Reproducibility of a cough and jump stress test for the evaluation of urinary incontinence.

INTRODUCTION AND HYPOTHESIS: The study seeks to determine whether a urinary cough and jump stress test is reproducible and whether there is a relationship between a stress test and a 24-h pad test and our subjective Stress Incontinence Index.

METHODS

Multicenter prospective cohort study of women with subjective stress incontinence. Each patient completed a validated Stress and Urge Incontinence Questionnaire and a 24-h pad test and performed two standardized cough and jump stress tests.

RESULTS

All 108 women were incontinent during both the first and second stress tests. There was a large variation in leakage and the leakage was significantly larger during stress test 2 than during stress test 1 (P < 0.02). Correlations found between the stress test and the 24 hour pad test and between the stress test and the Stress Incontinence Index were poor.

CONCLUSION

The cough and jump stress test is reproducible and able to document stress leakage.