The standing cystometrogram.

A major problem in the management of female urinary incontinence is the diagnosis of uninhibited bladder contractions, the recognition of which is important since they are associated with a high failure rate after surgical correction for stress urinary incontinence. Recognition often leads to medical cure and avoids needless surgical procedures, but the diagnosis of uninhibited bladder contractions is often difficult to make without sophisticated urologic instrumentation. This report introduces a simple office test for the diagnosis of uninhibited bladder contractions. With its use, 16% of 91 patients with stress urinary incontinence were found to have uninhibited bladder contractions.