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International Urogynecology Journal

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01-06-2010 | Original Article

Clinical and pathophysiological correlates of the symptom severity of stress urinary incontinence

Authors: Jenn-Ming Yang, Shwu-Huey Yang, Shu-Yu Yang, Evelyn Yang, Wen-Chen Huang, Chii-Ruey Tzeng

Published in: International Urogynecology Journal | Issue 6/2010

Abstract

Introduction and hypothesis

The pathophysiology of stress urinary incontinence (SUI) is multifactorial. The aim of this study was to explore the factor determining the symptom severity of SUI.

Methods

One hundred twenty-four women with SUI were retrospectively investigated. Clinical data for analyses included demographics, pelvic organ prolapse quantification, SUI severity using a 4-point Likert scale, ultrasound, 1-h pad tests, and urodynamic studies. Data were analyzed using the Spearman's rho test and Kruskal–Wallis test.

Results

The symptom severity was not correlated with risk factors of SUI or the morphologic manifestations representing urethral support defect, but was significantly correlated with urine loss on 1-h pad test, Valsalva leak point pressure (VLPP) grading, and maximum urethral closure pressure (MUCP). Women with higher SUI severity had greater urine loss on 1-h pad tests, worse VLPP grading, and lower MUCP.

Conclusions

Urethral sphincter function appears to be an important determinant for the symptom severity of SUI.

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Title: Clinical and pathophysiological correlates of the symptom severity of stress urinary incontinence
Authors: Jenn-Ming Yang
Shwu-Huey Yang
Shu-Yu Yang
Evelyn Yang
Wen-Chen Huang
Chii-Ruey Tzeng
Publication date: 01-06-2010
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-1094-4

At a glance: The STEP trials

Springer Medicine

Clinical and pathophysiological correlates of the symptom severity of stress urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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