Urethral closure pressure and leak-point pressure in incontinent women.

Abstract:

OBJECTIVE:To examine the association between maximum urethral closure pressure and Valsalva leak-point pressure in women with genuine stress incontinence (GSI). METHODS:Fifty-six women with GSI were evaluated in a urodynamics laboratory. Maximum urethral closure pressure and vesical leak-point pressure were measured with multichannel urodynamic testing. The correlation coefficient and regression line were calculated. RESULTS:Forty subjects demonstrated a leak on Valsalva maneuver and, in these women, maximum urethral closure pressure and leak-point pressures were related significantly (r = 0.62, P < .001). The relationship was strongest between leak-point pressure up to 120 cm H2O and absolute vesical pressure with Valsalva rather than with a change in vesical pressure. The sensitivity of leak-point pressure for predicting low urethral pressure was 100%. CONCLUSION:There is a correlation between maximum urethral closure pressure and leak-point pressure that can provide useful information about incontinence in women.

journal_name

Obstet Gynecol

authors

Sultana CJ

doi

10.1016/0029-7844(95)00263-Q

subject

Has Abstract

pub_date

1995-11-01 00:00:00

pages

839-42

issue

5

eissn

0029-7844

issn

1873-233X

pii

0029-7844(95)00263-Q

journal_volume

86

pub_type

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