Document Detail


Clinical versus urodynamic diagnosis in an incontinent geriatric female population.
MedLine Citation:
PMID:  3795368     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The clinical presentation of incontinence was compared to diagnoses based on urological and urodynamic evaluation in 135 elderly women assessed consecutively in an outpatient clinic. Most patients (64 per cent) presented with mixed symptoms: 16 per cent presented with pure stress and 16 per cent with pure urge incontinence. After evaluation 46 per cent of the patients had stress incontinence with a stable bladder, 27 per cent had detrusor instability or hyperreflexia without sphincter weakness and 19 per cent had mixed urodynamic abnormalities. Presenting symptoms were predictive of urodynamic diagnosis in 64 per cent of the patients with pure stress incontinence and 55 per cent with pure urge incontinence. In general, symptoms in our patient population were less predictive of urodynamic findings than in previously reported series of younger incontinent women but they were more predictive than in other series of elderly women. Predictive values for some urodynamic findings were enhanced by combining a symptom with certain physical findings. Implications of these data for the evaluation and treatment of incontinence in the geriatric population are discussed.
Authors:
J Ouslander; D Staskin; S Raz; H L Su; K Hepps
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The Journal of urology     Volume:  137     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1987 Jan 
Date Detail:
Created Date:  1987-01-28     Completed Date:  1987-01-28     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  68-71     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Humans
Outpatient Clinics, Hospital
Urinary Bladder, Neurogenic / diagnosis
Urinary Incontinence / diagnosis*
Urinary Incontinence, Stress / diagnosis*
Urodynamics*
Grant Support
ID/Acronym/Agency:
AG 00189/AG/NIA NIH HHS; AG04586/AG/NIA NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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