AlTaweel Waleed Mohamad, Seyam Raouf, Alsulihem Ali A
Ann Saudi Med. 2016 Sep-Oct;36(5):321-324. doi: 10.5144/0256-4947.2016.321.
Urinary incontinence is common, particularly in women. Urodynamic studies (UDS) can accurately assess the condition. Less invasive objective measuring tools correlate with urodynamic findings, but the Arabic version of the Urogenital Distress Inventory-6 (UDI-6) questionnaire has not been previously correlated with UDS in Arabian patients.
To correlate the Arabic version of the UDI-6 with urodynamic findings in Arabian women with urinary incontinence.
Prospective.
Tertiary referral urology clinic.
All female patients presenting with urinary incontinence between July 2013 to March 2014. Patients answered the Arabic UDI-6 questionnaire and underwent a history and clinical examination, urine culture and UDS.
Correlation between Arabic UDI-6 questionnaire score and urodynamic diagnosis.
Eighty-seven women with a mean age of 57 (range, 22-72) years completed the UDI-6 and underwent UDS. The questionnaire revealed that 20 (23%) patients had urge incontinence, 28 (32%) had stress incontinence and 39 (45%) had mixed incontinence. As diagnosed by UDS, 26 (30%) had urge incontinence, 37 (42%) had stress incontinence, 16 (18%) had mixed incontinence and 8 (9%) had no abnormality. Eighty-six percent of patients (24/28) with pure stress urinary incontinence (SUI) symptoms had a positive UDS, and 55% (11/20) of patients with pure urge incontinence symptoms had a positive UDS. Of all patients with positiveresponse to the question for SUI, 53/67, 79% had positive UDS diagnosis with a correlation coefficient of 0.65 (P < .01). Of all patients with positive responses for urge incontinence, 27/59, 45.8% had positive UDS diagnosis with a moderate correlation coefficient of 0.38 (P < .01).
The validated Arabic UDI-6 correlates significantly with UDS findings in Arabian women, particularly in women with SUI.
The sample size was relatively small, which prevented sub-analyses. Patient comorbidities were not evaluated.
尿失禁很常见，尤其是在女性中。尿动力学研究（UDS）可以准确评估病情。侵入性较小的客观测量工具与尿动力学结果相关，但阿拉伯语版的泌尿生殖系统困扰量表-6（UDI-6）问卷此前尚未与阿拉伯患者的尿动力学检查结果进行相关性研究。
将阿拉伯语版的UDI-6与患有尿失禁的阿拉伯女性的尿动力学检查结果进行相关性研究。
前瞻性研究。
三级转诊泌尿外科诊所。
所有在2013年7月至2014年3月期间出现尿失禁的女性患者。患者回答阿拉伯语版的UDI-6问卷，并接受病史和临床检查、尿培养及尿动力学检查。
阿拉伯语版UDI-6问卷得分与尿动力学诊断之间的相关性。
87名平均年龄为57岁（范围22 - 72岁）的女性完成了UDI-6问卷并接受了尿动力学检查。问卷显示，20名（23%）患者有急迫性尿失禁，28名（32%）有压力性尿失禁，39名（45%）有混合性尿失禁。经尿动力学检查诊断，26名（30%）有急迫性尿失禁，37名（42%）有压力性尿失禁，16名（18%）有混合性尿失禁，8名（9%）无异常。有单纯压力性尿失禁（SUI）症状的患者中，86%（24/28）尿动力学检查结果为阳性；有单纯急迫性尿失禁症状的患者中，55%（11/20）尿动力学检查结果为阳性。在所有对SUI问题回答为阳性的患者中，53/67（79%）尿动力学诊断为阳性，相关系数为0.65（P <.01）。在所有对急迫性尿失禁回答为阳性的患者中，27/59（45.8%）尿动力学诊断为阳性，中度相关系数为0.38（P <.01）。
经验证的阿拉伯语版UDI-6与阿拉伯女性的尿动力学检查结果显著相关，尤其是在患有SUI的女性中。
样本量相对较小，无法进行亚组分析。未评估患者的合并症。
