Clinical Study

Outcome Assessment of the Marshall Coughing Test during Cervix Reposition Maneuver in Women with Urinary Stress Incontinence with/without Genital Prolapse

Table 6

Functional symptoms according to the questionnaire and clinical examination in USIGPg ( 𝑛 = 1 3 6 ) with GP and USI, and USIg ( 𝑛 = 1 3 2 ) with USI.

USIGPg ( 𝑛 = 1 3 6 )USIg ( 𝑛 = 1 3 2 ) πœ’ 2
(1)(2)

Urinary symptoms (according to the questionnaire and clinical examination (Marshall test))
Potential USI (during prolapse reposition)33/136 (24.3%)10/132 (7.57%)12.61 (‑)
Genuine USI (without prolapse reposition)106/136 (77.8%)132/132 (100.0%)34.98 (‑)
Frequency30/136 (22.1%)20/132 (15.1%)1.67 NS
Urgency24/136 (19.6%)29/132 (22.0%)2.26 NS
Hesitancy30/136 (22.1%)25/132 (18.9%)0.23 NS
Nocturia19/136 (14.0%)17/132 (12.9%)0.03 NS
Incomplete emptying49/136 (36.1%)4/132 (3.0%)43.84 (‑)
Weak stream42/136 (30.9%)4/132 (3.0%)30.66 (‑)
Bowel symptoms
Flatus incontinence15/136 (11.0%)0/132 (0.0%)13.38 (‑)
Incontinence of liquid stool4/136 (2.9%)0/132 (0.0%)2.19 NS
Urgency of defecation19/136 (14.0%)0/132 (0.0%)17.75 (‑)
Discomfort with defecation42/136 (30.9%)4/132 (3.0%)30.66 (‑)
Constipation75/136 (55.1%)25/132 (18.9%)35.94 (‑)
Digital manipulation to finish defecation19/136 (14.0%)0/132 (0.0%)17.75 (‑)
Feeling of incomplete evacuation23/136 (16.9%)4/132 (3.0%)12.73 (‑)
Rectal protrusion during defecation11/136 (8.9%)0/132 (0.0%)9.15 (*)
Sexual symptoms
Pain with coitus109/136 (80.1%)21/132 (15.9%)44.05 (‑)
Unsatisfactory coitus113/136 (83.1%)12/132 (9.1%)144.14 (‑)
Decrease in orgasmic response117/136 (86.0%)49/132 (37.1%)65.78 (‑)
Incontinence during the intercourse19/136 (14.0%)45/132 (34.1%)16.01 (‑)
Other local symptoms
Vaginal pressure and heaviness109/136 (80.1%)0/132 (0.0%)174.68 (‑)
Vaginal/perineal pain34/136 (25.0%)4/132 (3.0%)24.75 (‑)
Low back pain113/136 (83.1%)4/132 (3.0%)170.97 (‑)
Abdominal106/136 (77.9%)8/132 (6.1%)144.00 (‑)

Mantel-Haenszel’s πœ’ 2 test with df of 1: ( † ) 𝑃 < 0 . 0 5 ; ( βˆ— ) 𝑃 < 0 . 0 1 ; ( ‑ ) 𝑃 < 0 . 0 0 1 .