The influence of pad test loss on management of women with urodynamic stress incontinence.
Members of the International Continence Society (UK section) were randomised to receive a scenario comprising clinical and urodynamic data of a woman with urodynamic stress incontinence, including a one-hour pad loss of either 42 g (large loss) or 7 g (small loss). Members were asked to indicate their initial management choice from a list of four options. Three hundred and fifteen of 440 (72%) members responded. Gynaecologists and urologists were significantly more likely to choose surgical treatment for patients with a large pad loss (24% vs 8%; difference 15.8%, 95% CI 2.9-28.7), despite published data demonstrating the poor reproducibility and reliability of the pad test.
Thomson
Angus J M
AJ
Arrowe Park Hospital, Upton, Wirral, UK.
Tincello
Douglas G
DG
D002983:Clinical Competence / Q000592:standards; D005260:Female; D006176:Gynecology / Q000592:standards; D006801:Humans; D016496:Incontinence Pads; D015588:Observer Variation; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000628:therapy*; D014572:Urology / Q000592:standards