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[Urodynamics and the lateral cystogram: value for incontinence diagnosis]
E M Grischke1, W Stolz, H W Anton
1Univ.-Frauenklinik Heidelberg.
Geburtshilfe Und Frauenheilkunde
|February 1, 1990
Summary
A higher posterior urethrovesicular angle in patients with stress incontinence correlates with urodynamic findings. Lateral cystourethrography shows high sensitivity but low specificity for incontinence diagnosis.
Area of Science:
- Urology
- Diagnostic Imaging
Context:
- Incontinence diagnosis requires correlating anatomical and functional data.
- Evaluating 82 patients with incontinence using urodynamic findings and lateral cystourethrography.
Purpose:
- To establish a correlation between anatomical findings from lateral cystourethrography and functional results from urodynamic assessment in patients with incontinence.
- To compare the diagnostic utility of these two methods.
Summary:
- A significantly increased posterior urethrovesicular angle was observed in patients with urodynamic stress incontinence compared to urge incontinence or normal findings.
- Lateral cystourethrography demonstrated high sensitivity (91%) but limited specificity in diagnosing incontinence.
- Urodynamic assessment and lateral cystourethrography provide complementary data.
Impact:
- These diagnostic methods, alongside clinical evaluation, history, and stress tests, aid in developing effective therapeutic strategies for incontinence.
- Highlights the complementary nature of imaging and functional testing in incontinence management.