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.
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。