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Classification of female urinary incontinence by the scored incontinence questionnaire
1Department of Obstetrics and Gynecology, Osaka City University Medical School, Osaka, Japan. ishikoo@msic.med.osaka-cu.ac.jp
Objectives:
Our purpose was to investigate whether urinary incontinence (UI) severity could be graded by UI scores.
Methods:
The study included 168 UI patients diagnosed by conventional procedures as stress incontinence (SI, n=108) or urge incontinence (URI, n=60). A questionnaire containing 15 items scored for stress-score (s-s) and urge-score (u-s) was administered to patients to assess the correlation between pad test values (PTVs) and s-s in SI and u-s in URI.
Results:
Significant correlations were found between log[PTVs] and both s-s and u-s: log[PTV(SI)]=0.051s-s-0.207 (r=0.830, P<0.0001) and log[PTV(URI)]=0.064u-s-0.459 (r=0.827, P<0. 0001). Based on theoretical PTVs obtained using these equations, s-s of 26-24, 23-18, and 17-10 in SI were equivalent to severe, moderate, and mild, respectively, and u-s of 22-19 and 18-12 in URI were equivalent to moderate and mild, respectively, according to the classification of the International Continence Society.
Conclusion:
The UI score should be a simple and useful procedure for use by general gynecologists to grade UI severity clinically.