Can women without visible pubococcygeal muscle in MR images still increase urethral closure pressures?

Abstract:

OBJECTIVE:The purpose of this study was to determine if the ability to increase maximum urethral closure pressure (MUCP) with a pelvic muscle contraction is impaired in women without pubococcygeal muscle (PCM). STUDY DESIGN:This was a cross-sectional study of continent women comparing those with (n=28) and those without (n=17) PCM as identified by MR scans. A pelvic muscle contraction was performed simultaneously with recordings of urethral and bladder pressures. RESULTS:Eighty-six percent of the women with PCM compared with 41% of the women without could volitionally increase (>5 cm H(2)O) their MUCP. Those with PCM generated a mean intraurethral pressure rise of 14.0 (10.8) cm H(2)O, compared with 6.2 (8.7) cm H(2)O in those without (P=.015). Among women who could produce a visible pressure rise, there was not a statistically significant difference between groups (with PCM=17.2 [7.8] cm H(2)O; without PCM=14.7 [7.5] cm H(2)O; P=.457). CONCLUSION:Selective women without visible PCM can increase MUCP.

journal_name

Am J Obstet Gynecol

authors

Miller JM,Umek WH,Delancey JO,Ashton-Miller JA

doi

10.1016/j.ajog.2004.03.082

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

171-5

issue

1

eissn

0002-9378

issn

1097-6868

pii

S0002937804003564

journal_volume

191

pub_type

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