Clinical Assessment of Urethral Sphincter Function

McGuire, Edward J.; Fitzpatrick, Christopher C.; Wan, Julian; Bloom, David A.; Sanvordenker, Jill; Ritchey, Michael; Gormley, E. Ann

doi:10.1016/s0022-5347(17)35806-8

Cited by 500 publications

(300 citation statements)

References 11 publications

Supporting

Mentioning

248

Contrasting

Unclassified

Order By: Relevance

“…When we look at the specifi c condition of stress incontinence, resting MUCP value is known to tend to be lower than in continent women and decreases as a function of age (11)(12)(13)(14)(15)(16), but there is no absolute cut-off value with suffi cient sensitivity and specifi city for that diagnosis and the association between MUCP and the severity of incontinence (1,21,22). In our population, MUCP values at rest (P1) tend to be lower in stress incontinent women except in the middle age group where women with mixed incontinence (which however implies a stress component) have lower MUCP.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Is a sequence of tests during urethral pressure profilometry correlated with symptoms assessment in women?

2012

View full text Add to dashboard Cite

Introduction: Our purpose was, applying a strictly defi ned protocol for urethral profi lometry, 1) to test the repeatability of same session rest maximum urethral closure pressure (MUCP) and 2) to search for correlation between women complaint and the changes in MUCP value (rest and dynamic tests). Materials and Methods:A population of 140 consecutive women referred for evaluation of lower urinary tract dysfunction was stratifi ed in 4 groups according with the urinary symptoms: stress, urge, mixed incontinence and continent and in each group in 3 age groups (young, middle age and old). The sequence of tests recorded in supine position was: urethral pressure profi le at rest bladder empty, after bladder fi lling at 250 mL (reference test), stress profi le, fatigability (before (rest) and after 10 successive strong coughs), then in standing position. Results: In all groups, there was no signifi cant difference between the two MUCP values at rest bladder fi lled. In the three incontinent groups, MUCP was higher bladder empty than bladder fi lled (p < 0.05) except in the young sub-group. Stress incontinence led to signifi cant decrease of MUCP during dynamic tests in the young group. MUCP was not modifi ed after fatigability test in women with urge complaint whatever age. Conclusion: When recorded following a strictly defi ned protocol, MUCP at rest bladder fi lled has a good repeatability in individual. However a complex sequence of tests during urethral pressure profi lometry remains discussed in middle-age and old age--groups, it allows specifying the stress component of incontinence in young women and the urgency component in all age-groups. INTRODUCTIONControversies about the role of urethral pressure profi lometry (UPP) in clinical practice (1-3) are mainly based on the reproducibility of the measurements and on the lack of standardization (4).Other main controversies are related to the predictive value of the preoperative maximum urethral closure pressure (MUCP) and the success of the surgery of stress incontinence (5-9) and the postoperative quality of life (10). Conversely, De Lancey (11) found that MUCP was the most characteristic parameter of stress incontinence.In our urodynamic laboratory, we have defi ned a strict protocol for UPP which is routinely applied in order to rule out many causes of variability. It consists of a well-defi ned sequence Vol. 38 (6): 809-817, November -December, 2012 Is a sequence of tests during urethral pressure profi lometry correlated with symptoms assessment in women? ___ _______________________________________________ ____________________________________________

show abstract

Section: Discussionmentioning

confidence: 99%

“…Controversies about the role of urethral pressure profi lometry (UPP) in clinical practice (1)(2)(3) are mainly based on the reproducibility of the measurements and on the lack of standardization (4).…”

Section: Introductionmentioning

confidence: 99%

Is a sequence of tests during urethral pressure profilometry correlated with symptoms assessment in women?

2012

View full text Add to dashboard Cite

show abstract

“…в 1998 г [9,10]. Для оценки недержания мочи использо-вали опросник Международного общест-ва по недержанию мочи -опросник ICIQ-SF и 24-часовой pad-тест [6,16,17].…”

Section: материалы и методыunclassified

Long-term results of radical retropubic prostatectomy

Каприн¹,

Костин²,

Filimonov³

et al. 2015

I.P. Pavlov Russian Medical Biological Herald

View full text Add to dashboard Cite

Позадилонная радикальная простатэктомия продемонстрировала хорошие ре-зультаты онкологической эффективности у пациентов с раком предстательной же-лезы как низкой, так промежуточной и высокой групп риска. Тщательный отбор пациентов для проведения РПЭ с нервосбережением, с сохранением шейки мочево-го пузыря, проксимального и дистального отделов уретры позволяет улучшить функциональные результаты операции без потери онкологической эффективности.Ключевые слова: рак предстательной железы, радикальная простатэктомия, не-держание мочи, эректильная дисфункция, выживаемость, биохимический рецидив.

show abstract

“…[1][2][3] In addition, a variety of anatomical and clinically related papers and reviews have been published; with reference to innervation and muscle function, [4][5][6][7][8] or on pelvic fasciae, [9,10] supporting the view that anatomical knowledge is important. [11] Of particular interest are aspects such as i) the urethral sphincter anatomy, [12,13] its function, [14,15] urinary incontinence [12] and corrective surgery and postoperative complications; [16,17] ii) the anal sphincter with fecal incontinence. [18,19] Also, other explanations for pelvic pain need to be considered.…”

Section: Introductionmentioning

confidence: 99%

Teaching clinical anatomy of the female pelvic floor to undergraduate students: a critical review of neuralgic points

Riederer¹,

Spinosa²

2011

Anatomy

View full text Add to dashboard Cite

Pelvic floor anatomy is complex and its three-dimensional organization is often difficult to understand for both undergraduate and postgraduate students. Here, we focused on several critical points that need to be considered when teaching the perineum. We have to deal with a mixed population of students and with a variety of interest. Yet, a perfect knowledge of the pelvic floor is the basis for any gynecologist and for any surgical intervention. Our objectives are several-fold; i) to establish the objectives and the best way of teaching, ii) to identify and localize areas in the female pelvic floor that are susceptible to generate problems in understanding the three-dimensional organization, iii) to create novel approaches by respecting the anatomical surroundings, and iv) prospectively, to identify elements that may create problems during surgery i.e. to have a closer look at nerve trajectories and on compression sites that may cause neuralgia or postoperative pain. A feedback from students concludes that they have difficulties to assimilate this much information, especially the different imaging techniques. Eventually, this will lead to a severe selection of what has to be taught and included in lectures or practicals. Another consequence is that more time to study prosected pelves needs to be given.

show abstract

Clinical Assessment of Urethral Sphincter Function

Cited by 500 publications

References 11 publications

Is a sequence of tests during urethral pressure profilometry correlated with symptoms assessment in women?

Is a sequence of tests during urethral pressure profilometry correlated with symptoms assessment in women?

Long-term results of radical retropubic prostatectomy

Teaching clinical anatomy of the female pelvic floor to undergraduate students: a critical review of neuralgic points

Contact Info

Product

Resources

About