Artículos de revistas
Lack Of Association Between The Iciq-sf Questionnaire And The Urodynamic Diagnosis In Men With Post Radical Prostatectomy Incontinence [falta De Associação Entre O Questionário Iciq-sf E O Diagnóstico Nos Homens Portadores De Incontinência Urinária Pós-prostatectomia Radical]
Registro en:
Acta Cirurgica Brasileira. , v. 28, n. SUPPL.1, p. 37 - 42, 2013.
1028650
10.1590/S0102-86502013001300008
2-s2.0-84873666196
Autor
dos Reis R.B.
Cologna A.J.
Machado R.D.
Machado M.T.
Nogueira L.
Reis L.O.
Carvalhal G.
Rodrigues Jr. A.A.
Kaplan S.A.
Faria E.F.
Institución
Resumen
PURPOSE: To analyze the correlation between the "International Consultation on Incontinence Questionnaire-Short Form" (ICIQUISF) 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. 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