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Urodynamics in the octogenarian female: is it worthwhile?
Introduction and hypothesis We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management. Methods Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Societ...
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| Published in: | International Urogynecology Journal 2010-09, Vol.21 (9), p.1117-1121 |
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| container_issue | 9 |
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| container_title | International Urogynecology Journal |
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| creator | Bromage, Stephen J. Dorkin, Trevor J. Chan, Lewis Tse, Vincent |
| description | Introduction and hypothesis
We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management.
Methods
Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Society standards were retrospectively analyzed.
Results
Median age was 83 years. Urodynamic stress incontinence was the most common diagnosis, in 26/53 (49%). Detrusor overactivity was found in only 12 (29%) of 42 females presenting with pure storage symptoms, and reduced compliance was seen in eight (19%). Urodynamics resulted in complete change in patient management in 43% of cases and helped 52% of referring physicians in confirming provisional diagnosis prior to drug or surgical treatment.
Conclusions
In octogenarian females, there is poor correlation between storage symptoms and urodynamic diagnosis. Thus, urodynamics guides patient management and may avoid empirical prescribing associated with adverse effects in this clinically vulnerable population. |
| doi_str_mv | 10.1007/s00192-010-1113-5 |
| format | article |
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We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management.
Methods
Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Society standards were retrospectively analyzed.
Results
Median age was 83 years. Urodynamic stress incontinence was the most common diagnosis, in 26/53 (49%). Detrusor overactivity was found in only 12 (29%) of 42 females presenting with pure storage symptoms, and reduced compliance was seen in eight (19%). Urodynamics resulted in complete change in patient management in 43% of cases and helped 52% of referring physicians in confirming provisional diagnosis prior to drug or surgical treatment.
Conclusions
In octogenarian females, there is poor correlation between storage symptoms and urodynamic diagnosis. Thus, urodynamics guides patient management and may avoid empirical prescribing associated with adverse effects in this clinically vulnerable population.</description><identifier>ISSN: 0937-3462</identifier><identifier>EISSN: 1433-3023</identifier><identifier>DOI: 10.1007/s00192-010-1113-5</identifier><identifier>PMID: 20552169</identifier><language>eng</language><publisher>London: Springer-Verlag</publisher><subject>Aged, 80 and over ; Aging - physiology ; Diagnosis, Differential ; Female ; Follow-Up Studies ; Gynecology ; Humans ; Medicine ; Medicine & Public Health ; Original Article ; Retrospective Studies ; Urinary Bladder, Overactive - diagnosis ; Urinary Bladder, Overactive - physiopathology ; Urinary Incontinence, Stress - diagnosis ; Urinary Incontinence, Stress - physiopathology ; Urodynamics - physiology ; Urology</subject><ispartof>International Urogynecology Journal, 2010-09, Vol.21 (9), p.1117-1121</ispartof><rights>The International Urogynecological Association 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-6dc978b9ea52c4446629c05e033a6f5eba7445f3a5761f8ca342682d2ecac2e53</citedby><cites>FETCH-LOGICAL-c370t-6dc978b9ea52c4446629c05e033a6f5eba7445f3a5761f8ca342682d2ecac2e53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20552169$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bromage, Stephen J.</creatorcontrib><creatorcontrib>Dorkin, Trevor J.</creatorcontrib><creatorcontrib>Chan, Lewis</creatorcontrib><creatorcontrib>Tse, Vincent</creatorcontrib><title>Urodynamics in the octogenarian female: is it worthwhile?</title><title>International Urogynecology Journal</title><addtitle>Int Urogynecol J</addtitle><addtitle>Int Urogynecol J</addtitle><description>Introduction and hypothesis
We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management.
Methods
Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Society standards were retrospectively analyzed.
Results
Median age was 83 years. Urodynamic stress incontinence was the most common diagnosis, in 26/53 (49%). Detrusor overactivity was found in only 12 (29%) of 42 females presenting with pure storage symptoms, and reduced compliance was seen in eight (19%). Urodynamics resulted in complete change in patient management in 43% of cases and helped 52% of referring physicians in confirming provisional diagnosis prior to drug or surgical treatment.
Conclusions
In octogenarian females, there is poor correlation between storage symptoms and urodynamic diagnosis. Thus, urodynamics guides patient management and may avoid empirical prescribing associated with adverse effects in this clinically vulnerable population.</description><subject>Aged, 80 and over</subject><subject>Aging - physiology</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Retrospective Studies</subject><subject>Urinary Bladder, Overactive - diagnosis</subject><subject>Urinary Bladder, Overactive - physiopathology</subject><subject>Urinary Incontinence, Stress - diagnosis</subject><subject>Urinary Incontinence, Stress - physiopathology</subject><subject>Urodynamics - physiology</subject><subject>Urology</subject><issn>0937-3462</issn><issn>1433-3023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><recordid>eNp1kEtLw0AUhQdRbK3-ADcS3LiK3nknbkSKLyi4sethOrlpU_KoMwml_96UVAXB1eVyvnvu4RBySeGWAui7AEBTFgOFmFLKY3lExlRwHnNg_JiMIeU65kKxETkLYQ0AAiSckhEDKRlV6Zikc99ku9pWhQtRUUftCqPGtc0Sa-sLW0c5VrbE-6jo5TbaNr5dbVdFiQ_n5CS3ZcCLw5yQ-fPTx_Q1nr2_vE0fZ7HjGtpYZS7VySJFK5kTQijFUgcSgXOrcokLq4WQObdSK5onznLBVMIyhs46hpJPyM3gu_HNZ4ehNVURHJalrbHpgtFcAAcqaU9e_yHXTefrPpxJNGWaSaZ6iA6Q800IHnOz8UVl_c5QMPtWzdCqgf3et2r2Ea4Oxt2iwuzn4rvGHmADEHqpXqL__fy_6xfZo4Ag</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Bromage, Stephen J.</creator><creator>Dorkin, Trevor J.</creator><creator>Chan, Lewis</creator><creator>Tse, Vincent</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20100901</creationdate><title>Urodynamics in the octogenarian female: is it worthwhile?</title><author>Bromage, Stephen J. ; Dorkin, Trevor J. ; Chan, Lewis ; Tse, Vincent</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-6dc978b9ea52c4446629c05e033a6f5eba7445f3a5761f8ca342682d2ecac2e53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Aged, 80 and over</topic><topic>Aging - physiology</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gynecology</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Retrospective Studies</topic><topic>Urinary Bladder, Overactive - diagnosis</topic><topic>Urinary Bladder, Overactive - physiopathology</topic><topic>Urinary Incontinence, Stress - diagnosis</topic><topic>Urinary Incontinence, Stress - physiopathology</topic><topic>Urodynamics - physiology</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bromage, Stephen J.</creatorcontrib><creatorcontrib>Dorkin, Trevor J.</creatorcontrib><creatorcontrib>Chan, Lewis</creatorcontrib><creatorcontrib>Tse, Vincent</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>International Urogynecology Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bromage, Stephen J.</au><au>Dorkin, Trevor J.</au><au>Chan, Lewis</au><au>Tse, Vincent</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Urodynamics in the octogenarian female: is it worthwhile?</atitle><jtitle>International Urogynecology Journal</jtitle><stitle>Int Urogynecol J</stitle><addtitle>Int Urogynecol J</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>21</volume><issue>9</issue><spage>1117</spage><epage>1121</epage><pages>1117-1121</pages><issn>0937-3462</issn><eissn>1433-3023</eissn><abstract>Introduction and hypothesis
We hypothesized that urinary symptoms in elderly females correlate poorly with urodynamic diagnosis, which would impact on management.
Methods
Charts of 53 consecutive females over age 80 undergoing multichannel urodynamics according to the International Continence Society standards were retrospectively analyzed.
Results
Median age was 83 years. Urodynamic stress incontinence was the most common diagnosis, in 26/53 (49%). Detrusor overactivity was found in only 12 (29%) of 42 females presenting with pure storage symptoms, and reduced compliance was seen in eight (19%). Urodynamics resulted in complete change in patient management in 43% of cases and helped 52% of referring physicians in confirming provisional diagnosis prior to drug or surgical treatment.
Conclusions
In octogenarian females, there is poor correlation between storage symptoms and urodynamic diagnosis. Thus, urodynamics guides patient management and may avoid empirical prescribing associated with adverse effects in this clinically vulnerable population.</abstract><cop>London</cop><pub>Springer-Verlag</pub><pmid>20552169</pmid><doi>10.1007/s00192-010-1113-5</doi><tpages>5</tpages></addata></record> |
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| subjects | Aged, 80 and over Aging - physiology Diagnosis, Differential Female Follow-Up Studies Gynecology Humans Medicine Medicine & Public Health Original Article Retrospective Studies Urinary Bladder, Overactive - diagnosis Urinary Bladder, Overactive - physiopathology Urinary Incontinence, Stress - diagnosis Urinary Incontinence, Stress - physiopathology Urodynamics - physiology Urology |
| title | Urodynamics in the octogenarian female: is it worthwhile? |
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