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Urodynamic tests for female geriatric urinary incontinence
A C Diokno1, D P Normolle, M B Brown
1William Beaumont Hospital, Royal Oak, Michigan.
Urology
|November 1, 1990
Summary
Urodynamic tests for female urinary incontinence lack specificity in community samples. The provocative stress test is highly specific (98.5%) for diagnosing incontinence, unlike other urodynamic methods.
Area of Science:
- Urology
- Geriatrics
- Diagnostic Testing
Background:
- Urodynamic tests are crucial for evaluating female urinary incontinence.
- Limited data exists on the specificity of these tests in community-based elderly populations.
Purpose of the Study:
- To determine the specificity of various urodynamic tests in a community-based sample of elderly women.
- To compare the diagnostic accuracy of different urodynamic methods for urinary incontinence.
Main Methods:
- A random sample of 258 continent and 198 incontinent women (≥60 years) underwent clinic evaluation and urodynamic testing.
- Tests included uroflowmetry, cystometry, static and dynamic urethral pressure profilometry (UPP), lateral cystography, and provocative stress testing.
Main Results:
- Uroflowmetry, cystometry, and supine static UPP showed no significant differences between continent and incontinent women.
- Standing static/dynamic UPP and lateral cystography revealed significant differences.
- The provocative stress test demonstrated high specificity (98.5%) in distinguishing incontinence types.
Conclusions:
- Urodynamic tests like uroflowmetry, static UPP, and cystography are not suitable for screening but can be used selectively for confirmation and treatment planning.
- The provocative stress test is a valuable tool for diagnosing and differentiating female urinary incontinence in the elderly.