Kulseng-Hanssen Sigurd, Moe Kjartan, Schiøtz Hjalmar A
Department of Obstetrics and Gynecology, Bærum Hospital, PO Box 83, 1309, Rud, Norway.
Int Urogynecol J. 2013 Sep;24(9):1537-41. doi: 10.1007/s00192-013-2049-3. Epub 2013 Feb 2.
The study examined how often detrusor overactivity (DO) causes leakage during a stress test in women with mixed urinary incontinence (MUI) and whether there are differences between those who do and those who do not have DO during the stress test.
A retrospective study was performed in 100 women who had an ambulatory urodynamic recording done where bladder, urethral, and vaginal pressures, and leakage were recorded. The stress test consisted of 20 jumping jacks and three forceful coughs.
All the women leaked during the stress test: five due to simultaneous stress test and DO, 87 due to the stress test only, and eight during the stress test as well as due to DO before or after the stress test.
During the stress test, 5 % of women with MUI leaked due to the coughs and jumps and simultaneous DO. Women in whom DO was detected had significantly higher Urgency Incontinence Index and leakage during the 24-h pad test.
本研究探讨了混合性尿失禁（MUI）女性在压力测试期间逼尿肌过度活动（DO）导致漏尿的频率，以及在压力测试期间出现DO和未出现DO的女性之间是否存在差异。
对100名进行了动态尿动力学记录的女性进行回顾性研究，记录膀胱、尿道和阴道压力以及漏尿情况。压力测试包括20次开合跳和三次用力咳嗽。
所有女性在压力测试期间均出现漏尿：5例因压力测试与DO同时出现漏尿，87例仅因压力测试漏尿，8例在压力测试期间以及压力测试之前或之后因DO漏尿。
在压力测试期间，5%的MUI女性因咳嗽、跳跃和同时出现的DO而漏尿。检测到DO的女性在24小时护垫试验中的急迫性尿失禁指数和漏尿率显著更高。
