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Erschienen in: International Urogynecology Journal 4/2012

01.04.2012 | Original Article

Comparison of the cough stress test and 24-h pad test in the assessment of stress urinary incontinence

verfasst von: Danielle Markle Price, Karen Noblett

Erschienen in: International Urogynecology Journal | Ausgabe 4/2012

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Abstract

Introduction and hypothesis

The 24-h pad test and cough stress test are commonly used to assess stress urinary incontinence; however, no comparative data are available. The cough stress test is superior to the 24-h pad test.

Methods

Women with predominant stress urinary incontinence symptoms underwent a cough stress test, a 24-h pad test, and urodynamic testing.

Results

Complete data were available on 55 women. Agreement between the urodynamic results and the stress test occurred in 89% of women (k = 0.51). Sensitivity, specificity, and positive and negative predictive values were 90%, 80%, 98%, and 44%. Agreement between the urodynamic results and the pad test occurred in 60% of women (k = 0.08). Sensitivity, specificity, and positive and negative predictive values were 60%, 60%, 94%, and 13%. Agreement between the cough stress test and the pad test occurred in 67% (k = 0.26).

Conclusions

The cough stress test is more reliable than the pad test for documentation of stress urinary incontinence.
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Metadaten
Titel
Comparison of the cough stress test and 24-h pad test in the assessment of stress urinary incontinence
verfasst von
Danielle Markle Price
Karen Noblett
Publikationsdatum
01.04.2012
Verlag
Springer-Verlag
Erschienen in
International Urogynecology Journal / Ausgabe 4/2012
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1602-1

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