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- W1992221698 abstract "OBJECTIVE: To describe the correlation between stress incontinence symptoms by standardized questionnaires and office stress test results in women. METHODS: This study was IRB-approved, and women provided written informed consent. Women with a history of a pubovaginal sling were contacted by mail and invited to participate. Fifty-nine percent of women responded, and 49% were enrolled. Subjects completed questionnaires (MESA, PFDI, PFIQ) and underwent a physical exam for pelvic organ prolapse (POP-Q), followed by office cystometry. Cystometrics included bladder filling to 300 cc or maximum capacity, whichever came first, and provocative stress testing in the supine and standing positions; prolapse was not reduced. In accordance with ICS guidelines, objective leakage was defined as the observation of fluid loss from the urethra during provocative maneuvers. Each question within the MESA questionnaire, and all incontinence questions and subscales within PFDI were assessed by Pearson correlation. Comparison of proportions was performed with Chi-squared test. RESULTS: A total of 303 women were enrolled. Mean age was 62.9 ± 10.4 years. Mean BMI was 28.7 ± 5.3 kg/m2. When treating answers to questions as continuous variables, the question with the highest correlation to a positive stress test was “Does coughing hard cause you to lose urine?” from MESA (r=0.46, P<0.0001). Questions within MESA and PFDI with the highest correlation to a positive stress test were then examined using categorical answers. Although all tests of proportions were significant (P<0.0001), there was no single question that demonstrated a high association with the sign of stress incontinence (Table 1).TABLE 1CONCLUSIONS: No single question was highly associated with the sign of stress. This low association may reflect the postoperative nature of the study population, and would likely be increased in a population of women seeking care for stress incontinence." @default.
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- W1992221698 date "2005-01-01" @default.
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- W1992221698 title "Paper 30: Stress Incontinence Symptoms by Questionnaire Versus Stress Test Results in a Postoperative Population" @default.
- W1992221698 doi "https://doi.org/10.1097/01.spv.0000176105.28533.6d" @default.
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