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01-06-2004 | Original Article

Urethral resistance measurement: a new method for evaluation of stress urinary incontinence in women

Authors: V. Herrmann, L. A. Arya, D. L. Myers, N. D. Jackson, P. C. Palma, C. L. Riccetto

Published in: International Urogynecology Journal | Issue 3/2004

Abstract

The aim of this study was to evaluate a new method to measure urethral resistance among 66 women with urinary incontinence. A stainless steel sphere attached to a guide wire was developed. The sphere is inserted into the bladder and withdrawn through the urethra at a steady rate. Serial measurements with spheres of 5, 6 and 7 mm were performed. The mean urethral resistance as measured by the largest sphere (0.07±0.03) was significantly greater than that measured by the medium sphere (0.06±0.02, p<0.0001), which was significantly larger than that measured by the smallest sphere (0.04±0.01, p<0.0001). There was good correlation of urethral resistance with maximum urethral closure pressure (MUCP) by this technique, but no correlation with Valsalva leak point pressure (VLPP).

Rud T, Andersson KE, Asmussen M, et al (1980) Factors maintaining the intraurethral pressure in women. Invest Urol 17:343PubMed

Urinary Incontinence Guidelines Panel (1992) Urinary incontinence in adults. Clinical practice guidelines AHCPR publication 9-2-0038. Agency for Health Care Policy and Research, PHS, HHS, Rockville, MD

Hilton P, Stanton SL (1983) Urethral pressure measurement by microtransducer: the results in symptom-free women and in those with genuine stress incontinence. Brit J Obstet Gynaecol 90:919–933

Anderson RS, Shepherd AM, Feneley RCL (1983) Microtransducer urethral profile methodology: variations caused by transducer orientation. J Urol 130:727–731PubMed

Cadogan M, Awad S, Field C, Acker K, Middleton S (1988) A comparison of the cough and standing urethral pressure profile in the diagnosis of stress incontinence. Neurourol Urodyn 7:327–341

Versi E (1990) Discriminant analysis of urethral pressure profilometry data for diagnosis of genuine stress incontinence. Br J Obstet Gynaecol 97:251–259PubMed

Weil A, Reyes H, Bishoff P, et al (1984) Modification of urethral rest and stress profiles after different types of surgery for urinary stress incontinence. Br J Obstet Gynaecol 91:46–55PubMed

McGuire EJ, Fitzpatrick CC, Wan J, et al (1993) Clinical assessment of urethral sphincter function. J Urol 150:1452–1454PubMed

Bump RC, Elser DM, Theofrastous JP, McClish DK (1995) Valsalva leak point pressures in women with genuine stress urinary incontinence: reproducibility, effect of catheter caliber, and correlations with other measures of urethral resistance. Am J Obstet Gynecol 173:1–13

10.

Chang H, Zeidman EJ, Alarcon A, Raz S (1986) Aerodynamic use of fiberoptic microtipped catheter. J Urol 137:936–938

11.

Fiberoptic Sensor Technologies (1992) A brief review of FST and the FST 2000 Aerodynamic monitoring. Personnal communication. Fiberoptic Sensor Technologies, Inc

12.

American Uro-Gynecologic Society (1998) Aerodynamic catheters. AUGS quarterly report no 3. American Uro-Gynecologic Society

13.

Abrams P, Blaivas JG, Stanton Sl, Andersen JT (1988) The standardization of terminology of lower urinary tract function. Scand J Urol Nephrol 114[Suppl]: 5–19

14.

Bump RC, Mattiasson A, Bo K, et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvis floor dysfunction. Am J Obstet Gynecol 175:10PubMed

15.

Crystle CD, Charme LS, Copeland WE (1971) Q-tip test in stress urinary incontinence. Obstet Gynecol 38:313–315PubMed

16.

Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: The Incontinence Impact Questionnaire and Urogenital Distress Inventory. Neurourol Urodyn 14:131–139PubMed

17.

McGuire EJ (1981) Aerodynamic findings in patients after failure of stress incontinence operations. Prog Clin Biol Res 78:351PubMed

18.

Bergman A, Ballard CA, Koonigs PP (1989) Comparison of three surgical procedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol 160:1102–1106PubMed

19.

Zinner NR, Sterling AM, Ritter RC (1980) Role of inner urethral softness in urinary incontinence. Urology 16–115

20.

Zinner NR, Sterling AM, Ritter RC (1983) Evaluation of inner urethral softness. Urology 22:446PubMed

Title: Urethral resistance measurement: a new method for evaluation of stress urinary incontinence in women
Authors: V. Herrmann
L. A. Arya
D. L. Myers
N. D. Jackson
P. C. Palma
C. L. Riccetto
Publication date: 01-06-2004
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 3/2004
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-004-1142-z

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Urethral resistance measurement: a new method for evaluation of stress urinary incontinence in women

Abstract

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Abstract

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