Connecting Clinician to Patient in regards to Stress Urinary Incontinence
Below are some stats regarding Stress Urinary Incontinence that I feel are worth reading. I had planned to add them to my FB Live, but feel they have more impact when read.
There seems to be a disconnect between women and clinicians when describing symptoms. Awareness is key and not all women understand that although Stress Urinary Incontinence can be a typical postpartum symptom....its not something we have to live with. Its a symptom that can be pushed under the rug and excused due to lack of knowledge on the part of both the clinician and patient.
Mommy Ready is striving to create this awareness and knowledge to women immediately postpartum and women with continued symptoms after many years have passed since childbirth. The Mommy Ready Program is hoping to provide a resource and a remedy for women of all ages.
Show your clinician the Mommy Ready Program at your next appointment. Use it as a tool in explaining your symptoms.
The investigators showed that, although only 30%
of the women reported pure SUI by symptoms,
62% had pure SUI established by urodynamics.
This corresponded to a positive predictive value of
73.7% and a negative predictive value of 58.2%.
FitzGerald and Brubaker 6 showed a similar lack of
specificity in a study comparing the commonly
used Incontinence Impact Questionnaire (IIQ) and
the Urogenital Distress Inventory (UDI) with
urodynamic diagnosis in 293 women in a tertiary
These results, however, are not entirely surprising.
Women being evaluated for incontinence are asked
to characterize their urine loss as “stress” versus
“urge,” and, although these terms may be second
nature to clinicians, they are unfamiliar to patients
and often are not well understood.
have difficulty communicating the character of
their urinary incontinence in terms that the
clinician understands, potentially leading to
In addition, for many women, the
occasional symptom of stress loss may not
translate into a level of bother that qualifies as the
disease of stress incontinence. Indeed, in the study
by FitzGerald and Brubaker, 6 diagnostic accuracy
of the UDI and IIQ increased to 90% when the
calculation included women who indicated that
they not only had the symptom of “leakage related
to activity” but also were “greatly bothered” by it.