Abstract：
OBJECTIVE: To elucidate the prevalence of overt, occult and no demonstrated (ND) stress urinary incontinence (SUI) in women with advanced-stage cystoceles.
METHODS: Between November 2011 and January 2017, all women with ≥stage 2 cystoceles were retrospectively enrolled. Overt SUI was diagnosed before the prolapse reduction test, and occult SUI was diagnosed when urine leakage was noted after a reduction test with vaginal gauze. Otherwise, a diagnosis of ND-SUI was made.
METHODS: The prevalence, clinical and urodynamic findings of overt SUI, occult SUI, and ND-SUI.
RESULTS: In 480 enrolled women, 62% had overt SUI, 17% had occult SUI, and 21% had ND-SUI. The occult SUI group had the most advanced prolapse. The pad weight results after prolapse reduction (37.3 ± 44.3 vs. 13.4 ± 21.9, p < 0.05), the bladder capacity (243 ± 54 vs. 273 ± 48, p < 0.001), and questionnaires regarding life quality were significantly different between the overt SUI and the occult SUI groups. Bladder oversensitivity (BO) was the most common urodynamic diagnosis (389/480, 81%), especially in overt SUI, while urodynamic stress incontinence (56/480, 12%) and detrusor overactivity (60/480, 13%) were uncommon. The cutoff value of stage 3 uterine prolapse was the strongest predictor for predicting occult SUI (sensitivity = 30.3%, specificity = 78.5%; area = 0.60, 95% CI: 0.52-0.68).
CONCLUSIONS: SUI occurs in a ratio of 3:1:1 among cases with overt, occult, and no demonstrable symptoms. BO is the most common urodynamic diagnosis. Pad test with prolapse reduction remains an important tool, especially for coexistent stage 3 uterine prolapse.
METHODS: Between November 2011 and January 2017, all women with ≥stage 2 cystoceles were retrospectively enrolled. Overt SUI was diagnosed before the prolapse reduction test, and occult SUI was diagnosed when urine leakage was noted after a reduction test with vaginal gauze. Otherwise, a diagnosis of ND-SUI was made.
METHODS: The prevalence, clinical and urodynamic findings of overt SUI, occult SUI, and ND-SUI.
RESULTS: In 480 enrolled women, 62% had overt SUI, 17% had occult SUI, and 21% had ND-SUI. The occult SUI group had the most advanced prolapse. The pad weight results after prolapse reduction (37.3 ± 44.3 vs. 13.4 ± 21.9, p < 0.05), the bladder capacity (243 ± 54 vs. 273 ± 48, p < 0.001), and questionnaires regarding life quality were significantly different between the overt SUI and the occult SUI groups. Bladder oversensitivity (BO) was the most common urodynamic diagnosis (389/480, 81%), especially in overt SUI, while urodynamic stress incontinence (56/480, 12%) and detrusor overactivity (60/480, 13%) were uncommon. The cutoff value of stage 3 uterine prolapse was the strongest predictor for predicting occult SUI (sensitivity = 30.3%, specificity = 78.5%; area = 0.60, 95% CI: 0.52-0.68).
CONCLUSIONS: SUI occurs in a ratio of 3:1:1 among cases with overt, occult, and no demonstrable symptoms. BO is the most common urodynamic diagnosis. Pad test with prolapse reduction remains an important tool, especially for coexistent stage 3 uterine prolapse.
摘要：
目的：为了阐明明显的患病率，隐匿性和无明显（ND）压力性尿失禁（SUI）在女性晚期囊肿。
方法：2011年11月至2017年1月，回顾性纳入所有≥2期囊肿的女性。OvertSUI在脱垂减少测试之前被诊断出来，当用阴道纱布进行还原试验后发现尿液泄漏时，诊断出隐匿性SUI。否则,诊断为ND-SUI。
方法：患病率，明显SUI的临床和尿动力学发现，神秘的苏，和ND-SUI。
结果：在480名注册女性中，62%有公开的SUI，17%有隐匿性SUI，21%有ND-SUI。隐匿性SUI组有最先进的脱垂。脱垂减少后的垫重量结果（37.3±44.3与13.4±21.9，p<0.05)，膀胱容量(243±54vs.273±48，p<0.001），公开SUI组和隐匿性SUI组之间关于生活质量的问卷存在显着差异。膀胱过度敏感(BO)是最常见的尿动力学诊断(389/480,81%),尤其是在公开的SUI，而尿动力压力性尿失禁（56/480，12％）和逼尿肌过度活动（60/480，13％）并不常见。3期子宫脱垂的临界值是预测隐匿性SUI的最强预测因子(敏感度=30.3%,特异性=78.5%；面积=0.60，95%CI：0.52-0.68）。
结论：SUI在明显的病例中以3:1:1的比例发生，隐匿性,没有明显的症状.BO是最常见的尿动力学诊断。垫测试与脱垂减少仍然是一个重要的工具，特别是并存的3期子宫脱垂。
方法：2011年11月至2017年1月，回顾性纳入所有≥2期囊肿的女性。OvertSUI在脱垂减少测试之前被诊断出来，当用阴道纱布进行还原试验后发现尿液泄漏时，诊断出隐匿性SUI。否则,诊断为ND-SUI。
方法：患病率，明显SUI的临床和尿动力学发现，神秘的苏，和ND-SUI。
结果：在480名注册女性中，62%有公开的SUI，17%有隐匿性SUI，21%有ND-SUI。隐匿性SUI组有最先进的脱垂。脱垂减少后的垫重量结果（37.3±44.3与13.4±21.9，p<0.05)，膀胱容量(243±54vs.273±48，p<0.001），公开SUI组和隐匿性SUI组之间关于生活质量的问卷存在显着差异。膀胱过度敏感(BO)是最常见的尿动力学诊断(389/480,81%),尤其是在公开的SUI，而尿动力压力性尿失禁（56/480，12％）和逼尿肌过度活动（60/480，13％）并不常见。3期子宫脱垂的临界值是预测隐匿性SUI的最强预测因子(敏感度=30.3%,特异性=78.5%；面积=0.60，95%CI：0.52-0.68）。
结论：SUI在明显的病例中以3:1:1的比例发生，隐匿性,没有明显的症状.BO是最常见的尿动力学诊断。垫测试与脱垂减少仍然是一个重要的工具，特别是并存的3期子宫脱垂。
