Active opening out of the urethra and the Valentini–Besson–Nelson mathematical model: response to comment by Petros and Bush
We thank Dr. Petros and Dr. Bush for their interest in our paper  and the VBN model and would like to offer the following comments:
1. Dr Petros and Dr Bush  show a deep understanding of the Valentini–Besson–Nelson (VBN) mathematical micturition model. Active opening of the urethra is a reality but it is not included in the current version of the VBN model.
2. Our aim is to try to include that phenomenon in the next version of the model. We think that active opening of the urethra could probably be simulated by a negative compression of the urethra. That is the first test to do.
3. We think that active opening cannot explain the abnormal decrease of the maximum flow rate induced by the catheter. The observed effect is similar to an increase of the urethral obstruction; active opening would lead to a decrease of the urethral obstruction and thus an increased maximum flow rate.
4. We have just begun the study of the high flow rate–low detrusor pressure voidings which are fr ...
- Valentini FA, Robain G, Hennebelle DS, Nelson PP (2013) Decreased maximum flow rate during intubated flow is not only due to urethral catheter in situ. Int Urogynecol J 24:461–467 CrossRef
- Petros PEP, Bush M (2013) Active opening out of the urethra questions the basis of the Valentini–Besson–Nelson mathematical model. Int Urogynecol J. doi:10.1007/s00192-013-2128-5
- Active opening out of the urethra and the Valentini–Besson–Nelson mathematical model: response to comment by Petros and Bush
International Urogynecology Journal
Volume 24, Issue 9 , p 1587
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