| The effect of anterior vaginal wall prolapse on urethral pressure profile. | |
| | |
MedLine Citation:
|
PMID: 12853094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To evaluate whether anterior vaginal wall prolapse will cause a decrease in urethral pressure. METHODS: Two hundred ninety-four patients with uterovaginal prolapse served as study cases. In addition, 127 patients without uterovaginal prolapse were included as controls. The urethral pressure profile measurement was performed using a microtransducer and the fluid-bridge method with the patient in the lithotomy position. The parameters of the urethral pressure profile and its associated variables were compared between the control and study groups. RESULTS: The proximal portion of urethral pressure and the resting and stress urethral closure pressures in women with anterior vaginal wall prolapse were significantly lower than those of the control group. An indentation segment (or a plateau pressure zone) in the proximal portion of the urethral pressure profile curve was noted in patients with anterior vaginal wall prolapse, especially for stage I (64.2%) and stage II (73.0%). Anterior vaginal wall prolapse and genuine stress incontinence had a statistically significant odds ratio for predicting the presence of an indentation segment (or a plateau pressure zone) in the proximal portion of the urethral pressure profile curve (1.58 and 3.19, respectively). CONCLUSIONS: An indentation segment (or a plateau pressure zone) of the proximal portion of the urethral pressure profile curve was observed in most of our patients with anterior vaginal wall prolapse. Defects in the anterior vaginal wall supports may attenuate the proximal urethral support, and these defects will contribute to a reduction in the proximal urethral pressure. |
| | |
Authors:
|
Gin Den Chen; YiChing Chen; Hong Shen Lee; Long Yau Lin |
Related Documents
:
|
16720034 - In situ determination of solidosity profiles during activated sludge electrodewatering. 7647804 - Estimation of the lag time between detrusor pressure- and flow rate-signals. 8516984 - Bellevue pouch: ileocolonic continent urinary reservoir. 17296404 - Transurethral sphincterotomy provides significant relief in autonomic dysreflexia in sp... 22409774 - Is blood pressure reduction a valid surrogate endpoint for stroke prevention? an analys... 17361194 - Detecting white coat and reverse white coat effects in clinic settings using measures o... |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of the Society for Gynecologic Investigation Volume: 10 ISSN: 1071-5576 ISO Abbreviation: J. Soc. Gynecol. Investig. Publication Date: 2003 Jul |
Date Detail:
|
Created Date: 2003-07-10 Completed Date: 2004-03-19 Revised Date: 2004-11-17 |
Medline Journal Info:
|
Nlm Unique ID: 9433806 Medline TA: J Soc Gynecol Investig Country: United States |
Other Details:
|
Languages: eng Pagination: 309-13 Citation Subset: IM |
Affiliation:
|
Department of Obstetrics and Gynecology, Chung Shan Medical University, Taichung, Taiwan |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Catheterization Female Humans Menopause Middle Aged Parity Pressure Transducers, Pressure Urethra / physiopathology* Urodynamics Uterine Prolapse / complications*, physiopathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Equine estrogens differentially prevent neuronal cell death induced by glutamate.
Next Document: Impact of haemoglobin levels on the outcome of cancers treated with chemotherapy.