Correlation between symptoms and imaging findings including pelvic floor ultrasound to improve the symptom-based diagnosis of female urethral diverticulum (CHECK-UD study)
| Autor: | Bara Barakat, Sameh Hijazi, Boris Hadaschik, Knut Franke, Ingmar Wolff, C. Rehme |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Urology Urinary system 030232 urology & nephrology Medizin Urinary incontinence Logistic regression 03 medical and health sciences 0302 clinical medicine Lower Urinary Tract Symptoms Lower urinary tract symptoms Urethral Diseases medicine Urethral diverticulum Humans Prospective Studies Retrospective Studies 030219 obstetrics & reproductive medicine Pelvic floor business.industry Ultrasound Obstetrics and Gynecology Pelvic Floor medicine.disease Diverticulum Urinary Incontinence medicine.anatomical_structure Urinary Tract Infections Female medicine.symptom business Body mass index |
| Popis: | The objective was to establish a model to predict the presence of a female urethral diverticulum (UD) based on symptoms. A prospective CHECK-UD study (check of female urethral diverticulum) was conducted. Female patients presenting with symptoms such as lower urinary tract symptoms (LUTS), postmicturition dribble or urinary incontinence (UI), dyspareunia or pain in the pelvic area, and recurrent urinary tract infection (UTI) treated between 2015 and 2020 were included. The association between each symptom variable and the positive finding of UD was evaluated by multivariate logistic regression adjusting for age, body mass index (BMI), vaginal deliveries, previous surgery for SUI, previous pelvic surgery, and microscopic hematuria. A predictive model for the presence of UD was then created. In total, 189 female patients with a minimum of one symptom were enrolled. Pelvic floor ultrasound revealed the presence of UD in 66 out of 189 (34.92%). Of the four symptoms, the combinations “LUTS + postmicturition dribble + UTI,” “postmicturition dribble + LUTS,” and “UTI + LUTS” were most significantly related to positive findings and had a higher positive prognostic value for the diagnosis of UD than each individual symptom alone (OR = 13.78 [95% CI: 6.95–16.35], p |
| Databáze: | OpenAIRE |
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