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01-03-2016 | Original Article

The “1-3-5 cough test”: comparing the severity of urodynamic stress incontinence with severity measures of subjective perception of stress urinary incontinence

Authors: Themos Grigoriadis, George Giannoulis, Dimitris Zacharakis, Athanasios Protopapas, Linda Cardozo, Stavros Athanasiou

Published in: International Urogynecology Journal | Issue 3/2016

Abstract

Introduction and hypothesis

The purpose of the study was to examine whether a test performed during urodynamics, the “1-3-5 cough test”, could determine the severity of urodynamic stress incontinence (USI).

Methods

We included women referred for urodynamics who were diagnosed with USI. The “1-3-5 cough test” was performed to grade the severity of USI at the completion of filling cystometry. A diagnosis of “severe”, “moderate” or “mild” USI was given if urine leakage was observed after one, three or five consecutive coughs respectively. We examined the associations between grades of USI severity and measures of subjective perception of stress urinary incontinence (SUI): International Consultation of Incontinence Modular Questionnaire—Female Lower Urinary Tract Symptom (ICIQ-FLUTS), King’s Health Questionnaire (KHQ), Urinary Distress Inventory-6 (UDI-6), Urinary Impact Questionnaire-7 (UIQ-7).

Results

A total of 1,181 patients completed the ICIQ-FLUTS and KHQ and 612 completed the UDI-6 and UIQ-7 questionnaires. There was a statistically significant association of higher grades of USI severity with higher scores of the incontinence domain of the ICIQ-FLUTS. The scores of the UDI-6, UIQ-7 and of all KHQ domains (with the exception of general health perception and personal relationships) had statistically significant larger mean values for higher USI severity grade. Groups of higher USI severity had statistically significant associations with higher scores of most of the subjective measures of SUI.

Conclusions

Severity of USI, as defined by the “1-3-5 cough test”, was associated with the severity of subjective measures of SUI. This test may be a useful tool for the objective interpretation of patients with SUI who undergo urodynamics.

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Title: The “1-3-5 cough test”: comparing the severity of urodynamic stress incontinence with severity measures of subjective perception of stress urinary incontinence
Authors: Themos Grigoriadis
George Giannoulis
Dimitris Zacharakis
Athanasios Protopapas
Linda Cardozo
Stavros Athanasiou
Publication date: 01-03-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 3/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-015-2808-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The “1-3-5 cough test”: comparing the severity of urodynamic stress incontinence with severity measures of subjective perception of stress urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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