ICS Educational Module: Cough stress test in the evaluation of female urinary incontinence: Introducing the ICS‐Uniform Cough Stress Test

Guralnick, Michael L.; Fritel, Xavier; Tarcan, Tufan; Espuña‐Pons, Montserrat

doi:10.1002/nau.23519

Cited by 51 publications

(28 citation statements)

References 44 publications

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“…Many studies have shown that the CST is a non-invasive and easy-to-perform clinical test for the diagnosis of SUI [ 3 ]. A recent report showed that the CST has high sensitivity and specificity at different bladder fill volumes [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

“…The patient coughed forcefully 1–4 times and the examiner directly visualized the urethral meatus for the presence of leakage. Leakage of fluid from the urethral meatus occurring simultaneously with the coughs was considered a positive test [ 3 ]. Clinical SUI was diagnosed if a patient presented with involuntary urine leakage from physical activity such as coughing, sneezing or laughing and had a positive CST.…”

Section: Methodsmentioning

confidence: 99%

“…The cough stress test (CST) applies a simple stress or Valsalva manoeuvre to induce leakage. Many studies have shown that the cough stress test (CST) is a conservative and non-invasive diagnostic technique that can be easily employed in a clinic setting with high sensitivity and specificity [ 2 , 3 ]. Several clinical practice guidelines have recommended the performance of a CST for the diagnosis of SUI [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound

et al. 2020

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Introduction and hypothesis The objective was to describe the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound (TPUS). Method We carried out prospective data collection and a retrospective data analysis of 102 women with stress urinary incontinence (SUI) who had a positive CST with TPUS in the supine and/or standing position. On TPUS, the behaviour of the bladder neck and proximal urethra was described by the urethral length, urethral funnelling, bladder neck descent (BND), retrovesical angle (RVA) and urethral rotation angle (URA). Differences between the ultrasound findings in the two positions were evaluated. Results In the 102 women, the mean age was 48 years and mean BMI was 23.8 kg/m 2. On TPUS, urine leakage was detected in the supine or standing position in 102 women and in both positions in 81. Between the two positions, significant differences were found in the URA and RVA. In the standing position, the median RVA of 166°was significantly larger than that of 133°in the supine position (p < 0.001), and the median URA of 35°was significantly smaller than that of 64°in the supine position (p < 0.001). Conclusions TPUS in both positions can be used to detect the real-time behaviour of the bladder neck and urethra in the CST. In the standing position, less rotation and more straightening of the bladder neck and proximal urethra occurred during urine leakage.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound

et al. 2020

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“…The requirements of this cough stress test are in keeping with the uniform Cough Stress Test endorsed by the International Continence Society. 14 A standardized pad test was also conducted with women undertaking the physical activities recommended by the International Continence Society while wearing preweighed pads. 15 If the cough stress test was negative and the increase in pad weight over the test period was less than 1 g, women were considered objectively “cured.” 11 , 16 , 17 Uroflowmetry test and measurement of the postvoid residual were performed at the end of their 12-month postoperative visit to assess voiding dysfunction.…”

Section: Methodsmentioning

confidence: 99%

Two Intraoperative Techniques for Midurethral Sling Tensioning

Brennand¹,

Houlihan³

et al. 2020

Obstetrics &Amp; Gynecology

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“…All women included had SUI confirmed by a positive standardized cough test and had failed or declined pelvic floor muscles training. [ 19 ] Urinary incontinence was classified as recommended by the International Continence Society. [ 20 ] Preoperative assessment included women's detailed medical history, clinical, neurological and urogynecological examination.…”

Section: P Atients and M Ethodsmentioning

confidence: 99%

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

Kersic

Keršič

Kunič

et al. 2020

Gynecol Minim Invasive Ther

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Objectives: The aim of the study was to report the extended long-term results of the use of single-incision mini-sling (SIMS), tension-free vaginal tape (TVT), and transobturator tape (TOT) for the treatment of female stress urinary incontinence (SUI) at the Department of Gynecology and Obstetrics of the University Medical Center Ljubljana. Materials and Methods: Enrolled women were evaluated by Patient Global Impression of Severity (PGI-S), Patient Global Impression of Improvement (PGI-I), Sandvik severity scale, Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire (IIQ-7), and Incontinence Questionnaire-Urinary Incontinence (ICIQ-UI) Short Form and data about diagnosis, procedures, complications, reoperations, postoperative results, and satisfaction with procedure were recorded. Results: In analyzed group of patients ( n = 357), 116 (32%) underwent SIMS procedure, 189 (53%) TOT, and 52 (15%) TVT. The SIMS, TOT, and TVT groups did not differ significantly from each other in PGI-S, PGI-I, Sandvik severity scale, UDI-6, IIQ-7, and ICIQ-UI Short Form or in postoperative complication rate. Repeat surgery was needed in 9.5% after SIMS, in 13.2% of TOT patients and in 23.1% of TVT patients ( P = 0.194). Urinary retention occurred in 9.5% of the SIMS patients, in 9.5% of the TOT patients, and in 13.5% of the TVT patients ( P = 0.682). Mesh erosion/inflammation occurred in 3.4% of the SIMS patients, in 6.3% of the TOT patients, and in 3.8% of the TVT patients ( P = 0.485). Conclusion: The efficacy and safety of SIMS, TOT, and TVT in the surgical treatment of SUI are comparable. The choice of the technique should be based on the relative pros and cons of techniques and the surgeon's experience.

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ICS Educational Module: Cough stress test in the evaluation of female urinary incontinence: Introducing the ICS‐Uniform Cough Stress Test

Abstract: This module provides instructions to educate a uniform CST (the ICS-UCST), with the aim of improving the clinical practice of cough stress testing in female patients with urinary incontinence.

Cited by 51 publications

References 44 publications

Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound

Real-time assessment of the behaviour of the bladder neck and proximal urethra during urine leaking in the cough stress test (CST) in supine and standing positions using transperineal ultrasound

Two Intraoperative Techniques for Midurethral Sling Tensioning

Single-incision mini-sling for the treatment of female stress urinary incontinence: Is it actually inferior to transobturator vaginal tape and tension-free vaginal tape?

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