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;" |Test 1
! 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;" |Test 2
! 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> [Name of test with higher sensitivity and specificity] is the preferred investigation based on the sensitivity and specificity</small>
<small> [Name of test with higher sensitivity and specificity] is the preferred investigation based on the sensitivity and specificity</small>


===== Diagnostic results =====
=====Diagnostic results=====
The following finding on performing [[stress test]] is confirmatory for [[ stress incontinence]]:
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>


*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 =====
 
=====Sequence of Diagnostic Studies=====
The various investigations must be performed in the following order:
The various investigations must be performed in the following order:
* [Initial investigation]
* [2nd investigation]


=== Name of Diagnostic Criteria ===
*[Initial investigation]
*[2nd investigation]
 
===Name of Diagnostic Criteria===
There are no established criteria for the diagnosis of [disease name].
There are no established criteria for the diagnosis of [disease name].


Revision as of 17:43, 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]

[Name of test with higher sensitivity and specificity] 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:

  • [Initial investigation]
  • [2nd investigation]

Name of Diagnostic Criteria

There are no established criteria for the diagnosis of [disease name].

References

  1. ↑ 1.0 1.1 "Diagnosis of Urinary Incontinence - American Family Physician".
  2. ↑ "A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed".
  3. ↑ "A Randomized Comparative Study Evaluating Various Cough Stress Tests and 24-Hour Pad Test with Urodynamics in the Diagnosis of Stress Urinary Incontinence - PubMed".
  4. ↑ "Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed".
  5. ↑ "Sensitivity and specificity of one-hour pad test as a predictive value for female urinary incontinence - PubMed".

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