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Functional assessment of urinary incontinence: the perineal pad test

University Hospital Gasthuisberg, Leuven

Willy J De Weerdt

Department of Rehabilitation Science, University of Leuven

Hilde M Feys

Department of Rehabilitation Science, University of Leuven

Mieke Dewulf

University Hospital St Pieter, Leuven

Renilde Alaerts

Department of Physiotherapy, University Hospital St Pieter, Leuven

Raoul Vereecken

Department of Urology, , University Hospital St Pieter, Leuven

André Van Assche

Department of Obstetrics and Gynaecology, University Hospital Gasthuisberg, Leuven, Belgium

Perineal pad tests are simple, noninvasive functional tests which have been recommended for the evaluation of patients with urinary incontinence. Most are based on the one-hour pad test introduced by Sutherst and co-workers and standardized by the International Continence Society. The major problem with the one-hour pad test is its lack of sensitivity. Therefore a stringent test procedure was developed, whereby the limit of patient tolerance was reached. Mean end volumes of 568 ml (648 ml) immediately after the test (retest) confirmed that the patients had been examined with full bladders. Yet one in three of the incontinent patients remained dry during formal assessment. The use of the one-hour perineal pad test for clinical or research purposes should be seriously questioned.

Clinical Rehabilitation, Vol. 10, No. 3, 210-215 (1996)
DOI: 10.1177/026921559601000305


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