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,