| Urodynamics in the octogenarian female: is it worthwhile? | |
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MedLine Citation:
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PMID: 20552169 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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INTRODUCTION AND HYPOTHESIS: We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management. METHODS: Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Society standards were retrospectively analyzed. RESULTS: Median age was 83 years. Urodynamic stress incontinence was the most common diagnosis, in 26/53 (49%). Detrusor overactivity was found in only 12 (29%) of 42 females presenting with pure storage symptoms, and reduced compliance was seen in eight (19%). Urodynamics resulted in complete change in patient management in 43% of cases and helped 52% of referring physicians in confirming provisional diagnosis prior to drug or surgical treatment. CONCLUSIONS: In octogenarian females, there is poor correlation between storage symptoms and urodynamic diagnosis. Thus, urodynamics guides patient management and may avoid empirical prescribing associated with adverse effects in this clinically vulnerable population. |
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Authors:
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Stephen J Bromage; Trevor J Dorkin; Lewis Chan; Vincent Tse |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2010-06-15 |
Journal Detail:
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Title: International urogynecology journal Volume: 21 ISSN: 1433-3023 ISO Abbreviation: Int Urogynecol J Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-07-27 Completed Date: 2011-04-05 Revised Date: 2011-08-18 |
Medline Journal Info:
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Nlm Unique ID: 101567041 Medline TA: Int Urogynecol J Country: England |
Other Details:
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Languages: eng Pagination: 1117-21 Citation Subset: IM |
Affiliation:
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Department of Urology, Concord Repatriation General Hospital, Sydney, Australia. sjbromage@doctors.org.uk |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Aging / physiology* Diagnosis, Differential Female Follow-Up Studies Humans Retrospective Studies Urinary Bladder, Overactive / diagnosis, physiopathology* Urinary Incontinence, Stress / diagnosis, physiopathology* Urodynamics / physiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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