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Urinary incontinence is an increasing medical and socio-economical problem. 44% of the elderly (>65 years) women and 28% of the elderly men suffer from unwilling urine loss. Moreover, this percentages increase with age. Incontinence is a problem with multiple physical, psychological, and financial effects. In addition incontinence has a important impact on the family and healthcare professionals surrounding the elderly.
The problem of urinary incontinence is complex and multifactorial. Moreover, diagnostic guidelines are inconsistent leading to a high amount of technical interventions to diagnose and to specify the type of incontinence.
Aim of this study is to create a short form of necessary technical investigations to diagnose and evaluate urinary incontinence.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Blood Sample | Diagnostic Test | A sober blood sample is taken to observe the following parameters: creatinin, ureum, sodium, potassium, osmolality, HDL cholesterol, LDL cholesterol, triglycerides) | ||
| Renal Function Profile | Diagnostic Test | A Renal Function Profile is a 24 hour-urine collection in which urine samples are collected at fixed time points every 3 hours, starting 3 hours after the first morning void. Daytime samples were taken at 10:00-11:30 (U1), 13:00-15:30 (U2), 16:00-17:30 (U3), 19:00-20:30 (U4), and 22:00-23:30 (U5). The nighttime samples were taken at 1:00-2:30 (U6), 4:00-5:30 (U7) and 7:00-8:30 (U8). The volume of each sample, and of each micturition in between, was noted to calculate the 24h, daytime and nighttime urine volume and diuresis rate. | ||
| Frequency Volume Chart | Diagnostic Test | Every patient complets a frequency volume chart during 24 of 72 hours | ||
| Cystometry | Diagnostic Test | This technique provide the most precise measurement of bladder and urethral sphincter behaviour during bladder filling and during voiding. |
| Measure | Description | Time Frame |
|---|---|---|
| Decreasing the amount of necessary technical investigations to diagnose incontinence | Based on international guidelines different technical investigations are used and approved to observe the type of urinary incontinence individually. Nevertheless, based on expert opinion all technical investigations schould be done together. However this combination of different technical investigations (urodynamics, questionaires, voiding dairy and clinical examination) is not evidence based and time consuming. We want to develop a statistical model to decrease the need of technical investigations to obtain a correct diagnose of stress urinary incontinence, urge urinary incontinence or mixed incontinence. | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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Older, cognitive intact people (>= 65 years) of both sexes with all types of urinary incontinence
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kim Pauwaert, MD | Contact | +32 093321182 | kim.pauwaert@uzgent.be | |
| Veerle Decalf | Contact | +32 09332 2207 | veerle.decalf@uzgent.be |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Urology, Ghent University Hospital | Recruiting | Ghent | 8300 | Belgium |
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| Questionaires | Diagnostic Test | Patients have to fulfill the following questionaires
|
| Flow rate measurement + Observation of the post-void residual urine volume | Diagnostic Test | A measurement of the urinary flow rate is observed to collect the maximum Q/s. Afterwards an observation of the PVR is done using ultrasound. |
| Clinical Examination | Diagnostic Test | Clinical examination of the genital region. For women, coeles are described using the POPQ |
| ID | Term |
|---|---|
| D053202 | Urinary Incontinence, Urge |
| D014550 | Urinary Incontinence, Stress |
| D053207 | Diurnal Enuresis |
| D053206 | Nocturnal Enuresis |
| ID | Term |
|---|---|
| D014549 | Urinary Incontinence |
| D014555 | Urination Disorders |
| D014570 | Urologic Diseases |
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
| D059411 | Lower Urinary Tract Symptoms |
| D020924 | Urological Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D004775 | Enuresis |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D019960 | Elimination Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| D010808 | Physical Examination |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |
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