Sensibilidad al cambio de la versión español-chileno del cuestionario International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF) para incontinencia urinaria femenina / Responsiveness of the chilean version of the International Consultation on Incontinence Questionnaire Short-Form (ICIQ-SF)

Background: A symptom questionnaire must be able to detect minimal changes after treatment to be clinically useful. Aim: To evaluate the responsiveness of the Spanish-Chilean version of the ICIQ-SF questionnaire after medical and surgical procedures for the treatment of urinary incontinence (UI) in women consulting at a public Chilean Hospital. Material and Methods: Data of 124 women aged 59 ± 10 years who were treated for UI and in whom ICIQ-SF questionnaire was applied in two opportunities (before and after medical or surgical treatment), was analyzed. The sign test for paired samples was used to compare the response of each item of the questionnaire. Responsiveness of the total severity score for UI was assessed by changes of slopes estimated by Generalized Estimating Equations. Slopes of change for every type of treatment were also compared. Results: Sixty two percent of the women underwent surgical treatment. The slope of the total severity score for medical treatment was -4.4 (p-value < 0.001 for change) and 12.6 (p-value < 0.001 for change) for surgical treatment. Changes in surgical treatment were significantly higher than those of medical treatment (p-value < 0.001). Conclusions: The Spanish-Chilean version of the ICIQ-SF questionnaire was able to detect changes as a result of surgical and medical treatment for urinary incontinence in the study population, fulfilling the validity of responsiveness criterion.

Estudio histeroscópico y diagnóstico de cáncer endometrial / Hysteroscopic study and diagnosis of endometrial cancer

Se analizan ocho casos en que se planteó el diagnóstico de cáncer endometrial y en quienes se efectuó histeroscopía panorámica con CO2. Cinco pacientes fueron sometidos a histeroscopía como primer examen sistemático en el estudio de metrorragia (4 casos) e hidrorrea (1 caso). Tres pacientes habían sido sometidas a raspados biópsicos que informaron cáncer endometrial. El estudio anatomopatológico se efectúo mediante la toma de biopsias dirigidas, raspados biópsicos y cirugía en todas las pacientes. La histeroscopía planteó el diagnóstico de cáncer endometrial en seis casos y descartó la presencia de neoplasia en dos casos. La histeroscopía determinó en todos los casos, el estadio clínico de diseminación, en particular, la extensión endocervical del tumor endometrial. La histeroscopía panorámica con CO2, un método de diagnóstico relativamente nuevo en nuestro medio, se perfila como altamente eficaz en la detección y diagnóstico de cáncer endometrial así como en el estudio de estadio clínico de diseminación de esta neoplasia