1. Circumstances of leakage related to low urethral closure pressure
- Author
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Xavier Fritel, A. Pigne, Arnaud Fauconnier, Service de gynécologie-obstétrique [Hôpital Rothschild], Université Pierre et Marie Curie - Paris 6 (UPMC)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpital Rothschild [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Fritel, Xavier, Service de gynécologie-obstétrique [CHU Rothschild], Hôpital Rothschild [AP-HP], and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Université Pierre et Marie Curie - Paris 6 (UPMC)
- Subjects
Adult ,medicine.medical_specialty ,Urology ,Urinary system ,030232 urology & nephrology ,Urinary incontinence ,[SDV.MHEP.GEO]Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics ,03 medical and health sciences ,0302 clinical medicine ,Urinary Leakage ,Urethra ,Surveys and Questionnaires ,medicine ,Pressure ,Humans ,Exertion ,Leakage (electronics) ,Retrospective Studies ,030219 obstetrics & reproductive medicine ,MESH: Humans ,MESH: Middle Aged ,Muscle fatigue ,business.industry ,MESH: Questionnaires ,MESH: Adult ,MESH: Retrospective Studies ,Middle Aged ,3. Good health ,Surgery ,[SDV.MHEP.GEO] Life Sciences [q-bio]/Human health and pathology/Gynecology and obstetrics ,medicine.anatomical_structure ,MESH: Urethra ,Urinary Incontinence ,Anesthesia ,Sphincter ,Female ,medicine.symptom ,business ,MESH: Pressure ,MESH: Female ,MESH: Urinary Incontinence - Abstract
International audience; PURPOSE: We determined whether urinary leakage in some circumstances is associated with intrinsic sphincter deficiency, defined by a low maximum urethral closure pressure of 30 cm H(2)O or less, in women presenting for urinary incontinence. MATERIALS AND METHODS: We retrospective analyzed the records of 100 consecutive women who underwent complete urodynamic evaluations for complaints of urinary leakage. RESULTS: Logistic regression adjusted for age showed that leakage while running or during physical exertion, leakage while walking and leakage with no obvious reason were associated with intrinsic sphincter deficiency, while leakage upon coughing or sneezing was not. CONCLUSIONS: These results suggest that different mechanisms may govern incontinence during prolonged vs brief stress. Low maximum urethral closure pressure may be a sign of abnormal sphincter fatigability.
- Published
- 2007
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