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Bead-chain cystourethrogram: an evaluation

J A Fantl, W G Hurt, M C Beachley

    Obstetrics and Gynecology
    |August 1, 1981
    PubMed
    Summary
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    Cystourethrography

    Area of Science:

    • Urology
    • Radiology
    • Diagnostic Imaging

    Background:

    • The diagnostic value of cystourethrography for urinary incontinence remains debated.
    • Specific radiologic landmarks are thought to indicate stress urinary incontinence.

    Purpose of the Study:

    • To assess the reliability of 5 radiologic landmarks in diagnosing stress urinary incontinence.
    • To compare these findings between patients with stress urinary incontinence and idiopathic detrusor instability.

    Main Methods:

    • Review of 83 cystourethrograms from patients with stress urinary incontinence or idiopathic detrusor instability.
    • Interpretation of 5 specific radiologic landmarks by three independent radiologists.
    • Analysis of inter-observer agreement and differences in landmark distribution.

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    Main Results:

    • Inter-observer agreement for the 5 landmarks varied significantly, with a lack of identification or agreement ranging from 19.3% to 54.2%.
    • No statistically significant differences were found in the distribution of these radiographic characteristics between the stress urinary incontinence and idiopathic detrusor instability groups.

    Conclusions:

    • The evaluated radiologic landmarks show poor inter-observer reliability.
    • Cystourethrography findings do not reliably differentiate between stress urinary incontinence and idiopathic detrusor instability based on these landmarks.