Urodynamic assessment and lateral urethrocystography. A comparison of two diagnostic procedures for female urinary incontinence.
We compared urodynamic findings and results of lateral urethrocystography in 84 case. The aim of the study was to establish a possible correlation between anatomic findings and functional results. Clinically, a significantly greater increase in the normal axis of urethral inclination was noted in patients with a urodynamic diagnosis of stress incontinence than in patients with urge incontinence or for normal urodynamic findings. Lateral urethrocystography vis-à-vis urodynamic assessment proved to be a method having high sensitivity (91%) but low specificity. These two methods supply different but complementary data. Together with the patients' medical history, the assessment of their complaints, clinical vaginal examination, and clinical stress test, they offer valuable information for an efficient therapeutic concept.
Department of Obstetrics and Gynaecology, University Women's Hospital, Heidelberg, Germany.
E M
EM
Grischke
H
H
Anton
W
W
Stolz
D
D
von Fournier
G
G
Bastert
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D011859:Radiography; D014521:Urethra / Q000000981:diagnostic imaging* / Q000503:physiopathology; D001743:Urinary Bladder / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000503:physiopathology; D014563:Urodynamics