Abstract
Nine women with primary ovarian failure, who were having their artificial menstrual cycles manipulated with physiological levels of estrogen and high doses of progesterone, were entered into the study. They filled in urinary symptom questionnaires and had urodynamic investigations in the two phases of treatment: estrogen and progesterone, and estrogen alone. The number of voids per 24 hours was significantly greater in the progesterone phase, as was the end filling pressure on cystometry. This is the first report in the literature of the effects of high-dose progesterone on the lower urinary tract.
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References
Clow WM. Effect of posture on bladder and urethral function in normal pregnancy. Urol Int 1975;30:9–15
Cutner A, Cardozo LD, Benness CJ. Assessment of urinary symptoms in early pregnancy. Br J Obstet Gynaecol 1991;98:1283–1286
Benness C, Gangar K, Cardozo L, Cutner A, Whitehead M. Do progestagens exacerbate urinary incontinence in women on HRT? Neurourol Urodyn 1991;10:315–316
Wall LL, Warrell DW. Detrusor instability associated with menstruation. Case report. Br J Obstet Gynaecol 1989;96:737–738
Sorensen S, Knudsen UB, Kirkeby HJ, Djurhuus JC. Urodynamic investigations in healthy fertile females during the menstrual cycle. Scand J Urol Nephrol 1988; Suppl 114:28–34
Abrams P, Blaivas JG, Stanton SL, Anderson JT. The standardization of terminology of lower urinary tract function. Int Urogynecol J 1990:1:45–58
Sorensen SS, Nielsen, JB, Norgaard JP, Knudsen LM, Djurhuus JC. Changes in bladder volumes with repetition of water cystometry. Urol Res 1984;12:205–208
Cass AS, Ward BD, Markland C. Comparison of slow and rapid fill cystometry using liquid and air. J Urol 1970;104:104–106
Ramsden PD, Smith JC, Pierce JM, Ardran GM. The unstable bladder — fact or artefact? Br J Urol 1977;49:633–639
Benness CJ, Barnick CG, Cardozo L. Is there a place for routine videocystourethrography in the assessment of lower urinary tract function? Neurourol Urodyn 1989;8:299–300
Wein AJ, Hanno PM, Dixon DO, Raezer D, Benson GS. The reproducibility and interpretation of carbon dioxide cystometry. J Urol 1978;120:205–206
Jensen D. Pharmacological studies of the uninhibited neurogenic bladder. 1. The influence of repeated filling and various filling rates on the cystometrogram of neurological patients with normal and uninhibited neurogenic bladder. Acta Neurol Scand 1981:64:145–174
Awad SA, McGinnis RH. Factors that influence the incidence of detrusor instability in women. J Urol 1983;130:114–115
Sorensen S, Knudsen UB, Kirkeby HJ, Djurhuus JC. Urodynamic investigations in healthy fertile females during the menstrual cycle. Scand J Urol Nephrol 1988; Suppl 114:28–34
Sorensen S, Gregersen H, Sorensen SM. Long-term reproducibility of urodynamic investigations in healthy fertile females. Scand J Urol Nephrol 1988; Suppl 114:35–41
Sorensen S. Urodynamic investigations and their reproducibility in healthy postmenopausal females. Scand J Urol Nephrol 1988; Suppl 114:42–47
Raz S, Zeiger M, Adoni A. Hormonal environment and uterine response to epinephrine. Am J Obstet Gynecol 1971;111:345–349
Raz S, Zeigler M, Caine M. Hormonal influence on the adrenergic receptors of the ureter. Br J Urol 1972;44:405–410
Roberts JM, Insel PA, Goldfien RD, Goldfien A. Alpha receptors but not beta receptors increase in rabbit uterus with estrogen. Nature 1977;270:624–625
Hodgson BJ, Dumas S, Bolling DR, Heesch CM. Effect of estrogen on sensitivity of rabbit bladder and urethra to phenylephrine. Invest Urol 1978;16:67–69
Levin RM, Shofer FS, Wein AJ. Estrogen-induced alterations in the autonomic responses of the rabbit urinary bladder. J Pharmacol Exp Ther 1980;215:614–618
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Cutner, A., Burton, G., Cardozo, L.D. et al. Does progesterone cause an irritable bladder?. Int Urogynecol J 4, 259–261 (1993). https://doi.org/10.1007/BF00372731
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DOI: https://doi.org/10.1007/BF00372731