Urinary incontinence, stress Archives - Revista Brasileira de Ginecologia e Obstetrícia
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(11):633-642
DOI 10.1590/S0100-72032006001100002
PURPOSE: to verify the sensitivity, specificity and accuracy of some ultrasonographic measurements in the diagnosis of stress urinary incontinence (SUI). METHODS: transvaginal ultrasound measurements of the bladder neck descent, urethral mobility and urethrovesical funneling caused by urination effort were performed in 40 women with SUI and in 40 women from a control group. Age, parity and the number of pregnancies were different in both groups. Several cut points were performed to evaluate the sensitivity, specificity and accuracy of these measurements as a diagnostic tool for SUI. The urodynamic results were used as gold standard. Univariated analysis was done using Yates chi2 Test and Pearson chi2 Test. RESULTS: in the best cut point for bladder neck descent measurements, sensitivity was 40%, specificity was 72% and accuracy was 57%; in the best cut point for urethral mobility measurements, sensitivity was 40%, specificity was 70% and accuracy was 55%; in the best cut point for urethrovesical funneling measurements, sensitivity was 58%, specificity was 48% and accuracy was 52%; in the best cut point for the addition of the differences of these three measurements, sensitivity was 32%, specificity was 62% and accuracy was 48%. CONCLUSION: vaginal ultrasonography was not a valid diagnostic method for stress urinary incontinence in the present study.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(11):633-642
DOI 10.1590/S0100-72032006001100002
PURPOSE: to verify the sensitivity, specificity and accuracy of some ultrasonographic measurements in the diagnosis of stress urinary incontinence (SUI). METHODS: transvaginal ultrasound measurements of the bladder neck descent, urethral mobility and urethrovesical funneling caused by urination effort were performed in 40 women with SUI and in 40 women from a control group. Age, parity and the number of pregnancies were different in both groups. Several cut points were performed to evaluate the sensitivity, specificity and accuracy of these measurements as a diagnostic tool for SUI. The urodynamic results were used as gold standard. Univariated analysis was done using Yates chi2 Test and Pearson chi2 Test. RESULTS: in the best cut point for bladder neck descent measurements, sensitivity was 40%, specificity was 72% and accuracy was 57%; in the best cut point for urethral mobility measurements, sensitivity was 40%, specificity was 70% and accuracy was 55%; in the best cut point for urethrovesical funneling measurements, sensitivity was 58%, specificity was 48% and accuracy was 52%; in the best cut point for the addition of the differences of these three measurements, sensitivity was 32%, specificity was 62% and accuracy was 48%. CONCLUSION: vaginal ultrasonography was not a valid diagnostic method for stress urinary incontinence in the present study.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):352-357
DOI 10.1590/S0100-72032006000600006
PURPOSE: to analyze the impact of urinary incontinence on women's quality of life, submitted or not to surgical treatment. METHODS: sixty women with urinary incontinence during stress were interviewed and divided into two groups classified as: S-CIR group, including 30 women not yet submitted to specific surgical treatment for urinary incontinence, and C-CIR group, including 30 women who had already undergone surgery. The scores obtained after the addition of values attributed to each question of the questionnaires were compared between the two groups. The number of patients who showed any impairment on quality of life due to specific symptoms of incontinence was also compared between groups. Data were analyzed by the variance test and the chi-square test, when applicable. RESULTS: symptoms, limitations and concerns related to urinary incontinence exhibited a strong negative impact on quality of life in patients from the S-CIR group. Impairment during physical exercises, domestic activities and daily working activities was the most important affected aspect in patients of the S-CIR group. Furtherimore, patients of the S-CIR group reported more fatigue, embarrassment, and excessive nervousness. Urine loss during stress followed by urgency were also significantly relevant aspects when groups were compared. CONCLUSIONS: the study allowed the identification and quantification of the derangements of quality of life due to urinary incontinence and demonstrated that these derangements either become less important or even disappear in women submitted to surgery.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2006;28(6):352-357
DOI 10.1590/S0100-72032006000600006
PURPOSE: to analyze the impact of urinary incontinence on women's quality of life, submitted or not to surgical treatment. METHODS: sixty women with urinary incontinence during stress were interviewed and divided into two groups classified as: S-CIR group, including 30 women not yet submitted to specific surgical treatment for urinary incontinence, and C-CIR group, including 30 women who had already undergone surgery. The scores obtained after the addition of values attributed to each question of the questionnaires were compared between the two groups. The number of patients who showed any impairment on quality of life due to specific symptoms of incontinence was also compared between groups. Data were analyzed by the variance test and the chi-square test, when applicable. RESULTS: symptoms, limitations and concerns related to urinary incontinence exhibited a strong negative impact on quality of life in patients from the S-CIR group. Impairment during physical exercises, domestic activities and daily working activities was the most important affected aspect in patients of the S-CIR group. Furtherimore, patients of the S-CIR group reported more fatigue, embarrassment, and excessive nervousness. Urine loss during stress followed by urgency were also significantly relevant aspects when groups were compared. CONCLUSIONS: the study allowed the identification and quantification of the derangements of quality of life due to urinary incontinence and demonstrated that these derangements either become less important or even disappear in women submitted to surgery.
