Objective: To compare the clinical subjective and objective evaluation of urine leak in the diagnosis of female urinary incontinence.
Patients and methods: We studied 101 women, Group 1 (n=51) with urinary leak, and Group 2 (n=50) without. The following parameters were studied: 1 - Clinical evaluation; 2 - Body mass index, 3 - 60 minute pad test; and 4 - Analogue visual scale.
Results: The average daily number of urinations was 6.5 in G1, and 5.9 in G2 (p<0.05). The average body mass index in G1 was 28.0% and in G2 was 23.9%, showing that obesity is a predisposing factor in urinary incontinence (p<0.01). There was concordance between subjective and objective evaluations in 56.9% of cases.
Conclusion: In spite of only moderate concordance between subjective and objective evaluations this study demonstrates that clinical history and subjective patient evaluation are still important information and should be considered in the diagnosis and treatment of urinary incontinent patients.
Keywords: Urinary Incontinence, objective evaluation, subjective evaluation, diagnosis.