title: Urine leakage related to physical fatigue in women with urinary stress incontinence.
abstract: OBJECTIVE
  To evaluate the frequency of urine leakage related to physical fatigue in women presenting with urinary stress incontinence using a specific questionnaire, and to assess its association with the Bristol Female Lower Urinary Tract Symptoms questionnaire and urodynamic findings.
  
  
  METHODS
  Prospective observational descriptive study.
  
  
  METHODS
  University hospital (urodynamics laboratory).
  
  
  METHODS
  Sixty-one women presenting with urinary stress incontinence and 10 continent women.
  
  
  METHODS
  Not applicable.
  
  
  METHODS
  The participants underwent urethral pressure profile measurement and completed a Bristol Female Lower Urinary Tract Symptoms questionnaire and a specific questionnaire focused on urine leakage related to physical fatigue.
  
  
  RESULTS
  Twenty-three (37%) women with urinary stress incontinence claimed to exhibit urine leakage related to physical fatigue more often than one third of the time and 47% claimed to exhibit urinary leakage only after more than one cough. There was a positive correlation between the findings of the specific questionnaire and the presence of a sharp decrease in urethral pressure following repeated cough efforts: question #1 (P = 0.02); question #2 (P = 0.00002); question #3 (P = 0.04).
  
  
  CONCLUSIONS
  There is a strong association between this questionnaire focused on urine leakage related to fatigue and the presence of a decrease in urethral pressure following repeated coughs.
authors.affiliation: National Institute for Health and Medical Research, U731, Pierre and Marie Curie University, Paris, France. x.deffieux@free.fr
authors.forename: Xavier
authors.initials: X
authors.lastname: Deffieux
authors.forename: Katelyne
authors.initials: K
authors.lastname: Hubeaux
authors.forename: John
authors.initials: J
authors.lastname: Dick
authors.forename: Samer Sheikh
authors.initials: SS
authors.lastname: Ismael
authors.forename: Patrick
authors.initials: P
authors.lastname: Raibaut
authors.forename: Gérard
authors.initials: G
authors.lastname: Amarenco
mesh_terms: D000367:Age Factors; D005221:Fatigue / Q000150:complications*; D005260:Female; D006801:Humans; D008875:Middle Aged; D011312:Pressure; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D014521:Urethra / Q000503:physiopathology; D001743:Urinary Bladder / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology*; D014555:Urination Disorders / Q000453:epidemiology*