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Urethral pressure response patterns induced by squeeze in continent and incontinent women

International Urogynecology Journal volume 18, pages 1027–1031 (2007)Cite this article

Abstract

Our aim was to compare the urethral pressure response pattern to pelvic floor muscle contractions in 20–27 years old, nulliparous continent women (n = 31) to that of continent (n = 28) and formerly untreated incontinent (n = 59) (53–63 years old) women. These women underwent urethral pressure measurements during rest and repeated pelvic muscle contractions. The response to the contractions was graded 0–4. The young continent women showed a mean urethral pressure response of 2.8, the middle-aged continent women 2.2 (NS vs young continent), and the incontinent women 1.5 (p < 0.05 vs middle-aged continent, p < 0.001 vs young continent). Urethral pressures during rest were significantly higher in the younger women than in both groups of middle-aged women. The decreased ability to increase urethral pressure on demand seen in middle-aged incontinent women compared to continent women of the same age as well as young women seems to be a consequence of a neuromuscular disorder rather than of age.

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Affiliations

  1. Department of Obstetrics and Gynecology, Clinical Sciences, University Hospital, 221 85, Lund, Sweden

    Pia M. Teleman

  2. Department of Urology, Clinical Sciences, University Hospital, Lund, Sweden

    Anders Mattiasson

Authors
  1. Pia M. Teleman
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  2. Anders Mattiasson
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Correspondence to Pia M. Teleman.

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Teleman, P.M., Mattiasson, A. Urethral pressure response patterns induced by squeeze in continent and incontinent women. Int Urogynecol J 18, 1027–1031 (2007). https://doi.org/10.1007/s00192-006-0284-6

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  • DOI: https://doi.org/10.1007/s00192-006-0284-6

Keywords

  • Urethral pressure response
  • Pelvic floor muscle contraction
  • Urinary incontinence
  • External urethral sphincter