title: [Limit of short Pad-Test and questionnaires about urinary incontinence evaluation after prostatectomy].
abstract: OBJECTIVE
  Clinical study among men suffering from postprostatectomy urinary incontinence comparing the short term Pad-Test to urinary symptom questionnaires.
  
  
  METHODS
  From June 2006 to November 2008, 16 patients presenting a urinary incontinence after prostatectomy have been operated by I-Stop® TOMS male sling. The incontinence has been evaluated by analyzing data from the short Pad-Test, ICIQ and SF36 questionnaires. This evaluation has been done before surgery (Day 0) and 90 days after (Day 90). The short term Pad-Test was recommended by the International Continence Society. The analysis between the values has been appreciated by Kendall ratio with a significant value, for the independence test, if smaller than 0.05.
  
  
  RESULTS
  We can't demonstrate any significant evolutive correlation of the short term Pad-Test and ICIQ or SF36 questionnaires results between Day 0 and Day 90. At Day 0, there is no significant link between short-term Pad-Test and ICIQ or SF36 questionnaires results.
  
  
  CONCLUSIONS
  The absence of correlation between the two evaluations before surgery confirms the interest of a double evaluation, objective and subjective. The short-term Pad-Test is easy to perform but presents a limited variability of the measure and a lack of precision in leakage detection. Nevertheless, there is a bias of selection in the recruited population who suffered from a minor or moderated urinary incontinence after prostatectomy, according to Stamey standards. The authors propose to prefer 24 hours Pad-Test which evaluate the leakage on a larger period of time.
authors.affiliation: Service d'urologie, CHU Charles-Nicolle, 1, rue de Germont, 76000 Rouen, France. juladara@hotmail.com
authors.forename: J
authors.initials: J
authors.lastname: Drai
authors.forename: R
authors.initials: R
authors.lastname: Caremel
authors.forename: M
authors.initials: M
authors.lastname: Bubenheim
authors.forename: C
authors.initials: C
authors.lastname: Pfister
authors.forename: P
authors.initials: P
authors.lastname: Grise
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006801:Humans; D008297:Male; D008875:Middle Aged; D011468:Prostatectomy / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000209:etiology*