Correlation between valsalva leak point pressure and maximal urethral closure pressure in women with stress urinary incontinence

被引:25
作者
Feldner, PC [1 ]
Bezerra, LRPS [1 ]
de Castro, RA [1 ]
Sartori, MGF [1 ]
Baracat, EC [1 ]
de Lima, GR [1 ]
Girao, MJBC [1 ]
机构
[1] Univ Fed Sao Paulo, Dept Gynecol, Sect Urogynecol & Pelv Surg, Sao Paulo, Brazil
关键词
maximal urethral closure pressure; urinary incontinence; VLPP;
D O I
10.1007/s00192-004-1130-3
中图分类号
R71 [妇产科学];
学科分类号
100211 [妇产科学];
摘要
This study analyzed the relationship between valsalva leak point pressure (VLPP) and maximal urethral closure pressure (MUCP) in women with stress urinary incontinence. One hundred sixty-one patients were selected with diagnosis of mixed or stress urinary incontinence. During urodynamics we measured VLPP and MUCP. Patients were gathered according to VLPP and analysis of variance (ANOVA) was performed. Pearson's correlation coefficient and linear regression were also utilized. The group with VLPP under 60 cm H2O had mean MUCP of 44.5 cm H(2)0; the group with VLPP between 60 and 90 cm H2O had mean MUCP of 54.3 cm H2O; and the group with VLPP over 90 cm H2O had mean MUCP of 60.1 cm H2O. We observed correlation between MUCP and VLPP when we used Pearson's correlation coefficient (r=0.22) and linear regression (p<0.05). There was weak correlation between MUCP and VLPP, and MUCP was significantly lower in patients with leak point pressure inferior to 60 cm H2O.
引用
收藏
页码:194 / 197
页数:4
相关论文
共 15 条
[1]
Abrams P, 2002, NEUROUROL URODYNAM, V21, P167, DOI 10.1002/nau.10052
[2]
APPELL RA, 1997, CURR OPIN UROL, V7, P197
[3]
Bent AE., 1996, UROGYNECOLOGY URODYN
[4]
Diagnosing intrinsic sphincteric deficiency: Comparing urethral closure pressure, urethral axis, and Valsalva leak point pressures [J].
Bump, RC ;
Coates, KW ;
Cundiff, GW ;
Harris, RL ;
Weidner, AC .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1997, 177 (02) :303-310
[5]
VALSALVA LEAK POINT PRESSURES IN WOMEN WITH GENUINE STRESS-INCONTINENCE - REPRODUCIBILITY, EFFECT OF CATHETER CALIBER, AND CORRELATIONS WITH OTHER MEASURES OF URETHRAL RESISTANCE [J].
BUMP, RC ;
ELSER, DM ;
THEOFRASTOUS, JP ;
MCCLISH, DK ;
FANTL, JA ;
WYMAN, JF ;
FURBERG, KD ;
LENTZ, SE ;
MORGAN, TM ;
ROBINSON, D ;
SCHUMACKER, SA .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1995, 173 (02) :551-557
[6]
Female stress urinary incontinence due to intrinsic sphincteric deficiency: Recognition and management [J].
Haab, F ;
Zimmern, PE ;
Leach, GE .
JOURNAL OF UROLOGY, 1996, 156 (01) :3-17
[7]
HORBACH NS, 1994, OBSTET GYNECOL, V84, P188
[8]
CLINICAL-ASSESSMENT OF URETHRAL SPHINCTER FUNCTION [J].
MCGUIRE, EJ ;
FITZPATRICK, CC ;
WAN, J ;
BLOOM, D ;
SANVORDENKER, J ;
RITCHEY, M ;
GORMLEY, EA .
JOURNAL OF UROLOGY, 1993, 150 (05) :1452-1454
[9]
PROGNOSTIC VALUE OF URODYNAMIC TESTING IN MYELODYSPLASTIC PATIENTS [J].
MCGUIRE, EJ ;
WOODSIDE, JR ;
BORDEN, TA ;
WEISS, RM .
JOURNAL OF UROLOGY, 1981, 126 (02) :205-209
[10]
PAYNE CK, 1994, J UROLOGY, V151, P478