title: Is There a Role for Urodynamic Study in Women with Urinary Incontinence?
abstract: OBJECTIVE
  To compare clinical and urodynamic study (UDS) findings in Iranian women with mixed or stress UI (Urinary Incontinence).
  
  
  METHODS
  A total of 132 patients with either stress or mixed type of UI were enrolled. After accurate examination, data regarding age, parity, mode of delivery and menopausal state were recorded. Furthermore the presence and severity of UI was evaluated with empty bladder supine stress test (ESST) and cough test in supine and standing positions in all patients. Eligible cases underwent UDS evaluation by an expert urologist using a standardized protocol.
  
  
  RESULTS
  Stress and mixed UI were found in 33 (25%) and 99 (75%) patients respectively. By considering clinical evaluation as gold standard, sensitivity, specificity, positive and negative predictive value of urodynamic study were 83.4%, 30.4%, 43.4% and 80% for detecting stress UI and 96.1%, 35.6%, 34.7%, 96.2% for detecting mixed UI respectively. No correlation was noted between ESST or cough test results and Valsalva leak point pressure (VLPP) values in patients with stress UI, however ESST was correlated with VLPP values in patients with mixed UI.
  
  
  CONCLUSIONS
  Despite a relatively high sensitivity, the specificity was low and urodynamic evaluation seems to be of limited value in the assessment of UI in female patients.&nbsp.
authors: Department of obstetrics and gynecology, Tehran University of medical sciences, Tehran Iran..elnaz63@yahoo.com.
authors: Elnaz
authors: E
authors: Ayati
authors: Department of Pelvic Floor, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors: Zinat
authors: Z
authors: Ghanbari
authors: Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Mohsen
authors: M
authors: Ayati
authors: Uro-Oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran.
authors: Erfan
authors: E
authors: Amini
authors: Department of Pelvic Floor, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
authors: Maryam
authors: M
authors: Deldar Pesikhani
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology*; D014563:Urodynamics