Cited 14 times in
The Predictive Values of Various Parameters in the Diagnosis of Stress Urinary Incontinence
DC Field | Value | Language |
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dc.contributor.author | 배상욱 | - |
dc.date.accessioned | 2015-07-14T17:16:52Z | - |
dc.date.available | 2015-07-14T17:16:52Z | - |
dc.date.issued | 2004 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/112568 | - |
dc.description.abstract | The Maximum Urethral Closure Pressure (MUCP) and Functional Urethral Length (FUL) are significant parameters of the Urethral Pressure Profile (UPP), while the Q-tip angle and Bladder Neck Descent (BND) are the significant parameters of urethral hypermobility. We performed a study to evaluate the effects and predictive values of each of these parameters in the diagnosis of Stress Urinary Incontinence (SUI). A retrospective study was done involving 90 SUI patients and 38 non-SUI patients who underwent urodynamic study, Q-tip test and perineal ultrasound at Yonsei Medical Center between January, 1999 and February, 2002. There was no statistical difference between the SUI and non-SUI groups in terms of mean age, delivery history, menopausal age and body mass index. While the FUL and Q-tip angle showed significant differences (33.18 ± 19.55 vs 33.12 ± 13.37 mm, p=0.002; 65.94 ± 21.69 vs 56.45 ± 26.53°, p=0.02, respectively) neither the MUCP nor the BND showed any significant difference between the two groups (60.06 ± 29.92 vs 48.97 ± 42.95 cmH2O, p > 0.05; 1.09 ± 0.75 vs 0.85 ± 0.76 cm, p > 0.05; 0.71 ± 0.80 vs 0.53 ± 0.72 cm, p > 0.05). The odds ratios for the FUL and Q-tip angle were 1.038 (1.014, 1.061) and 1.017 (1.001, 1.033), respectively. The FUL and Q-tip angle had cut-off values of 1.36 cm (sensitivity: 68.8%, specificity : 54.1%, PPV : 73.8%, NPV : 48.1%) and 20.47° (sensitivity : 93.3%, specificity : 18.17%, PPV : 68.2%, NPV : 60%), respectively, in the diagnosis of SUI. The area under the curve (AUC) of the FUL and Q-tip angle were on average 0.625 (p=0.0016) and 0.575 (p=0.0012), respectively. Both the FUL and Q-tip angle showed a significant difference between SUI patients and the normal group. However, their value as a diagnostic tool was trivial, and since their sensitivity, specificity, positive predictive value and negative predictive value showed inconsistent results at each cut-off value, it would be difficult to apply them to clinical use. A further study is required to set-up standard diagnostic values of these variables for clinical use. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 287~292 | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Age Factors | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Menopause* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Predictive Value of Tests | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Sensitivity and Specificity | - |
dc.subject.MESH | Urethra/anatomy & histology* | - |
dc.subject.MESH | Urinary Incontinence, Stress/diagnosis* | - |
dc.title | The Predictive Values of Various Parameters in the Diagnosis of Stress Urinary Incontinence | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Obstetrics & Gynecology (산부인과학) | - |
dc.contributor.googleauthor | Sei Kwang Kim | - |
dc.contributor.googleauthor | Ki Hyun Park | - |
dc.contributor.googleauthor | Joo Hyun Park | - |
dc.contributor.googleauthor | Jong Seung Shin | - |
dc.contributor.googleauthor | Jin Woo Lee | - |
dc.contributor.googleauthor | Sang Wook Bai | - |
dc.identifier.doi | 10.3349/ymj.2004.45.2.287 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 15119001 | - |
dc.subject.keyword | Stress urinary incontinence | - |
dc.subject.keyword | functional urethral length | - |
dc.subject.keyword | Q-tip angle | - |
dc.contributor.alternativeName | Bai, Sang Wook | - |
dc.rights.accessRights | free | - |
dc.citation.volume | 45 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 287 | - |
dc.citation.endPage | 292 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.45(2) : 287-292, 2004 | - |
dc.identifier.rimsid | 57749 | - |
dc.type.rims | ART | - |
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