Eastwood and Warrell evaluated elderly women with urinary incontinence using both clinical symptoms and cystometric findings. This can help identify those patients with detrusor instability unlikely to respond to medical management. The authors are from Southampton General Hospital in England.
Parameters:
(1) urinary bladder sensations - desire to void and/or filling sensation
(2) urinary bladder sensation - imminent micturition
(3) bladder volume at instability
(4) nature of unstable contraction during cystometry - ability to inhibit
(5) nature of unstable contraction during cystometry - pressure of unstable contraction)
|
Parameter |
Finding |
Points |
|
sensation of imminent micturition |
present |
0 |
|
|
absent |
1 |
|
desire to void and/or sensation of bladder filling |
present |
0 |
|
|
absent |
1 |
|
bladder volume at which instability occurs |
< 150 mL |
2 |
|
|
150 – 300 mL |
1 |
|
|
> 300 mL |
0 |
|
ability to inhibit contractions |
none |
1 |
|
|
partially |
0 |
|
|
completely |
0 |
|
height of pressure during unstable contraction |
<= 60 cm H2O |
0 |
|
|
> 60 cm H2O |
1 |
from Table 1, page 232
total score =
= SUM(all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 6
• 90% of patients with higher scores (>= 4) did not improve more than 50% with medical management after 3 months.
• 56% of patients with lower scores (1 - 3) improved more than 50% with medical management after 3 months.
Specialty: Nephrology, Clinical Laboratory
ICD-10: ,
