Document Detail


A comparison of periurethral blood flow resistive indices and urethral closure pressure of incontinent women.
MedLine Citation:
PMID:  16520891     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study correlated Doppler resistive indices (RIs) with maximum urethral closure pressures (MUCPs) in women with stress urinary incontinence. We hypothesized that urethral blood flow would be inversely correlated to urethral closure pressures. Fifty-three women underwent spectral Doppler waveform analyses of periurethral vasculature to calculate RI. Urethral morphology including pubovesicular length (PVL) with and without cough was measured. MUCPs were obtained according to International Continence Society guidelines. Physical exam and history were also obtained. Correlation coefficients were calculated for comparisons of Doppler measurements and closure pressures. Fifty patients were required to detect a difference between no correlation and a modest correlation of 0.38 with 80% power and alpha of 0.05. Significance is set at p<0.05. Measurements were reproducible between Doppler waveforms and MUCP measurements (all p=NS). RI was not correlated with age, parity, MUCP, Incontinence Impact Questionnaire-7 scores, urethral length, or urethral width (all p=NS). RI and MUCP were likewise not associated with history of diabetes, hypertension, or anterior vaginal prolapse to or beyond the hymen (all p=NS). MUCP was negatively correlated with age (r=-0.33, p=0.01) even when controlled for hormonal status (ANCOVA, p=0.003) and positively correlated with urethral/bladder neck diameter (r=27, p=0.05), PVL (r=0.30, p=0.03), and PVL with cough (r=0.36, p=0.009).
Authors:
Rebecca Hall; Satkirin Kkhalsa; Clifford Qualls; Rebecca G Rogers
Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2006-03-07
Journal Detail:
Title:  International urogynecology journal and pelvic floor dysfunction     Volume:  17     ISSN:  -     ISO Abbreviation:  Int Urogynecol J Pelvic Floor Dysfunct     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-07-27     Completed Date:  2007-01-17     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:  472-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics-Gynecology, Division of Urogynecology, University of New Mexico Health Sciences Center, Albuquerque, NM, USA. rjhall@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Female
Humans
Middle Aged
Regional Blood Flow
Ultrasonography, Doppler
Urethra / blood supply*,  physiopathology*,  ultrasonography
Urinary Incontinence / physiopathology*

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