1156 DOES PAD USAGE REFLECT THE SEVERITY OF URINARY INCONTINENCE?

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Incontinence - Evaluation & Therapy1 Apr 20111156 DOES PAD USAGE REFLECT THE SEVERITY OF URINARY INCONTINENCE? Mazyar Ghanaat, Johnson Tsui, Jerry Blaivas, Milan Shah, Jeffrey Weiss, Rajveer Purohit, and Matthew Rutman Mazyar GhanaatMazyar Ghanaat Brooklyn, NY More articles by this author , Johnson TsuiJohnson Tsui Brooklyn, NY More articles by this author , Jerry BlaivasJerry Blaivas New York, NY More articles by this author , Milan ShahMilan Shah Brooklyn, NY More articles by this author , Jeffrey WeissJeffrey Weiss Brooklyn, NY More articles by this author , Rajveer PurohitRajveer Purohit New York, NY More articles by this author , and Matthew RutmanMatthew Rutman New York, NY More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.02.766AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES It is widely assumed that there is a correlation between the number of pads used and the severity of urinary incontinence. Based on this assumption, many authors utilize a pad count to quantify urine loss and/or assess treatment outcome. As far as we know, this correlation has not been studied before and we wanted to find out if one exists. METHODS This is a retrospective study of consecutive incontinent patients who wore pads on a daily basis. All were instructed to complete a 24-H pad test. They were told to use their usual pads, change them as they usually do and place each in a separate plastic bag the day before their scheduled appointment. All pads were weighed and total urine loss was calculated by subtracting the dry pad weight from the wet pad weight assuming that 1 gram of weight increase is equivalent to 1 mL of urine loss. The number of pads was correlated to the pad count using Spearman's rank correlation coefficient due to the non-parametric nature of the data. RESULTS There were 116 patients comprised of 51 men (age range 39–89, mean 66) and 65 women (age range 27–95, mean 72). The Spearman's rho comparing the number of pads used to grams of urine loss was 0.26. (p=0.005) Results are summarized in the Table. Mean (SD) Median Range Number of pads used 4(2.7) 4 1–15 Urinary Incontinence (mL) 245(409) 72 0–3110 CONCLUSIONS There was, at best, a weak correlation between number of pads used and severity of urinary incontinence (r = 0.26). These data suggest that pad counts should not be used as an objective measure of incontinence severity. © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185 Issue 4S April 2011 Page: e464 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Metrics Author Information Mazyar Ghanaat Brooklyn, NY More articles by this author Johnson Tsui Brooklyn, NY More articles by this author Jerry Blaivas New York, NY More articles by this author Milan Shah Brooklyn, NY More articles by this author Jeffrey Weiss Brooklyn, NY More articles by this author Rajveer Purohit New York, NY More articles by this author Matthew Rutman New York, NY More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...