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Published in: International Urogynecology Journal 9/2013

01-09-2013 | Original Article

How often does detrusor overactivity cause urinary leakage during a stress test in women with mixed urinary incontinence?

Authors: Sigurd Kulseng-Hanssen, Kjartan Moe, Hjalmar A. Schiøtz

Published in: International Urogynecology Journal | Issue 9/2013

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Abstract

Introduction and hypothesis

The study examined how often detrusor overactivity (DO) causes leakage during a stress test in women with mixed urinary incontinence (MUI) and whether there are differences between those who do and those who do not have DO during the stress test.

Methods

A retrospective study was performed in 100 women who had an ambulatory urodynamic recording done where bladder, urethral, and vaginal pressures, and leakage were recorded. The stress test consisted of 20 jumping jacks and three forceful coughs.

Results

All the women leaked during the stress test: five due to simultaneous stress test and DO, 87 due to the stress test only, and eight during the stress test as well as due to DO before or after the stress test.

Conclusions

During the stress test, 5 % of women with MUI leaked due to the coughs and jumps and simultaneous DO. Women in whom DO was detected had significantly higher Urgency Incontinence Index and leakage during the 24-h pad test.
Literature
1.
go back to reference Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, Sirls LT, Norton PA, Arisco AM, Chai TC, Zimmern P, Barber MD, Dandreo KJ, Menefee SA, Kenton K, Lowder J, Richter HE, Khandwala S, Nygaard I, Kraus SR, Johnson HW, Lemack GE, Mihova M, Albo ME, Mueller E, Sutkin G, Wilson TS, Hsu Y, Rozanski TA, Rickey LM, Rahn D, Tennstedt S, Kusek JW, Gormley EA, Urinary Incontinence Treatment N (2012) A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med 366(21):1987–1997. doi:10.1056/NEJMoa1113595 PubMedCrossRef Nager CW, Brubaker L, Litman HJ, Zyczynski HM, Varner RE, Amundsen C, Sirls LT, Norton PA, Arisco AM, Chai TC, Zimmern P, Barber MD, Dandreo KJ, Menefee SA, Kenton K, Lowder J, Richter HE, Khandwala S, Nygaard I, Kraus SR, Johnson HW, Lemack GE, Mihova M, Albo ME, Mueller E, Sutkin G, Wilson TS, Hsu Y, Rozanski TA, Rickey LM, Rahn D, Tennstedt S, Kusek JW, Gormley EA, Urinary Incontinence Treatment N (2012) A randomized trial of urodynamic testing before stress-incontinence surgery. N Engl J Med 366(21):1987–1997. doi:10.​1056/​NEJMoa1113595 PubMedCrossRef
3.
go back to reference Rezapour M, Ulmsten U (2001) Tension-Free vaginal tape (TVT) in women with mixed urinary incontinence–a long-term follow-up. Int Urogynecol J 12(Suppl 2):S15–S18CrossRef Rezapour M, Ulmsten U (2001) Tension-Free vaginal tape (TVT) in women with mixed urinary incontinence–a long-term follow-up. Int Urogynecol J 12(Suppl 2):S15–S18CrossRef
4.
go back to reference Kulseng-Hanssen S, Husby H, Schiotz HA (2008) Follow-up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J 19(3):391–396CrossRef Kulseng-Hanssen S, Husby H, Schiotz HA (2008) Follow-up of TVT operations in 1,113 women with mixed urinary incontinence at 7 and 38 months. Int Urogynecol J 19(3):391–396CrossRef
6.
go back to reference Lewis JB, Ng AV, O’Connor RC, Guralnick ML (2007) Are there differences between women with urge predominant and stress predominant mixed urinary incontinence? Neurourol Urodyn 26(2):204–207PubMedCrossRef Lewis JB, Ng AV, O’Connor RC, Guralnick ML (2007) Are there differences between women with urge predominant and stress predominant mixed urinary incontinence? Neurourol Urodyn 26(2):204–207PubMedCrossRef
7.
go back to reference Paick JS, Oh SJ, Kim SW, Ku JH (2008) Tension-free vaginal tape, suprapubic arc sling, and transobturator tape in the treatment of mixed urinary incontinence in women. Int Urogynecol J 19(1):123–129CrossRef Paick JS, Oh SJ, Kim SW, Ku JH (2008) Tension-free vaginal tape, suprapubic arc sling, and transobturator tape in the treatment of mixed urinary incontinence in women. Int Urogynecol J 19(1):123–129CrossRef
8.
go back to reference Kulseng-Hanssen S, Husby H, Schiotz HA (2007) The tension free vaginal tape operation for women with mixed incontinence: do preoperative variables predict the outcome? Neurourol Urodyn 26(1):115–121, discussion 122PubMedCrossRef Kulseng-Hanssen S, Husby H, Schiotz HA (2007) The tension free vaginal tape operation for women with mixed incontinence: do preoperative variables predict the outcome? Neurourol Urodyn 26(1):115–121, discussion 122PubMedCrossRef
9.
go back to reference Jensen JK, Nielsen FR Jr, Ostergard DR (1994) The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol 83(5 Pt 2):904–910PubMed Jensen JK, Nielsen FR Jr, Ostergard DR (1994) The role of patient history in the diagnosis of urinary incontinence. Obstet Gynecol 83(5 Pt 2):904–910PubMed
10.
go back to reference Videla FL, Wall LL (1998) Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol 91(6):965–968PubMedCrossRef Videla FL, Wall LL (1998) Stress incontinence diagnosed without multichannel urodynamic studies. Obstet Gynecol 91(6):965–968PubMedCrossRef
11.
go back to reference Wall LL, Wiskind AK, Taylor PA (1994) Simple bladder filling with a cough stress test compared with substracted cystometry for the diagnosis of urinary incontinence. Am J Obstet Gynecol 171(6):1472–1480PubMedCrossRef Wall LL, Wiskind AK, Taylor PA (1994) Simple bladder filling with a cough stress test compared with substracted cystometry for the diagnosis of urinary incontinence. Am J Obstet Gynecol 171(6):1472–1480PubMedCrossRef
12.
go back to reference Scotti RJ, Myers DL (1993) A comparison of the cough stress test and single-channel cystometry with multichannel urodymanic evaulation in genuine stress incontinence. Obstet Gynecol 81(3):430–433PubMed Scotti RJ, Myers DL (1993) A comparison of the cough stress test and single-channel cystometry with multichannel urodymanic evaulation in genuine stress incontinence. Obstet Gynecol 81(3):430–433PubMed
14.
go back to reference Kulseng-Hanssen S, Borstad E (2003) The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. Brit J Obstet Gynecol 110(11):983–988CrossRef Kulseng-Hanssen S, Borstad E (2003) The development of a questionnaire to measure the severity of symptoms and the quality of life before and after surgery for stress incontinence. Brit J Obstet Gynecol 110(11):983–988CrossRef
15.
go back to reference Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5–26PubMedCrossRef Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J, Monga A, Petri E, Rizk DE, Sand PK, Schaer GN (2010) An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J 21(1):5–26PubMedCrossRef
16.
go back to reference Machin D (2009) Sample size tables for clinical studies. Wiley-Blackwell, Chichester Machin D (2009) Sample size tables for clinical studies. Wiley-Blackwell, Chichester
17.
go back to reference Laurikainen E, Kiilholma P (2003) The tension-free vaginal tape procedure for female urinary incontinence without preoperative urodynamic evaluation. J Am Coll Surg 196(4):579–583PubMedCrossRef Laurikainen E, Kiilholma P (2003) The tension-free vaginal tape procedure for female urinary incontinence without preoperative urodynamic evaluation. J Am Coll Surg 196(4):579–583PubMedCrossRef
18.
go back to reference van Leijsen SA, Kluivers KB, Mol BW, Vierhout ME, Heesakkers JP (2012) The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence. Int Urogynecol J 23(4):423–428PubMedCrossRef van Leijsen SA, Kluivers KB, Mol BW, Vierhout ME, Heesakkers JP (2012) The value of preoperative urodynamics according to gynecologists and urologists with special interest in stress urinary incontinence. Int Urogynecol J 23(4):423–428PubMedCrossRef
19.
go back to reference James M, Jackson S, Shepherd A, Abrams P (1999) Pure stress leakage symptomatology: is it safe to discount detrusor instability? Br J Obstet Gynaecol 106(12):1255–1258PubMedCrossRef James M, Jackson S, Shepherd A, Abrams P (1999) Pure stress leakage symptomatology: is it safe to discount detrusor instability? Br J Obstet Gynaecol 106(12):1255–1258PubMedCrossRef
Metadata
Title
How often does detrusor overactivity cause urinary leakage during a stress test in women with mixed urinary incontinence?
Authors
Sigurd Kulseng-Hanssen
Kjartan Moe
Hjalmar A. Schiøtz
Publication date
01-09-2013
Publisher
Springer London
Published in
International Urogynecology Journal / Issue 9/2013
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-013-2049-3

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