Correlation Between Urodynamic and Clinical Diagnoses in Classifying the Type of Urinary Incontinence in Women

Abstract

Urodynamic tests are considered the gold standard for investigating and managing patients with urinary incontinence symptoms. The objective of this review is to determine the correlation between urodynamic and clinical diagnoses in identifying the type of urinary incontinence in pre and postmenopausal women. This is a retrospective review of 116 women with urinary incontinence symptoms that were evaluated clinically initially and then investigated further with urodynamic tests. The results of the urodynamic studies were compared with the diagnosis assigned based on the clinical evaluation. For 69 women, the clinical diagnosis was not confirmed by urodynamic tests. In addition to this, the clinical diagnosis was confirmed by urodynamic investigations in only 38% of the patients. This is in accordance with current literature, which is suggestive that the agreement between urodynamic studies and clinical evaluation in identifying the type of urinary incontinence is poor. Larger definite trials are needed to provide further evidence of the diagnostic value of urodynamic tests in the management of patients with urinary incontinence symptoms.

Comparative Study Between Bladder Diary and Urodynamic Study to Identify Lower Urinary Tract Symptoms

“…Only 38% of the cases were confirmed by the UDS. Thus, the agreement between the UDS and the clinical evaluation in the identification of the type of UI is low 22 .…”

“…A recent study used medical records of 623 women with DO who underwent 3-day BD and underwent UDS. The conclusion was that DO patients have episodes of frequent voiding urgency and that dry and wet DO have differences between clinical and UDS data 21 : a poor congruence between clinical assessment and UDS occurs, being more evident in the group of patients with a clinical diagnosis of overactive bladder 22 .…”

“…They mention that the UDS is not a completely reliable method and that it cannot provide a definitive diagnosis, requiring an evaluation based on clinical findings, the BD, the physical examination and a careful interpretation of the test data 22 .…”

Estudo Comparativo Entre Diário Vesical E Estudo Urodinâmico Para Identificação De Sintomas Do Trato Urinário Inferior

“…HD seca e a HD úmida apresentam diferenças entre os dados clínicos e os dados do EU 21 : ocorre uma pobre congruência entre a avaliação clínica e o EU, sendo mais evidente no grupo de pacientes com diagnóstico clínico de bexiga hiperativa 22 .…”

“…Citam que o EU não é um método completamente confiável e que não pode fornecer um diagnóstico definitivo, necessitando de avaliação fundamentada nos achados clínicos, no DV, no exame físico e na interpretação cuidadosa dos dados do exame 22 .…”