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The reliability of performing a screening cystometrogram using a fetal monitoring device for the detection of detrusor instability.
Obstet Gynecol. 1997 May; 89(5 Pt 1):708-12.OG

Abstract

OBJECTIVE

To determine if a cystometrogram performed using the intrauterine pressure channel of a fetal monitor can be used to screen for detrusor instability in women undergoing evaluation for urinary incontinence.

METHODS

Sixty-six women with primary complaints of urinary incontinence were randomized to have a cystometrogram performed at their initial visit with a multichannel electronic cystometer or with the intrauterine pressure channel of a fetal monitor. Subjects underwent a second cystometrogram 1-4 weeks later with the alternative technique. The results were analyzed with chi 2 analysis and correlation coefficients.

RESULTS

Twenty-two subjects had detrusor instability diagnosed by the multichannel electronic cystometer. The fetal monitor cystometrogram was 91% sensitive and 86% specific in detecting detrusor instability, and had a 77% positive predictive value and a 95% negative predictive value. The correlation coefficients between the two examinations for bladder volume at first sensation, maximum capacity, volume at first contraction, and intensity of uninhibited detrusor contraction were r = 0.51, r = 0.69, r = 0.87, and r = 0.79, respectively; all of these were statistically significant.

CONCLUSION

The intrauterine pressure channel of a fetal monitor can be used reliably to perform a cystometrogram to screen for detrusor instability in patients presenting with complaints of urinary incontinence.

Authors+Show Affiliations

Department of Obstetrics and Gynecology, Medical University of South Carolina, Charleston, USA.

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

9166306

Citation

Swift, S E.. "The Reliability of Performing a Screening Cystometrogram Using a Fetal Monitoring Device for the Detection of Detrusor Instability." Obstetrics and Gynecology, vol. 89, no. 5 Pt 1, 1997, pp. 708-12.
Swift SE. The reliability of performing a screening cystometrogram using a fetal monitoring device for the detection of detrusor instability. Obstet Gynecol. 1997;89(5 Pt 1):708-12.
Swift, S. E. (1997). The reliability of performing a screening cystometrogram using a fetal monitoring device for the detection of detrusor instability. Obstetrics and Gynecology, 89(5 Pt 1), 708-12.
Swift SE. The Reliability of Performing a Screening Cystometrogram Using a Fetal Monitoring Device for the Detection of Detrusor Instability. Obstet Gynecol. 1997;89(5 Pt 1):708-12. PubMed PMID: 9166306.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The reliability of performing a screening cystometrogram using a fetal monitoring device for the detection of detrusor instability. A1 - Swift,S E, PY - 1997/5/1/pubmed PY - 1997/5/1/medline PY - 1997/5/1/entrez SP - 708 EP - 12 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 89 IS - 5 Pt 1 N2 - OBJECTIVE: To determine if a cystometrogram performed using the intrauterine pressure channel of a fetal monitor can be used to screen for detrusor instability in women undergoing evaluation for urinary incontinence. METHODS: Sixty-six women with primary complaints of urinary incontinence were randomized to have a cystometrogram performed at their initial visit with a multichannel electronic cystometer or with the intrauterine pressure channel of a fetal monitor. Subjects underwent a second cystometrogram 1-4 weeks later with the alternative technique. The results were analyzed with chi 2 analysis and correlation coefficients. RESULTS: Twenty-two subjects had detrusor instability diagnosed by the multichannel electronic cystometer. The fetal monitor cystometrogram was 91% sensitive and 86% specific in detecting detrusor instability, and had a 77% positive predictive value and a 95% negative predictive value. The correlation coefficients between the two examinations for bladder volume at first sensation, maximum capacity, volume at first contraction, and intensity of uninhibited detrusor contraction were r = 0.51, r = 0.69, r = 0.87, and r = 0.79, respectively; all of these were statistically significant. CONCLUSION: The intrauterine pressure channel of a fetal monitor can be used reliably to perform a cystometrogram to screen for detrusor instability in patients presenting with complaints of urinary incontinence. SN - 0029-7844 UR - https://www.unboundmedicine.com/medline/citation/9166306/The_reliability_of_performing_a_screening_cystometrogram_using_a_fetal_monitoring_device_for_the_detection_of_detrusor_instability L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=9166306.ui DB - PRIME DP - Unbound Medicine ER -