Advertisement

International Urogynecology Journal

, Volume 15, Issue 3, pp 194–197 | Cite as

Correlation between valsalva leak point pressure and maximal urethral closure pressure in women with stress urinary incontinence

  • Paulo Cezar FeldnerJr
  • Leonardo Robson Pinheiro Sobreira Bezerra
  • Rodrigo Aquino de Castro
  • Marair Gracio Ferreira Sartori
  • Edmund Chada Baracat
  • Geraldo Rodrigues de Lima
  • Manoel João Batista Castello Girão
Original Article

Abstract

This study analyzed the relationship between valsalva leak point pressure (VLPP) and maximal urethral closure pressure (MUCP) in women with stress urinary incontinence. One hundred sixty-one patients were selected with diagnosis of mixed or stress urinary incontinence. During urodynamics we measured VLPP and MUCP. Patients were gathered according to VLPP and analysis of variance (ANOVA) was performed. Pearson’s correlation coefficient and linear regression were also utilized. The group with VLPP under 60 cm H2O had mean MUCP of 44.5 cm H20; the group with VLPP between 60 and 90 cm H2O had mean MUCP of 54.3 cm H2O; and the group with VLPP over 90 cm H2O had mean MUCP of 60.1 cm H2O. We observed correlation between MUCP and VLPP when we used Pearson’s correlation coefficient (r=0.22) and linear regression (p<0.05). There was weak correlation between MUCP and VLPP, and MUCP was significantly lower in patients with leak point pressure inferior to 60 cm H2O.

Keywords

Maximal urethral closure pressure Urinary incontinence VLPP 

References

  1. 1.
    Bump RC, Coates KW, Cundiff GW, Harris RL, Weidner AC (1997) Diagnosing intrinsic sphincteric deficiency: comparing urethral closure pressure, urethral axis and Valsalva leak point pressures. Am J Obstet Gynecol 177:303–310PubMedGoogle Scholar
  2. 2.
    Haab F, Zimmern PE, Leach GE (1996) Female stress urinary due to intrinsic sphincteric deficiency: recognition and management. J Urol 156:3–17CrossRefPubMedGoogle Scholar
  3. 3.
    McGuire EJ, Fitzpatrick CC, Wan J, Bloom D, Ritchey M, Gormeley EA (1993) Clinical assement of urethral sphincter function. J Urol 150:1452–1454PubMedGoogle Scholar
  4. 4.
    McGuire EJ, Woodside JR, Borden TA, Weiss RM (1981) Prognostic value of urodynamic testing in myelodysplastic patients. J Urol 126:205–209PubMedGoogle Scholar
  5. 5.
    Horbach NS, Ostergard DR (1994) Predicting intrinsic urethral sphincter dysfunction in women with stress incontinence. Obstet Gynecol 84:188–192PubMedGoogle Scholar
  6. 6.
    Swift SE, Ostergard DR (1995) A comparison of stress-leak point pressure and maximal urethral closure pressure in patients with stress incontinence. Obstet Gynecol 85:704–708CrossRefPubMedGoogle Scholar
  7. 7.
    Abrams P, Cardozo L, Fall M, et al (2002) The standardisation of terminology of lower urinary tract function: report from the Standardisation Subcommittee of the International Continence Society. Neurourol Urodyn 21:167–178CrossRefPubMedGoogle Scholar
  8. 8.
    Sand PK, Bowen LW, Panganiban R, Ostergard DR (1987) The low pressure urethra as a factor in failed retropubic urethropexy. Obstet Gynecol 69:399–402Google Scholar
  9. 9.
    Appell RA (1997) Sphincter insufficiency: testing and treatment. Curr Opin Urol 7:197–199Google Scholar
  10. 10.
    Ostergard DR, Bent AE (eds) (1996) Urogynecology and urodynamics: theory and practice, 4th edn. Williams & Wilkins, BaltimoreGoogle Scholar
  11. 11.
    Sultana CJ (1995) Urethral closure pressure and leak-point pressure in incontinent women. Obstet Gynecol 86:839–842CrossRefPubMedGoogle Scholar
  12. 12.
    Theofrastous JP, Bump RC, Elser DM, Wyman RN, McClish DK (1995) Correlation of urodynamic measures of urethral resistance with clinical measures of incontinence severity in women with pure genuine stress incontinence. Am J Obstet Gynecol 173:407–414PubMedGoogle Scholar
  13. 13.
    Bump RC, Elser DM, Theofrastous JP (1995) Valsalva leak point pressure in women with genuine stress incontinence: reproducibility, effect of catheter caliber, and correlations with others measures of urethral resistence. Am J Obstet Gynecol 173:551–557PubMedGoogle Scholar
  14. 14.
    Payne CK, Raz S, Barbiaz JW (1994) The Valsalva leak point pressure in the evaluation of stress urinary incontinence: technical aspects of measurement. J Urol 151:478–452Google Scholar
  15. 15.
    Rud T (1980) The effects of estrogens of the urethral pressure profile in urinary continence and stress incontinent women. Acta Obstet Gynec Scand 59:265–270PubMedGoogle Scholar

Copyright information

© International Urogynecological Association 2004

Authors and Affiliations

  • Paulo Cezar FeldnerJr
    • 1
  • Leonardo Robson Pinheiro Sobreira Bezerra
    • 1
  • Rodrigo Aquino de Castro
    • 1
  • Marair Gracio Ferreira Sartori
    • 1
  • Edmund Chada Baracat
    • 1
  • Geraldo Rodrigues de Lima
    • 1
  • Manoel João Batista Castello Girão
    • 1
  1. 1.Section of Urogynecology and Pelvic SurgeryDepartment of Gynecology of Federal University of São PauloSão PauloBrazil

Personalised recommendations