Agur et al examined precisely this issue in a retrospective series of over 6,000 women and concluded that a diagnosis of pure SUI could be made in only 5% of women based on history alone.[ 4 ] Furthermore, around one in four women with a suggested diagnosis of SUI from the clinical history did not have SUI diagnosed following urodynamic studies (UDS) suggesting a highly significant level of inaccuracy if clinical history alone is used.
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