PMID: 9166306May 1, 1997Paper

The reliability of performing a screening cystometrogram using a fetal monitoring device for the detection of detrusor instability

Obstetrics and Gynecology
S E Swift

Abstract

To determine if a cystometrogram performed using the intrauterine pressure channel of a fetal monitor can be used to screen for detrusor instability in women undergoing evaluation for urinary incontinence. Sixty-six women with primary complaints of urinary incontinence were randomized to have a cystometrogram performed at their initial visit with a multichannel electronic cystometer or with the intrauterine pressure channel of a fetal monitor. Subjects underwent a second cystometrogram 1-4 weeks later with the alternative technique. The results were analyzed with chi 2 analysis and correlation coefficients. Twenty-two subjects had detrusor instability diagnosed by the multichannel electronic cystometer. The fetal monitor cystometrogram was 91% sensitive and 86% specific in detecting detrusor instability, and had a 77% positive predictive value and a 95% negative predictive value. The correlation coefficients between the two examinations for bladder volume at first sensation, maximum capacity, volume at first contraction, and intensity of uninhibited detrusor contraction were r = 0.51, r = 0.69, r = 0.87, and r = 0.79, respectively; all of these were statistically significant. The intrauterine pressure channel of a fetal monitor...Continue Reading

References

Jun 11, 1992·American Journal of Obstetrics and Gynecology·R L SummittD R Ostergard
Jun 1, 1988·British Journal of Obstetrics and Gynaecology·R LangerE Caspi
Jul 1, 1988·American Journal of Obstetrics and Gynecology·M D Walters, L E Shields
Jun 9, 1984·British Medical Journal·J R Sutherst, M C Brown
Oct 1, 1995·Current Opinion in Obstetrics & Gynecology·E S van Waalwijk van Doorn, E D Gommer

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Citations

Aug 7, 1998·International Urogynecology Journal and Pelvic Floor Dysfunction·E Yoon, S Swift
Feb 15, 2001·American Journal of Obstetrics and Gynecology·A C WeidnerR C Bump
Jun 12, 2009·Urology·G Alessandro DigesuVik Khullar
Oct 30, 2013·The Cochrane Database of Systematic Reviews·Keiran David ClementCathryn M A Glazener

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