Original scientific paper
https://doi.org/10.20471/acc.2023.62.s2.1
The Reliability of Urodynamic Assessment in Confirmation of Stress Urinary Incontinence in Relation to Bonney Test
Željko Blažinkov
orcid.org/0009-0002-3275-0298
; Division of Gynecology and Obstetrics, Dr Josip Benčević General Hospital, Slavonski Brod, Croatia
*
Ines Krištofić
; Department of Gynecology and Obstetrics, Rijeka University Hospital Center, Rijeka, Croatia
Ivan Jandrić
; Division of Gynecology and Obstetrics, Dr Josip Benčević General Hospital, Slavonski Brod, Croatia
Mihaela Blažinkov
; University of Slavonski Brod, Slavonski Brod, Croatia
Boris Lovrić
; Division of Gynecology and Obstetrics, Nova Gradiška General Hospital, Nova Gradiška, Croatia
Dragica Pavlović
; Faculty of Medicine in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia; Professor Radivoje Radić Nursing Institute, Faculty of Dental Medicine and Health Osijek in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Maja Čebohin
; Professor Radivoje Radić Nursing Institute, Faculty of Dental Medicine and Health Osijek in Osijek, Josip Juraj Strossmayer University of Osijek, Osijek, Croatia
Slavko Marinić
; Division of Gynecology and Obstetrics, Dr Josip Benčević General Hospital, Slavonski Brod, Croatia
* Corresponding author.
Abstract
According to the International Continence Society, stress (static) urinary incontinence
is defined as any involuntary loss of urine on effort or physical exertion, due to which intravesical
pressure overcomes urethral pressure, with no detrusor activity. Urodynamic testing accurately assesses
the function of the bladder and urethra. The urodynamic assessment includes three tests: cystometry,
uroflowmetry and profilometry (determination of urethral pressure profile). Prior to urodynamic assessment,
it is mandatory to rule out urinary tract infection since it is an invasive test. Urethral profilometry is
a technique that measures pressure in the urethra and bladder at rest, during stressful actions, and during
the act of miction. Its main purpose is to evaluate the sphincter mechanism. During the examination, a
special catheter is used, which is being slowly pulled out from the bladder neck throughout the urethra,
with continuous recording of intraurethral pressure. In addition to measuring urethral pressures, stress
urinary incontinence is also very successfully proven by the cough test and Bonney test. If, on forced
cough, the urine escapes uncontrollably, and continence is restored by finger lifting the neck of the
bladder, the diagnosis of static incontinence is confirmed. At our urogynecologic clinic, urodynamic
examination is being routinely performed. In the present study, we included patients previously treated
for urinary stress incontinence and compared their results of urodynamic assessment to the results of
Bonney test. Of the 43 subjects in whom stress incontinence was proven with Bonney test, we recorded
an appropriate profilometry result in 13 cases.
Keywords
Urodynamic assessment; Stress incontinence; Bonney test
Hrčak ID:
308896
URI
Publication date:
31.7.2023.
Visits: 754 *