Department of Urology, New York University Langone Medical Center, New York, NY, USA.
Int J Urol. 2013 Apr;20(4):429-33. doi: 10.1111/j.1442-2042.2012.03146.x. Epub 2012 Sep 12.
To define the urodynamic study findings among women with insensible urinary incontinence.
Women complaining of insensible incontinence who underwent urodynamics at our center were identified. Coexisting symptoms of stress incontinence, urgency incontinence and/or mixed incontinence were recorded. The primary outcome was the urodynamic study finding. Urodynamic stress incontinence, detrusor overactivity incontinence, combination of both or neither (no incontinence) were the possible diagnoses.
A total of 58% of patients had insensible incontinence alone and 42% had insensible incontinence combined with other urinary incontinence symptoms. Of the patients with insensible incontinence alone, 37% had no incontinence on urodynamics, whereas urodynamic stress incontinence was diagnosed in 52%. Isolated urodynamic stress incontinence was found in 73% of patients with insensible and stress incontinence symptoms. In patients with insensible plus urgency incontinence, isolated detrusor overactivity incontinence and detrusor overactivity incontinence with urodynamic stress incontinence were found in the same percentage of women (40% each). In patients with symptoms including stress urinary incontinence, stress incontinence was the predominant urodynamic finding.
In patients who have incontinence symptoms in addition to insensible incontinence, these symptoms are highly predictive of urodynamic findings. In particular, women with insensible incontinence, concomitant stress incontinence symptoms are most predictive of urodynamic findings (i.e. urodynamic stress urinary incontinence). In contrast, where insensible incontinence represents the only symptom, urodynamic findings vary widely, with a significant proportion having non-diagnostic studies.
定义女性压力性尿失禁患者尿动力学研究结果。
确定在本中心接受尿动力学检查的有压力性尿失禁症状但无意识的女性。记录并存的压力性尿失禁、急迫性尿失禁和/或混合性尿失禁症状。主要结果是尿动力学研究结果。尿动力学压力性尿失禁、逼尿肌过度活动性尿失禁、两者兼有或无（无尿失禁）是可能的诊断。
共有 58%的患者仅有无意识性尿失禁，42%的患者有无意识性尿失禁合并其他尿失禁症状。在仅有无意识性尿失禁的患者中，37%的患者在尿动力学检查中无尿失禁，而 52%的患者诊断为尿动力学压力性尿失禁。孤立性尿动力学压力性尿失禁见于 73%的同时有压力性尿失禁和急迫性尿失禁症状的患者。在同时有急迫性尿失禁症状的患者中，孤立性逼尿肌过度活动性尿失禁和伴有尿动力学压力性尿失禁的逼尿肌过度活动性尿失禁的患者比例相同（各占 40%）。在有压力性尿失禁症状的患者中，压力性尿失禁是最主要的尿动力学发现。
在有尿失禁症状的患者中，这些症状高度预测尿动力学发现。特别是有压力性尿失禁症状的同时有无意识性尿失禁的女性，最能预测尿动力学发现（即尿动力学压力性尿失禁）。相比之下，仅有无意识性尿失禁症状的患者，尿动力学检查结果差异很大，有相当比例的患者检查结果无诊断意义。
