Use of fetal cardiotocographic monitor in the evaluation of urinary incontinence.
Thirty-five women (mean age 52 years, mean parity 3) were evaluated consecutively for urinary incontinence. Stability of the bladder was evaluated by standing provocative water urethrocystometry, using a microtip pressure transducer and a multichannel electrophysiologic recorder. Cystometry was repeated immediately after emptying of the bladder. Second cystometry (standing provocative) was performed using a fetal cardiotocographic monitor for pressure recording. The simple cystometry (using the cardiotocograph technique) was very sensitive when evaluating women with a stable bladder (n = 25) and less sensitive when detecting bladder instability (n = 10). We conclude that the use of this simple technique is a viable option if urodynamic equipment is unavailable. There is no need for further evaluation in patients with findings of a stable bladder, but if bladder instability is detected, further in-depth evaluation is required.
Bergman
A
A
Department of Obstetrics and Gynecology, Los Angeles County-University of Southern California Medical Center.
Nguyen
H
H
Koonings
P P
PP
Ballard
C A
CA
D000328:Adult; D000368:Aged; D005260:Female; D005323:Fetal Monitoring / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D011446:Prospective Studies; D001743:Urinary Bladder / Q000503:physiopathology; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000503:physiopathology; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000175:diagnosis; D014563:Urodynamics