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ArticleInternational urogynecology journal2015

Prevalence of "complicated" stress urinary incontinence in female patients: can urodynamics provide more information in such patients?

Luca Topazio, Julia Frey, Valerio Iacovelli, Claudio Perugia, Giuseppe Vespasiani, Enrico Finazzi Agrò

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Article in International urogynecology journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Neurophysiology of Micturition: a Narrative Review on Preventing Mismanagement.International braz j urol : official journal of the Brazilian Society of Urology
    Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Luca TopazioSchool of Specialization in Urology, Tor Vergata University, Rome, Italy, lucatpz@hotmail.it.
Julia Frey
Valerio Iacovelli
Claudio Perugia
Giuseppe Vespasiani
Enrico Finazzi Agrò

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisThe role of urodynamic investigation has been recently questioned on the basis of data from a selected population of patients with stress urinary incontinence defined as uncomplicated. The aim of this study was to determine the proportion of patients who underwent urodynamic investigation in our centre in whom the stress urinary incontinence could be defined as uncomplicated. The secondary aim was to assess the number of women in whom the urodynamic investigation added information to the preurodynamic assessment.

methodsThis was a retrospective single-centre study. The data from female patients who underwent urodynamic evaluation prior to surgery for stress urinary incontinence between 2008 and 2012 were considered. Patients were categorized as presenting with uncomplicated or complicated stress urinary incontinence according to the definitions used in the ValUE trial. Urodynamic observations were then compared with preurodynamic data.

resultsData from 244 female patients were considered. Due to incomplete data, 33 of these patients were excluded from the evaluation. Only 47 patients (22.3 %) were considered to have uncomplicated stress urinary incontinence according to the definition used in the ValUE trial. The remaining 164 patients (77.7 %) were considered to have complicated stress urinary incontinence. Urodynamic observations differed from the preurodynamic data in 134 of 211 patients (63.5 %). A diagnosis of voiding dysfunction was obtained in 25.6 % of patients.

conclusionsThe majority of our patients had complicated stress urinary incontinence. In a relevant percentage of these patients, a urodynamic test added some new information, including a diagnosis of voiding dysfunction. The role of urodynamic investigation needs to be explored in this patient group.

Indexed as

AgedFemaleHumansMiddle AgedPrevalenceRetrospective StudiesRomeUrinary Incontinence, StressUrodynamics

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