations on urethral insufficiency, offering a limited impression of daily urinary loss situations. 13 The longer duration tests (24-, 48-, and 72-h) seem to be more reproducible, but with lower patient compliance. 14 In the long duration tests, patients are exposed to daily life situations that might increase intra-abdominal pressure or provoke urgency.…”

Section: Introductionmentioning

confidence: 97%

“…Studies show a low correlation between the urodynamic examination results and the 24‐h pad test results 16 . The results of comparing the 1‐ and 24‐h protocols showed a good correlation (0.86) but poor agreement (Cohen's κ coefficient = 0.25) in UI severity classification 13 …”

Section: Introductionmentioning

confidence: 99%

“…16 The results of comparing the 1-and 24-h protocols showed a good correlation (0.86) but poor agreement (Cohen's κ coefficient = 0.25) in UI severity classification. 13 In this context, this review aims to summarize the evidence of the accuracy measures and reproducibility of different pad test protocols in detecting more objectively UI in men and women, as well as to investigate the quality of this evidence.…”

Section: Introductionmentioning

confidence: 99%

“…Ten years later, it was associated with stimulation exercises by Sutherst et al 8 The more widespread protocols are divided into four types: the 20‐min, 9 standardized 1‐h, 10 24‐h, 11 and 48‐h protocols 12 . However, the reliability and reproducibility of this test have been questioned, as the short duration tests are restricted to experimental situations on urethral insufficiency, offering a limited impression of daily urinary loss situations 13 . The longer duration tests (24‐, 48‐, and 72‐ h) seem to be more reproducible, but with lower patient compliance 14 .…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pad test for urinary incontinence diagnosis in adults: Systematic review of diagnostic test accuracy

Araújo

Morais

Sacomori

et al. 2022

Neurourology and Urodynamics

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Introduction:The pad test is an assessment tool for urinary incontinence (UI) severity classification and therapeutic response monitoring. However, the reliability and reproducibility of this test have been questioned.Objectives: To summarize the evidence regarding the accuracy measures and reproducibility of different pad test protocols for assessing UI. Methods: A systematic review of the diagnostic accuracy of this tool was performed (CRD42020219392). Eligibility criteria: Studies reporting data on the accuracy measures and reproducibility of the pad test when used for detecting UI in adult men and women. Data sources: MEDLINE, Science Direct, Cochrane, Web of Science, LILACS, and Pedro. Data extraction and synthesis: Two reviewers independently screened the articles, extracted the data, and evaluated the risk of bias (RoB) using the QUADAS-2 tool. Results: From 1048 studies, 18 studies were included. Eight of these reported accuracy data, and 12 reported reproducibility properties. A total of 1070 individuals were analyzed, whose mean age ranged from 20 to 90 years. The accuracy of the long-duration protocols was generally moderate to high (sensitivity, 60%-93%; specificity, 60%-84%). The 1-h protocols obtained higher accuracy values. The overall reproducibility was moderate to high (κ ≥ 0.66). Limitations:The RoB was high and, due to different cutoff points adopted by studies, the bivariate model was not satisfied to perform a meta-analysis. Discussion: The 1-h pad test was more accurate but less reproducible when compared to the long-duration tests. Pad test results should be used with caution in clinical practice. K E Y W O R D S data accuracy, exposure, measures of association, reproducibility of results, risk or outcome, severity of illness index

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Incontinence of Urine after the Treatment of Prostate Cancer

Shah

Muir

2020

Salvage Therapy for Prostate Cancer

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Correlation between the 1-hour and 24-hour pad test in the assessment of male patients with post-prostatectomy urinary incontinence

Cited by 11 publications

References 13 publications

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

Early 3‐month treatment with comprehensive physical therapy program restores continence in urinary incontinence patients after radical prostatectomy: A randomized controlled trial

Pad test for urinary incontinence diagnosis in adults: Systematic review of diagnostic test accuracy

Incontinence of Urine after the Treatment of Prostate Cancer

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