Ambulatory urodynamics of female soldiers.
The purpose of this study was to assess the accuracy of ambulatory urodynamic monitoring compared with conventional urodynamic studies for the detection of exercise-induced urinary incontinence in the female soldier. Fifty active duty female soldiers with exercise-induced urinary incontinence and 10 asymptomatic control soldiers underwent conventional multichannel cystometry and then ambulatory monitoring during work or exercise. Ambulatory monitoring detected a greater number of abnormalities than conventional multichannel urodynamic studies in exercise-induced urinary incontinence. This greater sensitivity is valuable in formulating more effective treatment. Behavioral interventions were effective in treating exercise-induced urinary incontinence in this population. Test results normalized after behavioral intervention. It is neither cost-effective nor efficacious to require sophisticated urodynamic testing before instituting behavioral interventions.
Davis
G
G
Department of Obstetrics and Gynecology, Madigan Army Medical Center, Tacoma, WA 98431, USA.
McClure
G
G
Sherman
R
R
Hibbert
M
M
Wong
M
M
Perez
R
R
D000328:Adult; D001676:Biofeedback, Psychology; D016022:Case-Control Studies; D015444:Exercise; D005080:Exercise Test; D005260:Female; D006801:Humans; D008889:Military Personnel / Q000706:statistics & numerical data*; D018670:Monitoring, Ambulatory / Q000379:methods*; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D011795:Surveys and Questionnaires; D014481:United States; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D014563:Urodynamics; D014930:Women