Comparison of Ambulatory Versus Conventional Urodynamics in Females With Urinary Incontinence
Comparison of Ambulatory Versus Conventional Urodynamics in Females With Urinary Incontinence
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DOI：
10.1002/nau.20821
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发表时间：
2010-01-01
影响因子：
2
通讯作者：
Gok, Haydar
中科院分区：
文献类型：
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作者：
Dokmeci, Fulya;Seval, Murat;Gok, Haydar
目的：我们计划比较传统尿动力学（UD）和非卧床尿动力学（UD）检测逼尿肌过度活动（DOA）和/或尿动力学压力性尿失禁（USI）的诊断准确性。研究方法：我们前瞻性招募了44名尿失禁女性，并在她们完成UDI-6问卷后进行了两项尿动力学（UD）研究。在非卧床UD期间，记录一个排尿周期。根据对UDI-6上单个项目的回答，将患者分为三组，以定义失禁类型，而不考虑评分。结果：平均年龄为52.2岁，平均症状持续时间为4.94年。非卧床UD检测到尿失禁的潜在病理生理学（77.3%）的女性明显多于传统UD（6.8%）（P = 0.001）。在压力性尿失禁的女性中，56%的患者在门诊UD上有USI，而在常规UD上无异常（P = 0.002）。72%的混合症状的妇女在门诊UD上有异常发现（USI和/或DOA），9%的妇女在常规UD上有异常发现（P = 0.001）。结论：我们的研究结果表明，在一个排尿周期的临床设置与非标准化的挑衅活动，门诊UD检测到潜在的病理生理学（急迫性尿失禁，压力性尿失禁，混合性尿失禁）更经常比传统的UD在仰卧位传统UD有更高的假阴性率诊断DOA和/或USI相比，门诊UD。Neurorol。Urodynam。29：518-521，2010. (C)2010 Wiley-Liss，Inc.
Aims: We planned to compare the diagnostic accuracy of conventional urodynamics (UD) and ambulatory UD for the detection of detrusor over activity (DOA) and/or urodynamic stress incontinence (USI) in women presenting with urinary incontinence. Methods: We prospectively enrolled 44 women with urinary incontinence and performed both urodynamic (UD) studies after they completed the UDI-6 questionnaire. During ambulatory UD one micturition cycle was recorded. According to responses for individual items on the UDI-6, patients were divided into three groups to define incontinence type irrespective of scoring. Results: Mean age was 52.2 and mean duration of the symptoms was 4.94 years. The ambulatory UD detected an underlying pathophysiology of urinary incontinence (77.3%) in significantly more women than the conventional UD (6.8%) (P = 0.001). Among women with stress incontinence, 56% had USI on the ambulatory UD and none had abnormalities on the conventional UD (P = 0.002). Seventy-two percent of women with mixed symptoms had abnormal findings (USI and/or DOA) on the ambulatory UD and 9% had abnormal findings on the conventional UD (P = 0.001). Conclusions: Our findings suggest that ambulatory UD done in a clinical setting during one micturition cycle with unstandardized provocative activities detects an underlying pathophysiology (urge incontinence, stress incontinence, mixed incontinence) more often than conventional UD in supine position Conventional UD has a higher false-negative rate in diagnosis of DOA and/or USI compared to ambulatory UD. Neurourol. Urodynam. 29:518-521, 2010. (C) 2010 Wiley-Liss, Inc.