Published in:
01-12-2016 | Letter to the Editor
Reply to the Editor
Published in: International Urogynecology Journal | Issue 12/2016
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Urethral pressure profilometry (UPP) is a specialized test that focuses on a component of a complex functioning system. The two main parameters resulting from UPP are closure pressure and profile length, and these can provide diagnostic information about the clinical presentation of individual patients, but only in the context of all the indicators derived from clinical assessment. In our systematic review, we examined the published literature to determine whether UPP achieves one of the expectations of a diagnostic test, namely sensitivity to change after a therapeutic intervention. Overall, the literature showed that it is not sensitive when the treatment is pelvic floor muscle training (PFMT). There are several possible explanations for this;-
The test is insensitive
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The test was not done to necessary standards
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The treatment was not done well, because of either poor training by the supervising healthcare professional or poor adherence by the subject
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PFMT does not act by affecting sphincter properties
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The research quality of the component studies was inadequate