VALUE OF THE PATIENTS CASE-HISTORY IN DIAGNOSING URINARY-INCONTINENCE IN GENERAL-PRACTICE

被引：60

作者：

LAGROJANSSEN, ALM ^{[1
]}

DEBRUYNE, FMJ ^{[1
]}

VANWEEL, C ^{[1
]}

机构：

[1] UNIV NIJMEGEN,DEPT UROL,6525 EJ NIJMEGEN,NETHERLANDS

来源：

BRITISH JOURNAL OF UROLOGY | 1991年 / 67卷 / 06期

关键词：

D O I：

10.1111/j.1464-410X.1991.tb15217.x

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

What is the value of the case history in diagnosing urinary incontinence in general practice? A total of 103 women with urinary incontinence presented to their general practitioner (GP) and underwent a standard history-taking, physical examination and urodynamic testing. The urodynamic diagnoses were analysed against symptoms and symptom complexes. Symptoms of stress incontinence in the absence of symptoms of urge incontinence had a sensitivity of 78%, specificity of 84% and predictive value of 87%. Symptoms of urge incontinence in the absence of symptoms of stress incontinence excluded genuine stress incontinence. Information on age, parity, enuresis, nocturia, frequency, urgency, cystocele, prolapse and hysterectomy did not contribute to a correct diagnosis. It was concluded that urodynamics are unnecessary in most women presenting with urinary incontinence in general practice.

引用

页码：569 / 572

页数：4

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