Evidence map›Paper›PMID 41847480›Full record

ArticleInternational journal of women's health2026

Construction and Validation of a Nomogram for Diagnosis of Female Stress Urinary Incontinence Combined with Anatomic/Intrinsic Urethral Sphincter Deficiency.

Guoqian Hu, Lei Zhou, Wen Su, Guijiang Tang, Dongsheng Zhao, Jin Tang

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Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Guoqian Hu *Department of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.
Lei Zhou *Department of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.
Wen SuDepartment of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.
Guijiang TangDepartment of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.
Dongsheng ZhaoDepartment of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.
Jin TangDepartment of Urology, Third Xiangya Hospital, Central South University, Changsha, Hunan, 410013, People's Republic of China.ORCID 0009-0006-7322-9094

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In order to improve the diagnostic accuracy of anatomical/intrinsic sphincter deficiency (ISD) in female patients with stress urinary incontinence (SUI) and to provide a reference for surgical approaches, we developed a nomogram model based on urodynamic parameters. Methods: Clinical data from 1150 women with complicated SUI treated at the Department of Urology, Third Xiangya Hospital, Central South University (01/01/2017-10/30/2023) were retrospectively analyzed. Patients were randomly divided into a training cohort (805 cases, 70%) and a validation cohort (345 cases, 30%). ISD was diagnosed by maximum urethral closure pressure (MUCP <30 cmH Results: Multivariate analysis identified abdominal pressure to urinate, IBPM, voiding time, urethral closure pressure, MUCP, and VLPP as independent predictors of ISD. The nomogram demonstrated good discrimination: training cohort AUC = 0.8308 (95% CI: 0.8022-0.8604); validation cohort AUC = 0.8408 (95% CI: 0.7964-0.8844). Decision curve analysis (DCA) indicated significant clinical benefit for both cohorts. Conclusion: This urodynamic parameter-based nomogram (incorporating abdominal pressure to urinate, IBPM, voiding time, urethral closure pressure, MUCP, and VLPP) provides higher diagnostic accuracy for identifying anatomical/structural differences (ISD) in women with complicated SUI compared to traditional criteria (MUCP <30 cmH

Indexed as

intrinsic sphincter deficiencyISDnomogramstress urinary incontinenceSUI

Identifiers

PMID41847480
PMCPMC12990239

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