The aim of this study was to perform a score predictive of ALPP <60 cm H2O from clinical factors in women with stress urinary incontinence (SUI).
We performed a descriptive and observational study of women referred for a urodynamic study for stress urinary incontinence. Patients were divided into three groups: ALPP: >90 cm H2O, between 60 and 90 cm H2O and <60 cm H2O. A logistic regression study was performed in order to complete clinical predictors of ALPP < 60 cm H2O. Variables that were significant in the multivariate analysis were included in the score.
We studied 158 patients: 65 presented ALPP > 90 cm H2O, 64 between 60-90 cm H2O and 29 <60 cm H2O. In the multivariate analysis, were presented as independent predictors of ALPP < 60 cm H2O, the presence of a fixed urethra (p 0.01), empty bladder test positive (p 0.02) and presence of symptoms grade III in the classification of Stamey (p 0.03). The accuracy of the test was: score 0, 42%; score 1, 58%; score 2, 81%. Receiver Operating Characteristic (ROC) analysis for the overall cutoff points revealed an area under the curve of 0,75.
Presence of a fixed urethra, positive empty bladder test and patients with a high degree of SUI symptoms according to the Stamey score are independent clinical predictors of intrinsic sphincter deficiency. This score could represent a useful clinical tool to predict the presence of ALPP <60 cm H2O based on clinical parameters.
European journal of obstetrics, gynecology, and reproductive biology. 2019 Mar 26 [Epub]
Leandro Arribillaga, Marta Ledesma, Ariel Montedoro, Gracia Grutadauria, Guillermo Oulton, Rubén G Bengió
Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: ., Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: ., Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: ., Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: ., Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: ., Centro Urológico Profesor Bengió, Urquiza 358. 1er piso, 5000 Córdoba, Argentina. Electronic address: .