Supine urethroscopic and standing cystometry as screening methods for the detection of detrusor instability.
Two hundred eighteen women undergoing multichannel urethrocystometry were also studied with supine urethroscopic cystometry and/or standing single-channel cystometry to evaluate the use of the latter two studies in screening patients at risk for detrusor instability. Thirty-one percent of the women were found to have detrusor instability on multichannel urethrocystometry. Only 24.6% of these patients were detected with supine urethroscopic cystometry, whereas 59.3% were detected with standing single-channel cystometry. The specificity of these tests was better (94.4 and 82.4%, respectively) than the above sensitivities, but analysis of their predictive values confirmed that they are both poor screening tools for populations at risk for detrusor instability.
D000293:Adolescent; D000328:Adult; D000368:Aged; D003558:Cystoscopy; D005260:Female; D006801:Humans; D008365:Manometry; D008875:Middle Aged; D011187:Posture; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology*; D001750:Urinary Bladder, Neurogenic / Q000150:complications / Q000175:diagnosis*; D014549:Urinary Incontinence / Q000209:etiology; D014563:Urodynamics