Patient characteristics that are associated with urodynamically diagnosed detrusor instability and genuine stress incontinence

• Published in: American journal of obstetrics and gynecology 2002-05, Vol.186 (5), p.866-868
• Main Authors: Klingele, Christopher J., Carley, Michael E., Hill, Richard F.C.
• Format: Article
• Language: English
• Subjects: Adult; African Americans; African Continental Ancestry Group; Aged; Biological and medical sciences; characteristics; European Continental Ancestry Group; Female; Humans; Medical sciences; Middle Aged; Nephrology. Urinary tract diseases; race; Urinary Bladder Diseases - complications; Urinary Bladder Diseases - diagnosis; Urinary Bladder Diseases - ethnology; Urinary Bladder Diseases - physiopathology; Urinary incontinence; Urinary Incontinence - diagnosis; Urinary Incontinence - ethnology; Urinary Incontinence - physiopathology; Urinary Incontinence, Stress - complications; Urinary Incontinence, Stress - diagnosis; Urinary Incontinence, Stress - ethnology; Urinary Incontinence, Stress - physiopathology; Urinary system involvement in other diseases. Miscellaneous; Urinary tract. Prostate gland; urodynamic; Urodynamics
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1067/mob.[phone]

Objective: We sought to compare characteristics of patients with urodynamically diagnosed detrusor instability or genuine stress incontinence. Study Design: A retrospective audit of 293 consecutive women who were referred to a urogynecologist for evaluation of urinary incontinence between June 1996 and April 2000. Results: Of the 293 patients, 289 women had a physical examination and urodynamic testing, which revealed genuine stress incontinence (35%), detrusor instability (32%), mixed incontinence (29%), or normal urodynamic function (4%). Compared with patients with detrusor instability, those women with genuine stress incontinence were more likely to be white than African American (P