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10 - Pad testing
- By Emmanuel Karantanis, University of New South Wales
Edited by Ranee Thakar, Philip Toosz-Hobson, Lucia Dolan
Book:

Urodynamics Illustrated

Published online:

05 February 2014

Print publication:

01 October 2011, pp 117-122
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Summary

Pad testing is most often used in the objective assessment of women with urinary incontinence. It involves the use of pre-weighed continence pads to capture urinary leakage over a period of time. The pads are then weighed to calculate the amount of leakage on completion of the test. The two most common methods used for pad testing are 1-hour and 24-hour tests. One-hour pad tests are performed in a clinical setting, under the supervision of a continence nurse or doctor. Twenty-four-hour tests are performed at home. Women are provided with a set of pads and advised not to modify their normal drinking or activities. The ICS Standardisation Committee has set out a standard protocol for the 1-hour pad test. Pad tests are of most value in the research setting before and after treatment, as an objective endpoint of urinary incontinence. Women's compliance with 24-hour pad tests decreases once cured.