Urinary incontinence diagnostic study of choice: Difference between revisions
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{{Urinary incontinence}} | {{Urinary incontinence}} | ||
{{CMG}}; {{AE}} | {{CMG}}; {{AE}} | ||
== Overview == | ==Overview== | ||
== Diagnostic Study of Choice == | ==Diagnostic Study of Choice== | ||
=== Study of choice === | ===Study of choice=== | ||
There is no single diagnostic study of choice for the diagnosis of [Urinary incontinence], but [[stress incontinence]] can be diagnosed based on [[stress test]] and [[urodynamics]].<ref name="urlDiagnosis of Urinary Incontinence - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2013/0415/p543.html |title=Diagnosis of Urinary Incontinence - American Family Physician |format= |work= |accessdate=}}</ref> | There is no single diagnostic study of choice for the diagnosis of [[Urinary incontinence]], but [[stress incontinence]] can be diagnosed based on [[stress test]] and [[urodynamics]].<ref name="urlDiagnosis of Urinary Incontinence - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2013/0415/p543.html |title=Diagnosis of Urinary Incontinence - American Family Physician |format= |work= |accessdate=}}</ref> | ||
==== The comparison of various diagnostic studies for [disease name] ==== | ====The comparison of various diagnostic studies for [disease name]==== | ||
{| | {| | ||
|- style="background: #4479BA; color: #FFFFFF; text-align: center;" | |- style="background: #4479BA; color: #FFFFFF; text-align: center;" | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" | Test | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Test | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Sensitivity | ||
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity | ! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Specificity | ||
|- | |- | ||
! style="background: #696969; color: #FFFFFF; text-align: center;" | | ! style="background: #696969; color: #FFFFFF; text-align: center;" |stress test | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |... | | style="background: #DCDCDC; padding: 5px; text-align: center;" |83% <ref name="urlA Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed">{{cite web |url=https://pubmed.ncbi.nlm.nih.gov/29175541/ |title=A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed |format= |work= |accessdate=}}</ref> | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |... | | style="background: #DCDCDC; padding: 5px; text-align: center;" |90%<ref name="urlA Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed2">{{cite web |url=https://pubmed.ncbi.nlm.nih.gov/29175541/ |title=A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed |format= |work= |accessdate=}}</ref> | ||
|- | |- | ||
! style="background: #696969; color: #FFFFFF; text-align: center;" | | ! style="background: #696969; color: #FFFFFF; text-align: center;" |one-hour pad test + stress test | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |... | | style="background: #DCDCDC; padding: 5px; text-align: center;" |90% <ref name="urlSensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed">{{cite web |url=https://pubmed.ncbi.nlm.nih.gov/18758212/ |title=Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed |format= |work= |accessdate=}}</ref> | ||
| style="background: #DCDCDC; padding: 5px; text-align: center;" |... | | style="background: #DCDCDC; padding: 5px; text-align: center;" |65% <ref name="urlSensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed2">{{cite web |url=https://pubmed.ncbi.nlm.nih.gov/18758212/ |title=Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed |format= |work= |accessdate=}}</ref> | ||
|} | |} | ||
<small> [ | <small> [[stress test]] is the preferred investigation based on the sensitivity and specificity</small> | ||
===== Diagnostic results ===== | =====Diagnostic results===== | ||
The following finding | The following finding on performing [[stress test]] is confirmatory for [[ stress incontinence]]: | ||
=== | *Urine leaks with the onset of the cough and stops when the cough is stopped.<ref name="urlDiagnosis of Urinary Incontinence - American Family Physician">{{cite web |url=https://www.aafp.org/afp/2013/0415/p543.html |title=Diagnosis of Urinary Incontinence - American Family Physician |format= |work= |accessdate=}}</ref> | ||
=====Sequence of Diagnostic Studies===== | |||
The various investigations must be performed in the following order: | The various investigations must be performed in the following order: | ||
* [ | *[[Urinalysis]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | ||
* [ | *[[Post-void residual volume assessment]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | ||
*[[Voiding diaries]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | |||
*[[Pad testing]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | |||
*[[Pelvic floor imaging]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | |||
*[[Urodynamic studies]] <ref name="urlUrinary incontinence in women">{{cite web |url=https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5878864/ |title=Urinary incontinence in women |format= |work= |accessdate=}}</ref> | |||
=== Name of Diagnostic Criteria === | ===Name of Diagnostic Criteria=== | ||
There are no established criteria for the diagnosis of [[Urinary incontinence]]. | |||
==References== | ==References== |
Latest revision as of 20:11, 4 July 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:
Overview
Diagnostic Study of Choice
Study of choice
There is no single diagnostic study of choice for the diagnosis of Urinary incontinence, but stress incontinence can be diagnosed based on stress test and urodynamics.[1]
The comparison of various diagnostic studies for [disease name]
Test | Sensitivity | Specificity |
---|---|---|
stress test | 83% [2] | 90%[3] |
one-hour pad test + stress test | 90% [4] | 65% [5] |
stress test is the preferred investigation based on the sensitivity and specificity
Diagnostic results
The following finding on performing stress test is confirmatory for stress incontinence:
- Urine leaks with the onset of the cough and stops when the cough is stopped.[1]
Sequence of Diagnostic Studies
The various investigations must be performed in the following order:
- Urinalysis [6]
- Post-void residual volume assessment [6]
- Voiding diaries [6]
- Pad testing [6]
- Pelvic floor imaging [6]
- Urodynamic studies [6]
Name of Diagnostic Criteria
There are no established criteria for the diagnosis of Urinary incontinence.
References
- ↑ 1.0 1.1 "Diagnosis of Urinary Incontinence - American Family Physician".
- ↑ "A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed".
- ↑ "A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed".
- ↑ "Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed".
- ↑ "Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed".
- ↑ 6.0 6.1 6.2 6.3 6.4 6.5 "Urinary incontinence in women".