Clinical score predictive of abdominal leak point pressure (ALPP) <60 cm H2O in women with stress urinary incontinence
IUGA Academy. grutadauria M. Jun 30, 2018; 212849; 386 Topic: Stress Incontinence
Maria Gracia grutadauria
Maria Gracia grutadauria

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Clinical score predictive of abdominal leak point pressure (ALPP) <60 cm H2O in women with stress urinary incontinence

Arribillaga, L1; ledesma, M1; Montedoro, A1;grutadauria, MG1; bengio, R1

1: centro urologico profesor bengio

Introduction and Hypothesis: The aim of this study was to perform a score predictive of ALPP < 60 cm H2O from clinical factors in women with stress urinary incontinence (SUI).

Methods: We performed a descriptive and observational study of women referred for urodynamic study for stress urinary incontinence. The patients were divided into three groups: ALPP: >90 cm H2O, between 60 and 90 cm H2O and < 60 cm H2O.The logistic regression study was performed in order to complete clinical predictors of ALPP < 60 cm H2O. The variables that were significant in the multi variate analysis were included in the score.

Results: We studied 158 patients: 65 presented ALPP > 90 cm H2O, 64 between 60-90 cm H2O and 29 < 60 cm H2O. In the multivariate analysis, were presented as independent predictors of ALPP < 60 cm H2O the presence of fixedurethra (p 0.014), the empty bladder test positive (p 0.027) and the presence of symptoms grade III in the classification of Stamey (p 0.05). Patients with a score 0 (no parameter present) were 5.7% chance of ALPP <60 cm H2O, patients with score 1 (a parameter present) had 20.6% of possibility and those with score 2 (2 or 3 parameters) 48% chance of having ALPP< 60 cm H2O.

Conclusions: The score presented could be a predictive clinical tool to predict the presence of ALPP <60 cm H2O and in this way help in decision-making when choosing a surgical procedure in this group of patients.


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