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Urodynamic findings in female patients with urinary incontinence with intrinsic sphincteric deficiency

Carlo Vecchioli-Scaldazza, Carolina Morosetti

Med Sci Monit 2006; 12(8): CR345-350

ID: 452860


Background:The aim of the study was to evaluate differences in urodynamic findings in women with urinary incontinence between subjects with or without intrinsic sphincter deficiency (ISD).
    
Material/Methods:    Sixty consecutive female patients with a history and urodynamically confirmed diagnosis of pure urinary incontinence were evaluated. Patients were divided into two groups according to their abdominal Valsalva leak-point pressure (AVLPP) values using a cutoff of 60 cm H[sub]2[/sub]O: group A patients with AVLPP ≤60 cm H[sub]2[/sub]O and group B patients with AVLPP >60 cm H[sub]2[/sub]O.
    
Results:    Qmax and Qave in group A were higher than in group B; flow time was significantly shorter in group A than in group B. PVR in group A was lower than in group B. In pressure flow study, all detrusor findings in group A had a pressure value lower than in group B. MUCP in patients with AVLPP ≤60 cm H2O was significantly lower than in group B, but the degrees of specificity and sensitivity in group A and B were 90% and 43.3%, respectively.
    
Conclusions:The results of this study confirm a more efficient bladder emptying in patients with AVLPP ≤60 cm H[sub]2[/sub]O.

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