Krhut Jan, Zachoval Roman, Smith Phillip P, Rosier Peter F W M, Valanský Ladislav, Martan Alois, Zvara Peter
Department of Urology, Ostrava University, University Hospital, Ostrava, Czech Republic.
Neurourol Urodyn. 2014 Jun;33(5):507-10. doi: 10.1002/nau.22436. Epub 2013 Jun 24.
To present the teaching module "Pad Weight Testing in the Evaluation of Urinary Incontinence." This teaching module embodies a presentation, in combination with this manuscript. This manuscript serves as a scientific background review; the evidence base made available on ICS website to summarize current knowledge and recommendations.
This review has been prepared by a Working Group of The ICS Urodynamics Committee. The methodology used included comprehensive literature review, consensus formation by the members of the Working Group, and review by members of the ICS Urodynamics Committee core panel.
The pad test is a non-invasive diagnostic tool for urinary incontinence. It is an easy to perform, inexpensive test with utilization in both the daily patient care and clinical research. Despite it is clear value in initial diagnosis, selection of treatment, and follow-up evaluation, only less than 10% of urologists perform the test routinely. A number of testing protocols with varying lengths of recording time exist, however, only a 1-hr pad test has been standardized. One-hour pad tests are most suitable in establishing initial diagnosis, the 24-hr test serves most often for evaluation of treatment outcomes, and longer pad tests are used in clinical studies.
The pad test is clearly underutilized. Well-designed studies providing level one evidence are lacking. Numerous variations in how the test is performed by individual urologists make the evaluation of published literature difficult. Future research goals should include randomized studies leading to establishment of optimal protocols of testing for clinical research and daily care.
介绍“尿失禁评估中的尿垫重量测试”教学模块。该教学模块结合本文献进行展示。本文献作为科学背景综述；国际尿控学会（ICS）网站上提供的证据库总结了当前的知识和建议。
本综述由ICS尿动力学委员会的一个工作组编写。所采用的方法包括全面的文献综述、工作组成员形成共识以及ICS尿动力学委员会核心小组的成员进行审核。
尿垫试验是一种用于尿失禁的非侵入性诊断工具。它易于实施，成本低廉，可用于日常患者护理和临床研究。尽管其在初始诊断、治疗选择和随访评估中具有明确价值，但只有不到10%的泌尿科医生常规进行该测试。存在多种记录时间不同的测试方案，然而，只有1小时的尿垫试验已标准化。1小时尿垫试验最适合用于确立初始诊断，24小时试验最常用于评估治疗效果，更长时间的尿垫试验则用于临床研究。
尿垫试验明显未得到充分利用。缺乏提供一级证据的精心设计的研究。个体泌尿科医生进行该测试的方式存在众多差异，这使得对已发表文献的评估变得困难。未来的研究目标应包括开展随机研究，以确立临床研究和日常护理的最佳测试方案。
