Lack of association between the ICIQ-SF questionnaire and the urodynamic diagnosis in men with post radical prostatectomy incontinence

Acta Cirurgica Brasileira

Rodolfo Borges Dos Reis²  Adauto Jose Cologna²  Roberto Dias Machado¹  Marcos Tobias Machado¹  Lucas Nogueira¹  Leonardo Oliveira Reis¹  Gustavo Carvalhal¹  Antonio Antunes Rodrigues Jr¹  Steven Abrahan Kaplan¹  Eliney Ferreira Faria¹ 

[1],USP FMRP Department of Surgery and AnatomyRibeirao Preto SP ,Brazil

关键词: Urinary Incontinence;    Prostatectomy;    Urodynamic Questionnaires;    Quality of Life;    Incontinência Uinária;    Prostatectomia;    Questionários Urodinâmica;    Qualidade de Vida;   

DOI  :  10.1590/S0102-86502013001300008

来源: SciELO

【 摘 要 】

PURPOSE: To analyze the correlation between the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQ-UISF) survey and the urodynamic findings in men with urinary incontinence (UI) following radical prostatectomy (RP). METHODS: 88 men who presented post-RP UI for a minimum of 1 year were enrolled prospectively. All answered the ICIQ-UISF survey and underwent urodynamic testing. Patients were divided in 3 Groups according to their urodynamic diagnosis: Group 1, patients with sphincteric incontinence (SI) alone; Group 2, patients with mixed UI (SI + Bladder Dysfunction (BD)); and Group 3, patients with BD alone. Data were analyzed using SPSS v16.0 software. RESULTS: There were 51 men in Group 1 (57.9%); 30 in Group 2 (34%); and 7 (7.9%) in Group 3. BD was found in 37/88 patients (42%), but it was the main cause of UI in only 14 patients (15.9%). There was no statistically significant difference among the mean ICIQ-UISFs values from groups 1, 2, or 3 (p>0.05). The symptoms of stress incontinence correlated with the urodynamic finding of SI (r = 0.59), and complaints of urinary urgency correlated with the presence of detrusor overactivity (DO) (r = 0.37), but these complaints did not predict the main cause of UI. CONCLUSION: The etiology of UI following RP cannot be predicted by the ICIQ-UISF survey. Symptoms of stress and urge incontinence predict the findings of SI and DO on urodynamic tests, but they cannot ascertain the main cause of UI. Urodynamic testing remains the gold standard to assess the etiology of post-RP UI.

【 授权许可】

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