Clinical features of urinary incontinence and urogenital prolapse in a black inner-city population
| Autor: | Lisa M. Peacock, L. Lewis Wall, Anne K. Wiskind |
|---|---|
| Rok vydání: | 1994 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Urinary Incontinence Stress Population Urology Black People Physical examination Urinary incontinence Uterine Prolapse Prolapse medicine Humans education Aged Retrospective Studies Aged 80 and over education.field_of_study medicine.diagnostic_test Genitourinary system Obstetrics business.industry Urban Health Urinary Bladder Diseases Obstetrics and Gynecology Cystometry Middle Aged medicine.disease Urodynamics Rectal Diseases Urinary Incontinence Urodynamic testing Female medicine.symptom business Vaginal Vault Prolapse |
| Zdroj: | American Journal of Obstetrics and Gynecology. 171:1464-1471 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/0002-9378(94)90389-1 |
| Popis: | OBJECTIVE: Our purpose was to describe the clinical features and urodynamic findings of a black female inner-city population with urinary incontinence and uterovaginal prolapse. STUDY DESIGN: A retrospective review of the urogynecoloy records of 159 black female patients was performed. RESULTS: Genital prolapse was common. A cystocele was identified in 116 patients, a rectocele in 88 patients, and uterine or vaginal vault prolapse in 41 patients. Subtracted multichannel cystometry revealed detrusor overactivity in 58 patients, genuine stress incontinence in 44 patients, and mixed incontinence in 30 patients. Sixteen patients had normal urodynamic studies. The presence of a cystocele and the physical sign of stress incontinence at initial examination were found equally in patients with genuine stress incontinence, detrusor instability, and mixed incontinence at cystometry. There was no correlation between other commonly associated clinical factors (such as age, parity, and obesity) and the urodynamic diagnosis. CONCLUSIONS: Many of the factors commonly assumed to predispose women to the development of incontinence and prolapse may not apply to the black inner-city population. Urodynamic testing to establish the correct diagnosis is required, because the correlation between symptoms, physical examination, and urodynamic findings is relatively poor in this population. |
| Databáze: | OpenAIRE |
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