Reproducibility of a cough and jump stress test for the evaluation of urinary incontinence

Int Urogynecol J. 2012 Oct;23(10):1449-53. doi: 10.1007/s00192-012-1733-z. Epub 2012 Apr 19.

Abstract

Introduction and hypothesis: The study seeks to determine whether a urinary cough and jump stress test is reproducible and whether there is a relationship between a stress test and a 24-h pad test and our subjective Stress Incontinence Index.

Methods: Multicenter prospective cohort study of women with subjective stress incontinence. Each patient completed a validated Stress and Urge Incontinence Questionnaire and a 24-h pad test and performed two standardized cough and jump stress tests.

Results: All 108 women were incontinent during both the first and second stress tests. There was a large variation in leakage and the leakage was significantly larger during stress test 2 than during stress test 1 (P < 0.02). Correlations found between the stress test and the 24 hour pad test and between the stress test and the Stress Incontinence Index were poor.

Conclusion: The cough and jump stress test is reproducible and able to document stress leakage.

Publication types

  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Adult
  • Aged
  • Cohort Studies
  • Cough*
  • Diagnostic Tests, Routine / methods*
  • Female
  • Humans
  • Middle Aged
  • Motor Activity*
  • Prospective Studies
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Urinary Incontinence, Stress / diagnosis*
  • Urinary Incontinence, Stress / etiology