Document Detail


Urethral pressure changes in response to squeeze: a population-based study in healthy and incontinent 53- to 63-year-old women.
MedLine Citation:
PMID:  14586362     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this study was to investigate the urethral pressure pattern during short squeezes in incontinent and healthy women before and after pelvic floor exercise and to correlate the findings with vaginal measurements. STUDY DESIGN: Sixty women with urinary incontinence and 28 healthy control subjects all aged 53 to 63 years were subject to urethral pressure measurements and vaginal palpation, pressure and surface electromyography measurements. Measurements were repeated after 4 months of pelvic floor exercise in the incontinent group. RESULTS: The appearance of the urethral pressure curve during a squeeze on a semiquantitative scale from 0 to 4, in the healthy group, was 2.2+/-0.3 and, in the incontinent group, was 1.5+/-0.2 (P<.0 5), rising to 2.2+/-0.2 after pelvic floor exercise (P<.01). The semiquantitative grading correlated with vaginal measurements. CONCLUSION: The increase of the urethral pressure in response to short squeeze is reduced significantly in incontinent women compared with healthy women of the same age and parity. A normalization was seen after pelvic floor exercise in the incontinent group.
Authors:
Pia M Teleman; Marianne Gunnarsson; Jonas Lidfeldt; Christina Nerbrand; Göran Samsioe; Anders Mattiasson
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  189     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2003 Oct 
Date Detail:
Created Date:  2003-10-30     Completed Date:  2003-12-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1100-5     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, University Hospital, Lund, Sweden.
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MeSH Terms
Descriptor/Qualifier:
Electromyography
Exercise Therapy
Female
Humans
Manometry
Middle Aged
Palpation
Pelvic Floor
Pressure
Urethra / physiopathology*
Urinary Incontinence / physiopathology*,  therapy
Urodynamics / physiology
Vagina / physiopathology

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


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