Related Experiment Videos
[Quantification of urine leaks: standardized one-hour pad test]
J E Batista Miranda1, F Da Silva Virgilio, M Granda Contijoch
1Unidad de Urodinamia, Servicio de Urologia, Fundación Puigvert, Barcelona.
Objective:
To assess the feasibility and diagnostic performance of the one hour pad test proposed by ICS.
Patients And Methods:
The pad test was performed in 20 women referred for incontinence. Five were included in a surgical protocol and 15 had inconsistent medical history. Their mean age was 52.5 years, the mean time of incontinence was 3.4 years and they used a mean of 3.5 pads/day. Six showed leakage on physical examination (PE) and 2 during previous cystometry.
Results:
The test is well tolerated and lasts one hour and 15 minutes. The test was positive in 17 (mean leakage = 168 g). Leakage was not related to duration of incontinence, number of pads or cystometric capacity. A weak negative correlation (r = -0.52) was found between leakage and voided volume on uroflowmetry performed after the test. All patients who leaked on PE had a positive test and a significantly higher leakage compared to patients who didn't leak on PE.
Conclusion:
The pad test is a feasible outpatient procedure in the context of a Urodynamics Unit, providing objective information on leakage in most patients.