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Published in: International Urogynecology Journal 9/2012

01-09-2012 | Original Article

Evidence of a functional effect of transient transurethral catheterization on micturition in women

Authors: Anne M. Suskind, Phillip P. Smith

Published in: International Urogynecology Journal | Issue 9/2012

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Abstract

Introduction and hypothesis

The objective of this study is to evaluate the effect of transient catheterization on uroflow parameters.

Methods

Consenting women (ages 18–90) provided an uninstrumented uroflow pre- and post-indicated in urodynamic procedures. Voided volume, Qmax, and Qave were recorded for both uninstrumented uroflows. Uroflow curves were classified as “normal” or “abnormal.” Pre- and post-urodynamic uroflow data were compared.

Results

Thirty-five patients were included in the study. There was a statistically significant decrease in Qave from the pre- to the post-urodynamic uroflows from 14.71 to 10.55 ml/s (p = 0.012). Additionally, 28.6% of uroflow tracing patterns changed from “normal” to “abnormal,” whereas only one (2.9%) changed from “abnormal” to “normal” (p = 0.031).

Conclusions

This study showed a degradative effect of transient catheterization on uroflow parameters, suggesting that catheterization may cause more than simply a passive obstructive effect. Urethral stimulation due to catheterization may perturb detrusor urethral function, altering voiding and possibly filling performance.
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Metadata
Title
Evidence of a functional effect of transient transurethral catheterization on micturition in women
Authors
Anne M. Suskind
Phillip P. Smith
Publication date
01-09-2012
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 9/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-011-1646-2

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