The Michigan incontinence symptom index (MISI) is a validated measure. This study further evaluated its relevance. MISI is a 10-item measure; MISI domain 1-8 and bother domain 9-10. Two hundred and fourteen women were included in the study, with a mean age of 50.5 years and mean BMI of 33.1.Twenty percent had stress urinary incontinence (SUI) and 42% urge urinary incontinence (UUI). MISI may help clinicians to assess these women in a better way during their diagnostic pathway. Comparisons were also made between MISI and three other screening tools: 1. 3IQ – comparable sensitivity and specificity to MISI but it was developed to discern the type, but not the presence of urinary incontinence. 2. The Questionnaire for Urinary Incontinence (QUID) – this was developed in a population of women who all had urinary incontinence but is not a screening tool in the general population. 3. ISQ – this is an Australian study. It can objectively correlate leakage measured on pads but it lacks an ability to discern incontinence that is relevant / bothersome to the patient.

A screening tool for clinically relevant urinary incontinence.
Suskind AM, Dunn RL, Morgan DM, et al.
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Arun K Sharma

West Herts NHS Trust (Watford General Hospital)

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