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METHODS: 1948 women had 2259 studies over a 17-year period. Each patient underwent a standardized history. VUDS was carried out with subtracted detrusor pressure, filling and voiding studies, and SUI testing with leak point pressures (LPP). Upright radiographic SUI testing was classified according to Blaivas (Types I, IIA, liB, ill and 0). Data analyzed included symptoms, presence of detrusor overactivity (DO), and radiographic type of SUI. LPP was analyzed by type and a receiver-operator characteristics (ROC) curve was constructed to determine cutoff values for Type ill.

RESULTS: Mean age was 58.3 years (range 17-93) and 45% had previous surgery. In addition to SUI, 89% of patients had irritative symptoms, and 79% had urgency incontinence (UUI). DO was demonstrated in 24.5% of those with irritative symptoms and only 6.5% of those without irritative symptoms (P< 0.05). Overall SUI was not …