Do bladder neck mobility and urethral sphincter function differ during pregnancy compared with during the non-pregnant state?

Détails

ID Serval
serval:BIB_733FE31E826E
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Do bladder neck mobility and urethral sphincter function differ during pregnancy compared with during the non-pregnant state?
Périodique
International Urogynecology Journal and Pelvic Floor Dysfunction
Auteur(s)
Meyer  S., Bachelard  O., De Grandi  P.
ISSN
0937-3462 (Print)
Statut éditorial
Publié
Date de publication
1998
Volume
9
Numéro
6
Pages
397-404
Notes
Comparative Study
Journal Article
Résumé
The aim of the study was to assess and compare urethral sphincter (US) function and bladder neck (BN) behavior in pregnant and non-pregnant women. Urethral pressure profile parameters, intravaginal-anal pressures and BN position/mobility were compared in both pregnant and non-pregnant women. It was found that pregnancy results in a decreased maximal urethral closure pressure (MUCP)/area of continence at rest and at stress, decreased pressure-transmission ratio (PTR) values and backwards displacement of the bladder neck. No significant changes in intravaginal-anal pressures and BN mobility/downwards displacement were seen. Compared with stress continent pregnant patients, pregnant patients with stress urinary incontinence (SUI) have a lower MUCP at rest/stress and area of continence at stress, but show no difference in BN behavior. Regression analysis shows no correlation between advancing pregnancy and any of these parameters. It was concluded that pregnancy induces diminished US function and backwards displacement of the BN. Compared to continent pregnant patients, pregnant women with SUI also have a diminished US function. US parameters are not significantly modified by advancing pregnancy.
Mots-clé
Adult Female Humans Parity Pregnancy/*physiology Pregnancy Complications/*physiopathology Urethra/*physiology Urinary Bladder/*physiology Urinary Incontinence, Stress/*physiopathology Urodynamics/*physiology
Pubmed
Création de la notice
25/01/2008 16:39
Dernière modification de la notice
03/03/2018 18:19
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