ABSTRACT

The pad test, as we know it today, was originally simultaneously described by Sutherst et al. and by Walsh and Mills in 1981 ( 3 , 4 ). It consists of the use of a perineal pad to document urinary incontinence and to quantify its severity quantitatively, under natural conditions. The amount of loss is calculated by subtracting the weight of the pad before the test, from its weight after the end of the test. A standardized one-hour pad test ( Table 28.1 ) was then proposed in 1983 (5) , and endorsed by the International Continence Society (ICS) in 1988 (6) .