Document Detail

Natural volume handwashing urethrocystometry: a physiological technique for the objective diagnosis of the unstable detrusor.
MedLine Citation:
PMID:  8349178     Owner:  NLM     Status:  MEDLINE    
A group of 163 patients attending with a naturally full bladder had urethrocystometric assessment during provocation with a handwashing test. The results were compared with those from a similar group of 169 patients who were subjected to a handwashing test following the infusion of 500 ml of saline with fast-fill cystometry. The latter group was found to have an unacceptably high number of false-positive results. Also, the results appear to indicate that urine loss due to uncontrolled detrusor contraction may be mainly due to premature activation of the micturition reflex. A fall in the intraurethral pressure was found in 79% and a rise in detrusor pressure in 49% of the patients presenting with a prior history of an unstable bladder. Natural urethrocystometry appears to be a useful and informative technique for objectively assessing patients with a prior history of bladder instability.
P E Petros; U Ulmsten
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Gynecologic and obstetric investigation     Volume:  36     ISSN:  0378-7346     ISO Abbreviation:  Gynecol. Obstet. Invest.     Publication Date:  1993  
Date Detail:
Created Date:  1993-09-16     Completed Date:  1993-09-16     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7900587     Medline TA:  Gynecol Obstet Invest     Country:  SWITZERLAND    
Other Details:
Languages:  eng     Pagination:  42-6     Citation Subset:  IM    
Department of Gynaecology, Royal Perth Hospital, W.A., Australia.
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MeSH Terms
False Positive Reactions
Middle Aged
Reflex / physiology
Urinary Bladder / physiopathology*
Urinary Incontinence / diagnosis*,  physiopathology
Urinary Incontinence, Stress / diagnosis*,  physiopathology
Urination / physiology
Urodynamics / physiology*

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