Comparative Analysis of Anamnesis and Urodynamic Findings in Patients with Urinary Incontinence
Authors/Creators
- 1. Istanbul University Health Sciences Istanbul Bagcilar Training and Research Hospital
Description
Comparative Analysis of Anamnesis and Urodynamic Findings in Patients with Urinary Incontinence
Teymur Bornaun 1*
|
Academic Editor: Firstname Lastname Received: date Revised: date Accepted: date Published: date Citation: To be added by editorial staff during production. Copyright: © 2025 by the authors. Submitted for possible open access publication under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
1 Department of Obstetrics and Gynecology, Istanbul University Health Sciences Istanbul Bagcilar Training and Research Hospital, Istanbul 34200, Turkey
* Correspondence: teymurbornaun1@gmail.com
Featured Application
The findings of this study may support clinicians in improving the diagnostic approach to urinary incontinence by integrating patient anamnesis with urodynamic testing. Understanding the relationship between clinical history and objective urodynamic findings can help optimize patient evaluation, reduce unnecessary diagnostic procedures, and facilitate more personalized treatment strategies in women with urinary incontinence.
Abstract
This research aims to compare anamnesis and urodynamic findings in diagnosing urinary incontinence and assess the diagnostic utility of patient histories. Urinary incontinence, defined as involuntary urine leakage in women, poses medical, hygienic, and social challenges. It can originate from various causes and manifests both as a symptom, reported by the patient, and as a sign, observable by others. Diagnosis typically involves laboratory procedures, including urodynamic testing. The study juxtaposes diagnoses derived from patient histories with those from urodynamic evaluations, utilizing patient files as the primary data source. Findings indicate a notable correlation between historical and urodynamic diagnoses. Nonetheless, discrepancies were observed in some cases, suggesting the need for tailored evaluations for each patient. The research underscores the importance of integrating both anamnesis and urodynamic data in the urinary incontinence diagnostic process. It highlights the necessity of a patient-specific approach to enhance treatment outcomes and suggests that this study could pave the way for further investigations in this field.
Files
Files
(58.4 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:2de9d0bd1b1ecf225e90bfb300305adc
|
58.4 kB | Download |
Additional details
References
- 1. Abrams P, Cardozo L. Fallacy of the "sling" of the lower urinary tract. Int Urogynecol J 2013;24:3–6. 2. Bentellis I, Guérin S, Khene ZE, et al. Artificial intelligence in functional urology: how it may shape the future. Curr Opin Urol 2021;31:385–390. 3. Birkhäuser V, Sartori AM, Bodmer NS, et al. Metaepidemiological inventory of diagnostic studies on urodynamics. Eur Urol Focus 2020;6:880–908. 4. Diokno AC, Wells TJ, Brink CA. Urinary incontinence in elderly women: urodynamic evaluation. J Am Geriatr Soc 1987;35:940–946. 5. Hu Y, Lou YL, Zhu SX, Zhang H, Huang T, Wu H, Xie LP. Pelvic floor ultrasound versus urodynamics in evaluating insen-sible urinary incontinence: a retrospective study. Prog Urol 2023. 6. Lebret T, Pignot G, Colombel M, et al. Artificial intelligence to improve cytology performances in bladder carcinoma de-tection: results of the VisioCyt test. BJU Int 2022;129:356–363. 7. Mincholé A, Rodriguez B. Artificial intelligence for the electrocardiogram. Nat Med 2019;25:22–23. 8. Rantell A, Dolan L, Bonner L, et al. Minimum standards for continence care in the UK. Neurourol Urodyn 2016;35:400–406. 9. Raz O, Tse V, Chan L. Urodynamic testing: physiological background, set-up, calibration and artifacts. BJU Int 2014;114(Suppl 1):22–28. 10. Rosier PFWM, Schaefer W, Lose G, et al. International Continence Society good urodynamic practices and terms 2016: urodynamics, uroflowmetry, cystometry, and pressure-flow study. Neurourol Urodyn 2017;36:1243–1260. 11. Sand PK, Ostergard DR. Urodynamics and the evaluation of female incontinence: a practical guide. Springer; 2012. 12. Schäfer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow stu-dies. Neurourol Urodyn 2002;21:261–274. 13. Serati M, Topazio L, Bogani G, Costantini E, Pietropaolo A, Palleschi G, Finazzi Agrò E, et al. Urodynamics useless before surgery for female stress urinary incontinence: are you sure? Results from a multicenter single nation database. Neurourol Urodyn 2016;35:809–812. 14. Stöhrer M, Blok B, Castro-Diaz D, et al. EAU guidelines on neurogenic lower urinary tract dysfunction. Eur Urol 2009;56:81–88. 15. Wessels F, Schmitt M, Krieghoff-Henning E, et al. Deep learning approach to predict lymph node metastasis directly from primary tumor histology in prostate cancer. BJU Int 2021;128:352–360.