Is it possible to diagnose intrinsic sphincter deficiency in women?

Hosker, G. L.

doi:10.1097/mou.0b013e32832ae1cb

Cited by 15 publications

(10 citation statements)

References 43 publications

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“…Exclusion of these patients successfully avoided inclusion of any patients with ISD, VLPP \60 cm H 2 O. UH, caused by a poorly supported proximal urethra, is the key factor in the development of simple SUI, and results in mild or moderate incontinence compared with ISD [23,24]. To explain the mechanism of SUI, DeLancey proposed the ''the hammock theory,'' according to which fascial attachments connect the periurethral tissue and anterior vaginal wall to the arcus tendineus at the pelvic side wall, while muscle attachments connect the periurethral tissue to the medial border of the levator ani muscle.…”

Section: Discussionmentioning

confidence: 97%

Valsalva leak point pressure-associated Q-tip angle and simple female stress urinary incontinence symptoms

et al. 2014

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Section: Discussionmentioning

confidence: 97%

Valsalva leak point pressure-associated Q-tip angle and simple female stress urinary incontinence symptoms

et al. 2014

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“…Indeed, published evidence is divided regarding the routine use of UDS for evaluation of SUI [11,12]. Multiple studies have attempted to define specific clinic parameters that predict SUI and would preclude the necessity for UDS.…”

Section: Female Intrinsic Sphincter Deficiencymentioning

confidence: 99%

Current Status of Urodynamics for Evaluation of Incontinence

Whittam

Kaufman

Dmochowski

2010

Curr Bladder Dysfunct Rep

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Urinary incontinence, defined by the International Continence Society as the complaint of any involuntary leakage of urine, remains a condition with profound impact for the individual patient and global medical economics. The etiology of a patient's urinary incontinence can be difficult to determine, even when using a combination approach of symptom appraisal, thorough history and physical examination, and noninvasive testing. Urodynamic evaluation provides an objective analysis of the storage and voiding aspects of detrusor function, often delineating the underlying mechanisms for bladder or sphincter dysfunction resulting in incontinence. This review summarizes current literature regarding recommendations for utilization of urodynamics in the evaluation of incontinence. Herein we recap the available data regarding use of urodynamics in intrinsic sphincter deficiency, overactive bladder, bladder outlet obstruction, and neurological disease. We intend for these data to highlight the need for a structured evaluation and treatment of urinary incontinence and appropriate use of resources to accommodate the dual missions of patient care and fiscal responsibility.

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“…Hosker [32] recently explored the question "Is it possible to diagnose intrinsic sphincter deficiency in women?" That is to say, is there an objective measure that defines all women with very poor urethral closure function?…”

Section: Intrinsic Sphincter Deficiency and Urethral Hypermobilitymentioning

confidence: 99%

Retropubic Versus Transobturator Midurethral Synthetic Slings: Does One Sling Fit All?

McAchran¹

2010

Curr Urol Rep

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The purpose of this article is to evaluate the recent evidence base for the choice between transobturator and retropubic approaches to midurethral slings used to treat stress urinary incontinence. While the retropubic and transobturator approaches to midurethral sling surgery for stress urinary incontinence demonstrate equivalent efficacy across a number of randomized controlled trials, they do not appear to be equivalent when particular patient populations are considered separately. The retropubic approach appears to be a better option in patients with intrinsic sphincter deficiency and limited urethral mobility.

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Is it possible to diagnose intrinsic sphincter deficiency in women?

Cited by 15 publications

References 43 publications

Valsalva leak point pressure-associated Q-tip angle and simple female stress urinary incontinence symptoms

Valsalva leak point pressure-associated Q-tip angle and simple female stress urinary incontinence symptoms

Current Status of Urodynamics for Evaluation of Incontinence

Retropubic Versus Transobturator Midurethral Synthetic Slings: Does One Sling Fit All?

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