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Comparative Analysis Between Urinary Complaints and the Results of the Urodinamic Study of Women Seen at a Urogynecology Ambulatory in Macapa-Aresume

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Open Access
Article Type Original Article
Subject Medicine Group
OCLC 9506590475
Aljerry Dias do Rego*, Lysya Gabriela Andrade Nascimento and Lauana Gomes
Issue: Volume3-Issue4
Pages: 385-390
Received: 2022-03-22
Accepted: 2022-04-21
Published: 2022-04-22

Abstract

Introduction: Urinary Incontinence (UI) is investigated through clinical history, physical exam, urinalysis, voiding diary, Pad-test, urodynamic study and imaging exams.

Objective: To assess the efectiveness of the urodynamic test in proving UI.

Methodology: Retrospective-cross-sectional-observational descriptive quantitative study. We analyzed the medical records of 594 women treated at the Women Hospital and Maternity “Mãe Luzia” – WHML in Macapá – AP aged 18 years or older, with complaints of urinary incontinence and who underwent urodynamic examination without any Other associated conditions. Statistical analysis was performed using the Chi-squared test, Mann-Whitney U test or Kruskal-Wallis test. Values of p < 0.05 were considered statistically significant. The research received authorization from the Ethics and Research Committee of the Federal University of Amapá (FR 347446/011).

Results: 49.49% presented clinical complaints. Of those, 13.9% were compatible with Overactive Bladder (OAB), 11.2% with Stress Urinary Incontinence (SUI) and 74.8% with Mixed Urinary Incontinence (MUI). 50.5% were diagnosed by urodynamics, being 0.7% normal, 15.7% OAB, 14% SUI and 69.7% MUI. 45.2% of SUI and 46.4% of MUI were concentrated in pressure loss of up to 60cmH2O. As for age, 27.7% of those with OAB were between 31-40 years old, while 38.8% with MUI 41-50 years and 28.6% with SUI 51-60. The percentagem of women who had a clinical complaint and a corresponding urodynamic finding was Only 1.7% for SUI, 52.3% for MUI and 5.7% for OAB among those evaluated. Thus, urodynmics for SUI had a sensitivity of 89.1%, specificity of 11.9%, PPV of 86.1%, NPV of 15.2%, and accuracy of 78.3%, for BH it had a senstivity of 90.5%, specificity of 36.2%, PPV of 88.4%, NPV of 41.5%, and accuracy of 82% and for IUM it has a sensitivity of 30.8% and a specificity of 75.1%, leading to a PPV of 35.0% and a NPV of 71.4%, and therefore with an accuracy of 61.7%.

Conclusion: Correspondence between clinical complaint and urodynamic study was low. Further studies are still needed in this regard for a final conclusion on the effectiveness of the urodynamic test for the diagnosis of UI.

FullText HTML FullText PDF DOI: 10.37871/jbres1452 Crossmark

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© 2022 do Rego AD, et al. Distributed under Creative Commons CC-BY 4.0 Creative CommonsAttribution

How to cite this article

do Rego AD, Andrade Nascimento LG, Gomes L. Comparative Analysis Between Urinary Complaints and the Results of the Urodinamic Study of Women Seen at a Urogynecology Ambulatory in Macapa-Aresume. J Biomed Res Environ Sci. 2022 Apr 22; 3(4): 385-390. doi: 10.37871/jbres1452, Article ID: JBRES1452, Available at: https://www.jelsciences.com/articles/jbres1452.pdf

Subject area(s)

Womens Health and CareGynecologyUrology

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