A prediction model for detrusor overactivity at ambulatory urodynamics in women with urinary incontinence

•A multivariable model was investigated to predict the presence of detrusor overactivity in women with urinary incontinence.•Higher body mass index, overactive bladder awareness tool version 8 scores and the presence of urgency urinary incontinence were positively associated with detrusor overactivi...

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Bibliographic Details
Published in:European journal of obstetrics & gynecology and reproductive biology 2020-08, Vol.251, p.156-161
Main Authors: Seval, Mehmet Murat, Çetinkaya, Şerife Esra, Kalafat, Erkan, Dökmeci, Fulya
Format: Article
Language:English
Subjects:
Ambulatory urodynamic monitoring
Detrusor overactivity
Female
Humans
Nomogram
Retrospective Studies
Urinary Bladder, Overactive - diagnosis
Urinary incontinence
Urinary Incontinence - diagnosis
Urinary Incontinence, Urge - diagnosis
Urodynamics
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Summary:•A multivariable model was investigated to predict the presence of detrusor overactivity in women with urinary incontinence.•Higher body mass index, overactive bladder awareness tool version 8 scores and the presence of urgency urinary incontinence were positively associated with detrusor overactivity.•Postural urinary incontinence and insensible loss of urine were negatively associated with detrusor overactivity. To develop a multivariable model using both clinical examination findings and validated questionnaires’ scores for predicting the presence of detrusor overactivity observed during ambulatory urodynamic monitoring in women with urinary incontinence. The study population was chosen from a registry of women evaluated with urodynamics for urinary incontinence retrospectively. Data for baseline characteristics, clinical findings, and ambulatory urodynamic records were evaluated for all women included to the study. Urodynamic data were obtained by retrospective review of urodynamic traces with a standardized protocol during single voiding cycle, compatible to the standards of International Continence Society (ICS) for ambulatory urodynamic monitoring. A total of 395 women with urinary incontinence were included in the study. Detrusor overactivity was diagnosed in 57.1% of women included to the study. Clinical factors positively associated with detrusor overactivity were higher body-mass index (OR = 1.10; 95% CI 1.03−1.15, p 
ISSN:0301-2115
1872-7654
DOI:10.1016/j.ejogrb.2020.05.035