Validación del método presión de pérdida bajo esfuerzo para el diagnóstico de incontinencia urinaria de esfuerzo en pacientes mujeres de Hospital Vicente Corral Moscoso en Cuenca Ecuador 2002

Abstract

Our type of study is a quasi-experimental, whose main objective is to determine the validity of the method of pressure loss under stress for the diagnosis of urinary incontinence [SUI] in 30 women attending outpatient urology and / or you were interned at the Vicente Corral Moscoso Hospital in the period from December 2001 to March 2002. Data were collected on forms, from the performance of the test and direct interviews each patient. From the results it was determined that the test pressure loss under stress [PPE], has a sensitivity of 90 percent and a specificity of 100 percent, with a positive predictive value of 90 percent and a negative predictive value 10 percent for the diagnosis of urinary incontinence due to urethral hypermobility. But has a sensibility of 10 percent, with a specificity 100 percent and a positive predictive value of 10 percent, with a negative predictive value of 50 percent for the diagnosis of urinary incontinence due to sphincter deficiency . As for the risk factors that most influence, we age, provenance and multiparity agreeing with the consulted international literature. We propose this method P.P.E. for early diagnosis of I.U.E. especially in women who have risk factors, and would be an alternative to distinguish whether it is a IUE by intrinsic sphincter deficiency or a urethral hypermobility by the values ​​found in each test. It is also an inexpensive, easy to use method, is not uncomfortable, noninvasive, and easy to build