The Aberdeen Home Continence Stress Test (HCST)
bladder fullness
PAD, APPENDIX, LEAKAGE
Participants were instructed to drink fluids until the sensation of bladder fullness and normal desire to void. In the convenience of their own homes, they stood with feet shoulder-width apart and undressed from the waist down over a pre-provided paper-tissue sheet. Then they coughed loudly (three sets — each of three coughs) in short succession in order to trigger the Valsalva maneuver. The participants then responded to: Question one) whether leakage appeared on the sheet, Yes/No (positive/negative value), Question two) how much leakage appeared, None/Small/Moderate/Large according to a schematic diagram (see Appendix All participants were asked to complete the objective assessment pack at baseline. This included performing the HCST twice — 24 h apart before and after undertaking the 24-h pad test. At each follow-up point, only participants who returned the patient-reported assessment pack were sent the objective assessment pack The patient-reported assessment at follow-up included the PGI-I scale [