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- Title
Negative urodynamic testing in women with stress incontinence.
- Authors
Liversidge, Kylie; Guzmán Rojas, Rodrigo; Kamisan Atan, Ixora; Dietz, Hans Peter
- Abstract
Introduction A minority of women with a subjective complaint of stress urinary incontinence will have negative urodynamic stress incontinence ( USI) findings. Aim To test clinical and ultrasound measures as predictors of an unexpected absence of USI. We hypothesised that unexpectedly negative USI would be more common in young women with good pelvic floor and urethral function. Methods A retrospective study analysing 398 data sets from women attending a urogynaecology clinic for evaluation of lower urinary tract and pelvic floor dysfunction. Clinical, urodynamic and translabial ultrasound data were tested as possible predictors of negative USI findings. Results Women with unexpectedly negative USI findings were younger, had less anterior compartment prolapse and had a higher maximum urethral pressure. Measures of pelvic floor muscle function were not predictive. Conclusions Women with unexpectedly negative USI are younger and have better urethral function, but voluntary pelvic floor muscle function seems unrelated to this phenomenon.
- Subjects
MULTIVARIATE analysis; MUSCLES; PELVIC floor; STATISTICS; URINARY stress incontinence; URODYNAMICS; UTERINE prolapse; LOGISTIC regression analysis; DATA analysis; RETROSPECTIVE studies; DATA analysis software
- Publication
Australian & New Zealand Journal of Obstetrics & Gynaecology, 2015, Vol 55, Issue 1, p76
- ISSN
0004-8666
- Publication type
Article
- DOI
10.1111/ajo.12290