Gynecologic urethroscopy

Robertson, Jack R.

doi:10.1016/0002-9378(73)90679-0

Cited by 20 publications

(6 citation statements)

References 3 publications

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“…Of these 384 patients, 216 were postmenopausal and 168 were premenopausal. Evaluation included history and physical examination, urine culture [12], Q-tip test [13], pessary test [14], water cystourethroscopy [15], standing provocative water urethrocystometry (at a filling rate of 60 ml/min), and urethral pressure pro files at rest and during stress [16]. Pressures in the abdomen (approximated by vaginal recordings [17]), urethra, and bladder were concomitantly measured using two Dantck (Models 20 K 60 and 20 K 62) microtip pressure transducers and recorded on a 6-channel Disa electrophysiologic recorder (Dantek 2100, Franklin Lake, N.J.).…”

Section: Methodsmentioning

confidence: 99%

Combined Detrusor Instability and Stress Urinary Incontinence: Where Is the Primary Pathology?

Koonings

Bergman²,

Ballard³

1988

Gynecol Obstet Invest

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Thirty-nine patients (from a total of 307 women) with clinical and urodynamic diagnosis of stress urinary incontinence had cystometric findings consistent with detrusor instability. Detailed multichannel urethrocystometry of these 39 patients revealed that urethral relaxation preceded the bladder contraction by 2–5 s. These patients were randomly allocated to either medical treatment (n = 21) by Ditropan 5 mg t.i.d. for 6 weeks prior to the surgical procedure, or to surgical treatment (n = 18) with no attempt to treat the bladder instability prior to surgery. All patients had repeat clinical and urodynamic evaluation at 3–12 months postoperatively. Six of the 39 patients (15%) still had urethral relaxation and bladder contractions on postoperative urethrocystometry. Four of these 6 patients still had stress urinary incontinence and urethral funneling. These 4 were considered surgical failures. Two of the 39 (5%) had postoperative detrusor instability in spite of good surgical results. This series suggests that in women with combined stress urinary incontinence and bladder instability, where bladder contraction is preceded by urethral relaxation, there is a more than 90% chance that bladder instability will disappear after successful operation for stress urinary incontinence.

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Section: Methodsmentioning

confidence: 99%

Combined Detrusor Instability and Stress Urinary Incontinence: Where Is the Primary Pathology?

Koonings

Bergman²,

Ballard³

1988

Gynecol Obstet Invest

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“…Jack R. Robertson (1973) returned to Kelly´s concepts and applied modern technology updating Kelly´s urethroscope by providing it with a gas source and a recording equipment, calling it "Gynecologic urethroscope". Robertson emphasized the dynamic study of the urethra, asking the patient to strain, contract the pelvic floor and to cough, in order to assess the neuromuscular physiological response.…”

Section: Resultsmentioning

confidence: 99%

Basic Gynecology - Some Related Issues

Darwish¹

2012

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“…Dynamic urethroscopy was initially proposed as a complete method of evaluating lower urinary tract dysfunction [2,3]. The refinement of urodynamic evaluation over the last three decades has produced confusion about the role of urethrocystoscopy.…”

Section: Introductionmentioning

confidence: 99%

The contribution of urethrocystoscopy to evaluation of lower urinary tract dysfunction in women

Cundiff

Bent

1996

Int Urogynecol J

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The aim of this study was to determine whether the evaluation of lower urinary dysfunction with urodynamics and urethrocystoscopy provides unique information that is missed by urodynamics alone. Eighty-four women underwent multichannel urodynamics and urethrocystoscopy. Retrospective analysis included evaluation of the relationships between lower urinary tract lesions and risk factors using chi2 and Fisher's exact tests. Urethrocystoscopic findings changed the diagnosis and management in 6 patients. New urethrocystoscopic findings included papillary transitional-cell carcinoma, cystitis glandularis, an intravesical suture and a urethral diverticulum. Clinical parameters were not predictive of these findings. Urethrocystoscopic findings also contributed to the final diagnosis in 10 patients with intrinsic sphincter deficiency. Considered alone, maximum urethral closure pressure < or =20 cmH2O had a sensitivity of only 20% and a positive predictive value of 40% for this diagnosis. Urodynamics without urethrocystoscopy would have missed important diagnoses in 19% of women. Urethrocystoscopy and urodynamics complement one another, and both have a role in the evaluation of women with lower urinary tract dysfunction.

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Gynecologic urethroscopy

Cited by 20 publications

References 3 publications

Combined Detrusor Instability and Stress Urinary Incontinence: Where Is the Primary Pathology?

Combined Detrusor Instability and Stress Urinary Incontinence: Where Is the Primary Pathology?

Basic Gynecology - Some Related Issues

The contribution of urethrocystoscopy to evaluation of lower urinary tract dysfunction in women

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