Incontinence in the Elderly: Objective Demonstration and Quantitative Assessment
| Autor: | D. J. Griffiths, Peter McCracken, Gloria M. Harrison |
|---|---|
| Rok vydání: | 1991 |
| Předmět: |
Male
medicine.medical_specialty Time Factors Urge incontinence Urology Video Recording Urination Physical examination macromolecular substances medicine Quantitative assessment Humans Medical History Taking Physical Examination Aged Monitoring Physiologic medicine.diagnostic_test business.industry Surgery Pad test Urodynamics Urinary Incontinence Urine leakage Physical therapy Female medicine.symptom business |
| Zdroj: | British Journal of Urology. 67:467-471 |
| ISSN: | 1464-410X 0007-1331 |
| DOI: | 10.1111/j.1464-410x.1991.tb15188.x |
| Popis: | Summary— Subjective and objective methods of demonstrating incontinence and assessing its severity have been compared in a group of elderly patients with a high incidence of severe urge incontinence. It was found that 24-h in-patient monitoring of urine leakage was the most sensitive method of demonstrating incontinence, with videourodynamic testing almost as good. In comparison, a 1 -h pad test was poor. Visual inspection during physical examination seldom demonstrated leakage. For quantitative assessment of severity, 24-h monitoring gave the most reproducible results; it was also able to reveal significant changes in severity in response to pharmaceutical treatment. A 1 -h pad test was less reproducible and suggested changes that were only poorly consistent with 24-h monitoring. The subjective responses of the patients were not useful in assessing changes in the severity of incontinence. Twenty-four hour monitoring thus stands out as a superior method of demonstrating and assessing incontinence. |
| Databáze: | OpenAIRE |
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