Voiding symptoms obtained by open versus directed anamnesis as predictors of voiding dysfunction in women

Abstract

Objectives To determine the differences between voiding symptoms obtained by open anamnesis (VS-Open) versus voiding symptoms obtained by directed anamnesis (VS-Directed) to predict voiding dysfunction in women.Materials and Methods Retrospective study of women with prior anti-incontinence surgery evaluated during 5 years. In a standardized clinical history taking, each patient was asked to answer question number five of the UDI-6 questionnaire (“Do you experience any difficulty emptying your bladder?”). If the answer was positive, the following voiding symptoms spontaneously described by the patient were documented: slow urine stream, straining to void, intermittent stream and feeling of incomplete bladder emptying, which were considered VS-Open. If the answer to this question was negative or if the patient had not reported the four voiding symptoms, she was asked in a directed manner about the presence of each o Ninety-one women are analyzed. Eighteen patients presented voiding dysfunction (19.8%), There was a statistical association between voiding dysfunction and the presence of any VS-Open (p = 0.037) and straining to void obtained by open anamnesis (p = 0.013). Sensitivity, specificity, PPV, NPV, positive likelihood ratio and negative likelihood ratio, respectively, were 44.4% and 27.8%, 80.8% and 94.5%, 36.3% and 55.6%, 85.5% and 84.1%, 2.324 and 5.129, and 0.686 and 0.764. There was no statistical association between voiding dysfunction and VS-Directed.ConclusionsVS-Open may predict better voiding dysfunction than VS-Directed in women.

The role of transperineal ultrasound in the evaluation of stress urinary incontinence cases

“…Patients were asked to fill the validated Turkish Urinary Distress Inventory short form (UDI-6) and Overactive Bladder Questionnaire (OAB-V8) since overactive bladder can frequently accompany SUI (15). Complicated SUI patients (16), pregnant women, puerperants, patients with overactive bladder (OAB-V8 score ≥8), pelvic organ prolapse exceeding the hymen, residual urine more than 150cc or having voiding difficulty questioned in a non-directing open manner (17), urinary tract infection, nocturia, postcoital incontinence, diabetes mellitus, and known neurological disease were excluded. Having had genitourinary surgery, being younger than 18 years of age, having an active infection, malignancy, or gynecological disease and usings drugs affecting continence were also included in the exclusion criteria.…”