Compensatory mechanisms which prevent urinary incontinence in aging women.

Abstract:

:The relationship between age and urodynamic parameters was studied cross-sectionally in a group of 28 women in whom clinically and urodynamically both stress incontinence and detrusor instability were excluded (no proven incontinence, NPI) and in a group, matched for age, with genuine stress incontinence (GSI). At all ages the maximal urethral closing pressure (MUCP) was higher in the NPI than in the GSI group; in both groups there was, however, a similar decrease in MUCP with age. The transmission rate increased significantly with age in the NPI group; this was not found in the women with GSI. These data indicate that in older women loss of MUCP is compensated by an increase in transmission rate (presumably because of active contraction of the pelvic floor muscles); this mechanism fails in women with GSI.

journal_name

Gynecol Obstet Invest

authors

Wijma J,Tinga DJ,Visser GH

doi

10.1159/000294858

keywords:

subject

Has Abstract

pub_date

1992-01-01 00:00:00

pages

102-4

issue

2

eissn

0378-7346

issn

1423-002X

journal_volume

33

pub_type

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