OBJECTIVE: To determine if the clinical diagnosis of stress @entity322 made on the basis of simple criteria correlates with the diagnosis of genuine @entity3142 as determined by provocative multichannel urodynamic testing. METHODS: The charts of 652 @entity1 who presented for clinical evaluation of a variety of lower urinary tract complaints were reviewed if they met all of the following criteria: 1) a predominant complaint of @entity3142 , 2) positive cough stress-test results, 3) postvoid residual urine volume no more than 50 mL, 4) a functional bladder capacity of at least 400 mL as determined by a completed 24-hour frequency-volume chart, and 5) a full multichannel urodynamic evaluation. Seventy-four @entity1 met all these criteria. The clinical diagnosis of @entity3142 was based on the presence of factors 1-4; this diagnosis then was compared with the results of provocative multichannel urodynamic testing. RESULTS: Genuine @entity3142 was confirmed in 72 (97%) of 74 @entity1 meeting the aforementioned clinical criteria. In one @entity1 , detrusor instability alone was demonstrated during urodynamic testing. In 11 @entity1 with genuine @entity3142 (15%), an element of detrusor instability was also present at the time of urodynamic testing. One @entity1 had normal urodynamic study findings, with no @entity322 demonstrated. CONCLUSION: Rigorously defined clinical criteria are highly reliable in predicting the presence of genuine @entity3142 at the time of urodynamic testing. Because of the potential implications of this finding for clinical practice, further investigation is warranted.

XXXX diagnosed without multichannel urodynamic studies.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['urinary incontinence', 'incontinence'] @entity3142 :: ('MESH:D014550', 'Disease') :: ['stress incontinence']
@entity3142 :: (MESH:D014550,Disease) :: ['Stress incontinence']
