Strong correlation between standing cough test and 24-hour pad weights in the evaluation of male stress urinary incontinence

Yooni A. Yi, Christopher G. Keith, Christopher E. Graziano, Michael T. Davenport, Rachel L. Bergeson, Brian S. Christine, Allen F. Morey

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Aims: We sought to compare in-office physical exam findings via standing cough test (SCT) versus 24-hour pad weights among men seeking treatment for postprostatectomy stress urinary incontinence (SUI). Methods: A retrospective review of a single surgeon database of incontinence procedures was performed. Documentation of SUI severity (grades 0-4) was completed by SCT preoperatively utilizing the Male Stress Incontinence Grading Scale (MSIGS). All patients had pads per day (PPD) and 24-hour pad weights obtained. We determined the Spearman's correlation coefficient between these variables. Results: We identified 104 men who underwent anti-incontinence surgery (AdVance Sling or artificial urinary sphincter [AUS]). In the sling group (65 patients), nearly all (97%) had minimal incontinence with SCT (MSIGS = 0-2). In the AUS group (39 patients), most patients (69%) had an MSIGS 3 or 4 with SCT. Spearman's coefficient between quantification of SCT and pad weight for the overall group was ρ =.68 (P <.0001) demonstrating a strong positive correlation. PPD was also strongly correlated with pad weight (ρ =.55, P <.0001). As seen previously, SCT and PPD were correlated (ρ =.47, P <.0001). In a multivariable model predicting pad weight, the effect of SCT was greater than PPD (β = 83 [54-111], P <.0001 vs 45 [2169], P =.0004). Conclusions: SCT findings strongly correlate to 24-hour pad weights in the evaluation of male SUI. The SCT shows promise as a rapid, reliable, noninvasive measure of SUI severity before anti-incontinence surgery.

Original languageEnglish (US)
Pages (from-to)319-323
Number of pages5
JournalNeurourology and urodynamics
Volume39
Issue number1
DOIs
StatePublished - Jan 1 2020

Keywords

  • artificial urinary sphincter
  • incontinence
  • sling

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Fingerprint Dive into the research topics of 'Strong correlation between standing cough test and 24-hour pad weights in the evaluation of male stress urinary incontinence'. Together they form a unique fingerprint.

Cite this