1986
DOI: 10.3109/00016348609157347
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Predictive Values of Diagnostic Tests in the Evaluation of Female Urinary Stress Incontinence

Abstract: Preoperatively a collaboration between gynecologists, urologists and radiologists is essential for the diagnostic accuracy of urinary incontinence especially to isolate stress incontinence for surgical treatment. The aim of this study was to estimate the value of these combined efforts. 212 women referred for urinary incontinence were assessed by history of micturition, pelvic examination, cystoscopy, cystometry, stress test for urine loss, uroflowmetry and colpo-cysto-urethrography. A final diagnosis obtained… Show more

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Cited by 31 publications
(17 citation statements)
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“…The function of the pelvic floor muscles is not visualized directly, but indirectly by changes in the topography of the pelvic viscera during voluntary contraction compared to the situation at rest [Jeffcoate and Roberts, 1952;Hodgkinson, 1953;Olesen, 1982]. Application of the method in routine clinical evaluation of urinary incontinence has been debated, as the predictive values for diagnosing stress incontinence and the correlations between grade of incontinence and suspension defect are poor [Fischer-Rasmussen et al, 1986;Klarskov et al, 1988]. Further, intra-and interobserver variations of the test are very high [Fantl et al, 1981;Klarskov et al, 1988;Thind et al, 1991;Mouritsen et al, 1993].…”
Section: Contractility Of the Pelvic Floor Musclesmentioning
confidence: 99%
“…The function of the pelvic floor muscles is not visualized directly, but indirectly by changes in the topography of the pelvic viscera during voluntary contraction compared to the situation at rest [Jeffcoate and Roberts, 1952;Hodgkinson, 1953;Olesen, 1982]. Application of the method in routine clinical evaluation of urinary incontinence has been debated, as the predictive values for diagnosing stress incontinence and the correlations between grade of incontinence and suspension defect are poor [Fischer-Rasmussen et al, 1986;Klarskov et al, 1988]. Further, intra-and interobserver variations of the test are very high [Fantl et al, 1981;Klarskov et al, 1988;Thind et al, 1991;Mouritsen et al, 1993].…”
Section: Contractility Of the Pelvic Floor Musclesmentioning
confidence: 99%
“…One paper 190 studied the association between diagnosis of USI using a battery of tests compared with a clinical history ( Table 27). The battery of tests consisted of a physical examination, cystometry and a stress test.…”
Section: Battery Of Tests Compared With Clinical Historymentioning
confidence: 99%
“…Summit [19] and Fischer-Rasmussen [20] found a positive cough stress test to be the most predictive for diagnosing stress incontinence. We also considered it as a mean of assessing the severity of GSI by setting up group 2, but the values for pad tests in this group without 'positive' SUPP were not significantly different from those for group 3 patients with 'positive' SUPP.…”
Section: Discussionmentioning
confidence: 99%