Urodynamic parameters in patients with slight and severe genuine stress incontinence: is the stress profile useful?

Details

Serval ID
serval:BIB_AF3EFF6B6B57
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Urodynamic parameters in patients with slight and severe genuine stress incontinence: is the stress profile useful?
Journal
Neurourology and Urodynamics
Author(s)
Meyer  S., De Grandi  P., Schmidt  N., Sanzeni  W., Spinosa  J. P.
ISSN
0733-2467 (Print)
Publication state
Published
Issued date
1994
Volume
13
Number
1
Pages
21-8
Notes
Comparative Study
Journal Article
Abstract
This study evaluates the usefulness of the urethral pressure profile (UPP) parameters in assessing the severity of genuine stress incontinence (GSI). Functional length (FL), maximum urethral closure pressure (MUCP), pressure transmission ratio (PTR), residual area at stress (RAS), number of patients with incontinent spikes (IS), and distribution of IS on UPP were determined in supine and standing position for 54 patients (group 1) with a 1-hour pad test < 2 g and compared with the values of 63 patients (group 2) with a 1-hour pad test > 2 g. The results were similar: FL (supine: 24 mm +/- 6/26 mm +/- 7 [P:0.2]; standing: 26 mm +/- 8/24 mm +/- 11 [P:0.5]); MUCP (supine: 51 cm H2O +/- 23/47 cm H2O +/- 20 [P:0.3]; standing: 45 cm H2O +/- 21/38 cm H2O +/- 18 [P:0.1]); and PTR (supine: 83% +/- 27/84% +/- 31 [P:0.9]; standing: 81% +/- 25 and 88% +/- 27 [P:0.3]). But the RAS was lower (supine: 502 mm2 +/- 497/246 mm2 +/- 268 [P < 0.009]; standing: 500 mm2 +/- 534/271 mm2 +/- 306 [P < 0.05]) in group 2. If the percentage of patients with IS was higher (supine: 57/93% [P < 0.001]; standing: 54/84% [P < 0.01]) in group 2, the distribution of IS over the entire FL demonstrated no differences between group 1 and 2. In conclusion, except for the RAS, standard UPP parameters cannot be considered determinant in assessing the severity of GSI.
Keywords
Cough Humans Posture Pressure Regression Analysis Supine Position Time Factors Urethra/physiopathology Urinary Bladder/physiopathology Urinary Incontinence, Stress/*physiopathology Urination/*physiology
Pubmed
Web of science
Create date
25/01/2008 15:39
Last modification date
20/08/2019 15:18
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