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Simple standing incremental cystometry as a screening method for detrusor instability.
Obstet Gynecol. 1991 Mar; 77(3):453-7.OG

Abstract

One hundred consecutive neurologically normal women complaining of urinary incontinence underwent standing incremental retrograde medium-fill water cystometrograms on two different days followed by sitting and standing continuous retrograde medium-fill water urethrocystometry on a third visit between November 1987 and February 1989. Studies were done to assess the reproducibility, sensitivity, specificity, and predictive values of a simple cystometer. Standing incremental, retrograde cystometry was found to be relatively inexpensive, simple, reproducible, and sensitive. The two cystometrograms yielded similar results in 84% of the patients. The sensitivities were found to be 84.3 and 90.2% for the first and second cystometrograms, respectively. Using both cystometrograms together, we were able to detect detrusor instability with a sensitivity of 92.3% and to predict its absence with a negative predictive value of 86.7%. Detrusor instability was found in 64% of these patients. Based on these results, it was concluded that when multichannel urodynamics are not available in a high-prevalence population, standing retrograde incremental water cystometry done on two occasions may offer the physician an accurate alternative for the diagnosis of detrusor instability.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Rush Medical College, Chicago, Illinois.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

1992416

Citation

Sand, P K., et al. "Simple Standing Incremental Cystometry as a Screening Method for Detrusor Instability." Obstetrics and Gynecology, vol. 77, no. 3, 1991, pp. 453-7.
Sand PK, Brubaker LT, Novak T. Simple standing incremental cystometry as a screening method for detrusor instability. Obstet Gynecol. 1991;77(3):453-7.
Sand, P. K., Brubaker, L. T., & Novak, T. (1991). Simple standing incremental cystometry as a screening method for detrusor instability. Obstetrics and Gynecology, 77(3), 453-7.
Sand PK, Brubaker LT, Novak T. Simple Standing Incremental Cystometry as a Screening Method for Detrusor Instability. Obstet Gynecol. 1991;77(3):453-7. PubMed PMID: 1992416.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simple standing incremental cystometry as a screening method for detrusor instability. AU - Sand,P K, AU - Brubaker,L T, AU - Novak,T, PY - 1991/3/1/pubmed PY - 1991/3/1/medline PY - 1991/3/1/entrez SP - 453 EP - 7 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 77 IS - 3 N2 - One hundred consecutive neurologically normal women complaining of urinary incontinence underwent standing incremental retrograde medium-fill water cystometrograms on two different days followed by sitting and standing continuous retrograde medium-fill water urethrocystometry on a third visit between November 1987 and February 1989. Studies were done to assess the reproducibility, sensitivity, specificity, and predictive values of a simple cystometer. Standing incremental, retrograde cystometry was found to be relatively inexpensive, simple, reproducible, and sensitive. The two cystometrograms yielded similar results in 84% of the patients. The sensitivities were found to be 84.3 and 90.2% for the first and second cystometrograms, respectively. Using both cystometrograms together, we were able to detect detrusor instability with a sensitivity of 92.3% and to predict its absence with a negative predictive value of 86.7%. Detrusor instability was found in 64% of these patients. Based on these results, it was concluded that when multichannel urodynamics are not available in a high-prevalence population, standing retrograde incremental water cystometry done on two occasions may offer the physician an accurate alternative for the diagnosis of detrusor instability. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/1992416/Simple_standing_incremental_cystometry_as_a_screening_method_for_detrusor_instability L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=1992416.ui DB - PRIME DP - Unbound Medicine ER -