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FANTL J. ANDREW MD; HARKINS, STEPHEN W. PhD; WYMAN, JEAN F. RN, PhD; CHOI, SUNG C. PhD; TAYLOR, JOHN R. MD
Obstetrics & Gynecology: November 1987
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A modified perineal pad-weighing method for objective quantitation of fluid loss is presented. The bladder was filled by retrograde flow, a sequence of provocative maneuvers was performed under direct supervision, and fluid loss was determined by pad weights. An analysis of immediate test-retest correlation and variability was done in patients with either sphincteric incompetence alone (N = 46) or detrusor instability with or without concomitant sphincteric incompetence (N = 21). Test-retest correlations were high in both groups, suggesting that the method could be applied as an index of severity of urinary incontinence in women. Test-retest within-patient variability was considerable, and limits its usefulness in the analysis of treatment outcome.

© 1987 The American College of Obstetricians and Gynecologists