Document Detail


Effects of voluntary pelvic floor contraction and relaxation on the urethral closure pressure.
MedLine Citation:
PMID:  15448884     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to assess the effects of voluntary pelvic floor contraction and voluntary pelvic floor relaxation on the urethral closure pressure at rest. In 104 consecutive women, three urethral pressure profiles were performed: standard profile at rest, with voluntary pelvic floor contraction and with voluntary pelvic floor relaxation. A low-pressure urethra was defined as a maximum urethral closure pressure of < or =20 cmH(2)O. The age ranged between 24 and 82 years. The maximum urethral closure pressure at rest was significantly augmented during pelvic floor contraction (mean: 18 cmH(2)O). Compared with the first profile, it decreased significantly with pelvic floor relaxation (mean decrement: 8 cmH(2)O). A low-pressure urethra was detected in 5 women during the first profile and in a further 11 during pelvic floor relaxation. Because of the significant influence of pelvic floor activity on the urethral closure pressure at rest, the scientific and clinical credibility of urethral pressure measurements remain questionable.
Authors:
Kaven Baessler; Kirstin Miska; Ruth Draths; Bernhard Schuessler
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Publication Detail:
Type:  Clinical Trial; Journal Article     Date:  2004-09-22
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  16     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:    2005 May-Jun
Date Detail:
Created Date:  2005-05-05     Completed Date:  2005-08-30     Revised Date:  2011-08-18    
Medline Journal Info:
Nlm Unique ID:  9514583     Medline TA:  Int Urogynecol J Pelvic Floor Dysfunct     Country:  England    
Other Details:
Languages:  eng     Pagination:  187-90; discussion 190-1     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Cantonal Hospital Lucerne, Switzerland. kavenbaessler@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Humans
Middle Aged
Muscle Contraction*
Muscle, Skeletal / physiology
Pelvic Floor / physiology*
Pressure
Reproducibility of Results
Urethra / physiology*
Urinary Incontinence / complications,  diagnosis*
Urodynamics

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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