Test-retest reliability of the cough stress test in the evaluation of urinary incontinence

Objective: The aim of this study was to translate and verify the validity and reliability of the Bengali translated questionnaire for Urinary Incontinence Diagnosis (QUID), to ensure the diagnosis of urinary incontinence in Bangladesh.Material and Methods: Adaptation and psychometric properties testing of the Bengali-QUID were conducted with 67 respondents. Twenty respondents were included for pre-testing and adaptation; whereas, 47 respondents were considered for test-retest reliability. The content validity of the questionnaire was measured by expert opinion. Cornbach’s alpha statistical test was used to measure the internal consistency of the questionnaire, while the test-retest reliability was measured using the Intra-Class Correlation (2,1) model.Results: Content validity for all items of the questionnaire was >0.75. In addition, the Cronbach's Alpha values for interitem correlation for Stress Urinary Incontinence and Urge Urinary Incontinence were (α>0.8) and (α>0.7), respectively. Furthermore, the reliability of the Bengali-QUID questionnaire had an Intra-class correlation score of 0.76.Conclusion: This study demonstrated that the Bengali version of QUID questionnaire was highly valid, and reliable for diagnosis of urinary incontinence among Bangladeshi women.

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Efficacy of the inside-out tramsobturator tension-free vaginal tape (TVT-ABBREVO) for the treatment of stress urinary incontinence after a 12-month follow-up

Urogynaecologia ◽

10.4081/uij.2017.177 ◽

2017 ◽

Vol 30 (1) ◽

Author(s):

Carlo Rappa ◽

Gabriele Saccone

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Stress Urinary Incontinence ◽

Stress Test ◽

P Value ◽

Tension Free ◽

Tension Free Vaginal Tape ◽

Cough Stress Test ◽

Inside Out

The aim of this study was to evaluate the efficacy of the inside-out tension-free vaginal tape transobturator approach or TVT-Obturator system (TVT-ABBREVO) in women with stress urinary incontinence (SUI). This is a prospective single arm study of women with SUI who underwent a TVT-ABBREVO procedure. The inclusion criterion was a diagnosis of SUI urodynamically proven without detrusor over activity. SUI was defined as involuntary urine leakage with stress in the absence of detrusor over activity with or without intrinsic sphincter deficiency. Before, and 12 months after surgery women received urodynamic test, pelvic examination, and a personal interview using the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ). The primary outcome was the incidence of incontinency through cough stress test during the urodynamic exam. A total of 90 women were included in the analysis. Our analysis showed that the incidence of incontinence through cough stress test during the urodynamic exam was significantly less 12 months after the intervention (100% vs 3%; P-value =0.001). Moreover, we found a significantly improvement of the quality of life measured by UDI score (13±4.5 vs 7.3±2.2 points; P-value 0.01) and IIQ score (14±5.7 vs 8.1 vs 3.1 points; P-value 0.02). No intraoperative complications were noticed. TVT-ABBREVO significantly reduced the incidence of stress urinary incontinence. In the authors’ experience, this technique resulted technically simple and provided high objective and subjective long-term efficacy, a clinically meaningful improvement in patient quality of life, and an excellent safety profile.

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