Relationship between urinary incontinence symptoms and urodynamic findings using a validated Arabic questionnaire

Area of Science:

• Urology
• Gynecology
• Diagnostic Tools

Background:

• Urinary incontinence is a prevalent condition, especially among women.
• Urodynamic studies (UDS) are accurate for assessing urinary incontinence.
• The Arabic version of the Urogenital Distress Inventory-6 (UDI-6) lacks prior correlation with UDS in Arabian patients.

Purpose of the Study:

• To establish the correlation between the Arabic UDI-6 questionnaire and UDS findings.
• To validate the Arabic UDI-6 as a diagnostic tool for urinary incontinence in Arabian women.

Main Methods:

• Prospective study conducted at a tertiary referral urology clinic.
• 87 female patients with urinary incontinence completed the Arabic UDI-6 and underwent UDS.
• Correlation analysis between Arabic UDI-6 scores and UDS diagnoses.

Main Results:

• The Arabic UDI-6 identified urge, stress, and mixed incontinence in 23%, 32%, and 45% of patients, respectively.
• UDS diagnosed urge, stress, and mixed incontinence in 30%, 42%, and 18% of patients, respectively.
• A significant correlation was found between Arabic UDI-6 responses and UDS diagnoses, with a correlation coefficient of 0.65 for SUI (P < .01) and 0.38 for urge incontinence (P < .01).

Conclusions:

• The validated Arabic UDI-6 demonstrates significant correlation with UDS findings in Arabian women.
• The questionnaire is particularly effective in assessing stress urinary incontinence (SUI).
• Limitations include a small sample size and lack of comorbidity evaluation.