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A glance at the urodynamic database.

H A Thiede¹, F K Thiede

¹Department of Obstetrics and Gynecology, University of Rochester, New York 14642.

The Journal of Reproductive Medicine

|October 1, 1990

Summary

This summary is machine-generated.

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Genuine stress urinary incontinence (GSI) affects 62% of patients presenting with urinary incontinence. Symptoms alone don't distinguish GSI, but increased body mass index correlates with higher bladder pressure.

Area of Science:

Urogynecology
Obstetrics and Gynecology

Background:

Urinary incontinence is a common complaint among women.
Genuine stress urinary incontinence (GSI) is a prevalent subtype.

Purpose of the Study:

To characterize patients with GSI.
To identify factors distinguishing GSI from other incontinence types.
To explore the influence of weight on bladder pressure in GSI patients.

Main Methods:

Evaluation of 364 patients with urinary incontinence.
Characterization of GSI patients based on symptoms, parity, sexual activity, and body mass index.
Urodynamic and anatomic parameter assessment.

Main Results:

62% of patients had GSI.

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Symptom clusters did not reliably distinguish GSI.

Incontinence during intercourse occurred in 23% of sexually active GSI patients.

Increased body mass index correlated with elevated vesical pressure.

Conclusions:

Symptom-based diagnosis of GSI is unreliable.
Anatomic and urodynamic parameters did not differentiate GSI subgroups.
Weight is a significant factor influencing bladder pressure in GSI patients.