Overnight ambulatory urodynamics findings in patients with nocturia and/or nocturnal enuresis

35 (33.3%) stage IV. Sixty three (60%) women were identified as occult stress incontinent, twenty seven (25.7%) as continent, and 15 (14.3%) as stress urinary incontinent (leaked without prolapse reduction). From the 63 OSUI subjects, 48 (76.2%) were identified in both evaluations, and 8 were identified only during physical examination, and 7 only during urodynamics. The sensitivity to detect OSUI during physical examination and urodynamics was 88.9% and 87.3% respectively (p1⁄40.783). The value of Kappa to measure the agreement between both tests was 0.648 (95% CI, 0.4410.854). Anterior (p1⁄40.006) and posterior (p<0.001) compartment stage IV prolapse showed increased risk of OSUI. Despite 86 (81.9%) patients mentioned storage symptoms, only 8 (7.6%) had urodynamic demonstrated detrusor overactivity. CONCLUSIONS: Urodynamic study and physical examination are equivalent and concordant to demonstrate OSUI, thus it’s not mandatory to perform urodynamics to identify OSUI.