Non-surgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness
Summary: Comparative Value of UI Diagnostic Methods
Patient-reported individual symptoms of stress or urgency UI have minimal or small diagnostic value when compared with both urodynamics and clinical diagnosis. This finding is supported by high strength of evidence. Clinical algorithms for differentiating stress, urgency, and mixed UI (e.g., including a voiding diary and cough stress test) have high diagnostic value when compared with urodynamics. This conclusion is supported by evidence of moderate strength.
Diagnosis by urodynamic examination is not associated with better outcomes after non-surgical treatments. The strength of evidence in support of this conclusion is moderate.
- Shamliyan T, Wyman J, Sainfort F, et al. Nonsurgical Treatments for Urinary Incontinence in Adult Women: Diagnosis and Comparative Effectiveness. Comparative Effectiveness Review No. 36 (Prepared by the Minnesota Evidence-based Practice Center under Contract No. 290-2007-10064-I). Rockville, MD: Agency for Healthcare Research and Quality; April 2012. AHRQ Publication No. 11(12)-EHC074-EF. Available at www.effectivehealthcare.ahrq.gov/ui.cfm.
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