Negative urodynamic testing in women with stress incontinence

Kylie Liversidge, Rodrigo Guzmán Rojas, Ixora Kamisan @ Atan, Hans Peter Dietz

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A minority of women with a subjective complaint of stress urinary incontinence will have negative urodynamic stress incontinence (USI) findings. Aim: To test clinical and ultrasound measures as predictors of an unexpected absence of USI. We hypothesised that unexpectedly negative USI would be more common in young women with good pelvic floor and urethral function. Methods: A retrospective study analysing 398 data sets from women attending a urogynaecology clinic for evaluation of lower urinary tract and pelvic floor dysfunction. Clinical, urodynamic and translabial ultrasound data were tested as possible predictors of negative USI findings. Results: Women with unexpectedly negative USI findings were younger, had less anterior compartment prolapse and had a higher maximum urethral pressure. Measures of pelvic floor muscle function were not predictive. Conclusions: Women with unexpectedly negative USI are younger and have better urethral function, but voluntary pelvic floor muscle function seems unrelated to this phenomenon.

Original languageEnglish
Pages (from-to)76-80
Number of pages5
JournalAustralian and New Zealand Journal of Obstetrics and Gynaecology
Volume55
Issue number1
DOIs
Publication statusPublished - 1 Feb 2015
Externally publishedYes

Fingerprint

Urodynamics
Pelvic Floor
Muscles
Stress Urinary Incontinence
Prolapse
Urinary Tract
Retrospective Studies
Pressure

Keywords

  • pelvic floor function
  • translabial ultrasound
  • urodynamic stress incontinence
  • urodynamics

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

Cite this

Negative urodynamic testing in women with stress incontinence. / Liversidge, Kylie; Guzmán Rojas, Rodrigo; Kamisan @ Atan, Ixora; Dietz, Hans Peter.

In: Australian and New Zealand Journal of Obstetrics and Gynaecology, Vol. 55, No. 1, 01.02.2015, p. 76-80.

Research output: Contribution to journalArticle

Liversidge, Kylie ; Guzmán Rojas, Rodrigo ; Kamisan @ Atan, Ixora ; Dietz, Hans Peter. / Negative urodynamic testing in women with stress incontinence. In: Australian and New Zealand Journal of Obstetrics and Gynaecology. 2015 ; Vol. 55, No. 1. pp. 76-80.
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