DIAGNOSTICS UTILITY OF THE URETHRAL PRESSURE
PROFILOMETRY IN FEMALE URINARY INCONTINENCE
Article published in Urologia Polska 1998/51/1.
authors
-
Andrzej Preisner, Piotr Radziszewski, Wojciech Szewczyk
- I Katedra i Klinika Urologii ¦l±skiej AM w Katowicach
Kierownik Kliniki: dr hab. n. med. A. Preisner
keywords
-
urethra urethral pressure profilometry urinary incontinence
summary
- Objectives. This paper deals with the urethral pressure profilometry in the
- different types of the female urinary incontinence.
- Patients and methods. The study included 189 women in the age from 18
- to 74 years (mean 45.8), who undergone urethral pressure profilometry in
- laying position, during rest and when coughing.
- Results. Urinary incontinence was proved and classified in 164 patients, in
- 121 (73.8%) it was classified as genuine stress incontinence, in 15 (9.1%) as
- urge incontinence and in 28 (17.1%) as mixed urinary incontinence (stress
- and urge incontinence). All pressure parameters, it means maximum urethral
- pressure (Puramax) and urethral closure pressure (Puradiff) were the lowest in
- stress and mixed urinary incontinence. Puramax was equal 50.8 ? 10.2 cm H2O and
- 41.2 ? 13.1 cm H2O, respectively, and Puradiff was equal to 39.2 ? 10.1 cm H2O and
- 29.8 ?12.7 cm H2O, respectively. The functional profile length was also significantly
- shorter in stress and mixed urinary incontinence and was equal to 2.7 and 2.8 cm,
- respectively.
- Conclusions. The types of urinary stress incontinence, including these
- coexisting with urgency, are characterized by low urethral pressure parameters
- and short functional profile length.
- Urethral pressure profilometry, performed in the laying position, has the
- limited value in the differential diagnostic of the female urinary incontinence.
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