Skip to main content
SpringerLink
Log in

Évaluation urodynamique des résistances urétrales chez la femme

Urodynamic evaluation of urethral resistance in women

  • Pratique Médicale / Medical Practice
  • Published:
Pelvi-périnéologie

Résumé

Les fonctions urétrales peuvent être explorées par le Valsalva Leak Point Pressure et la mesure des pressions urétrales en profilométrie. Ces tests peuvent avoir un apport intéressant dans le diagnostic et l’évaluation pronostique préopératoire des incontinences urinaires à l’effort de la femme.

Abstract

Urethral function can be evaluated using Valsalva leak point pressure and sphincterometry. These assessments can help in diagnosing and determining a prognosis for urinary stress incontinence, especially before surgical intervention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Références

  1. Decter RM, Harpster L (1992) Pitfalls in determination of leak point pressure. J Urol 148: 588–91

    PubMed  CAS  Google Scholar 

  2. Bump RC, Elser DM, McClish DK (1993) Valsalva leak point pressure in adult women with genuine stress incontinence: reproducibility, effect of catheter caliber, and correlation with passive urethral pressure profilometry. Neurourol Urodyn 12: 307–08

    Google Scholar 

  3. Bump RC, Elser DM, Theofrastous JP, et al. (1995) Valsalva leak point pressures in women with genuine stress incontinence: reproducibility, effect of catheter caliber, and correlations with other measures of urethral resistance. Am J Obstet Gynecol 173: 551–57

    Article  PubMed  CAS  Google Scholar 

  4. Payne CK, Raz S, Babiarz JW (1994) The Valsalva leak point pressure in the evaluation of stress urinary incontinence: technical aspects of measurement. American Urological Association, San Francisco, 151, 478A, 1001, 14–19 May

    Google Scholar 

  5. Haab F, Amarenco G (1998) Méthodologie de réalisation du VLPP. Société internationale Francophone d’urodynamique (SIFUD), Lisbonne, 14–16 Mai

    Google Scholar 

  6. Haab F, Dmochowski R, Zimmern PE, et al. (1997) Variabilité du Valsalva leak point pressure en fonction du volume de remplissage de la vessie. Prog Urol 7: 422–25

    PubMed  CAS  Google Scholar 

  7. Miklos JR, Sze ED, Karram MM (1995) A critical appraisal of the methods of measuring leak point pressures in women with stress incontinence. Obstet Gynecol 8: 349–52

    Article  Google Scholar 

  8. Theofrastous JP, Cundiff GW, Harris RL, et al. (1996) The effects of increasing vesical volume on Valsalva leak point pressure in women with pure genuine stress urinary incontinence. Obstet Gynecol 87: 711–14

    Article  PubMed  CAS  Google Scholar 

  9. Petrou SP, Kollmorgen TA (1998) Valsalva leak point pressure and bladder volume. Neurourol Urodyn 17: 3–7

    Article  PubMed  CAS  Google Scholar 

  10. Walsh IK, Stone AR (2000) Cough versus Valsalva abdominal leak point pressure: which is the best? American Urological Association, Atlanta, 163, 265, A1175, 29 April–4 May

    Google Scholar 

  11. Song JT, Campo R, Chai TC, et al. (1995) Observer variability in stress leak point pressure measurement using fluorourodynamics. American Urological Association, Las Vegas, 153, 492A, 1056, 23–28 April

    Google Scholar 

  12. Haab F, Ciofu C, Pedron P, et al. (1997) Valsalva leak point pressure: un test pas toujours facile à mesurer, Société internationale francophone d’urodynamique, Annecy, p341, 15–17 Mai

  13. Heritz DM, Blaivas JG (1995) Reliability & specificity of the leak point pressure. American Urological Association, Las Vegas, 153, 492A, 1055, 23–28 April

    Google Scholar 

  14. McGuire EJ, Cespedes D, O’Connell HE (1996) Leak point pressure. Urol Clin North Am 23: 253–62

    Article  PubMed  CAS  Google Scholar 

  15. Usui A, McGuire EJ, O’Connell HE, et al. (1995) Abdominal leak point pressure in stress incontinence. American Urological Association, Las Vegas, 153, 493A, 1057, 23–28 April

    Google Scholar 

  16. McGuire EJ, Woodside JR, Borden TA (1981) Prognostic value of urodynamic testing in myelodysplastic children. J Urol 126: 205–09

    PubMed  CAS  Google Scholar 

  17. McGuire EJ, Fitzpatrick CC, Wan J, et al. (1993) Clinical assessment of urethral sphincter function. J Urol 150: 1452–54

    PubMed  CAS  Google Scholar 

  18. Nitti VW, Combs AJ (1996) Correlation of Valsalva leak point pressure with subjective degree of stress urinary incontinence in women. J Urol 155: 281–85

    Article  PubMed  CAS  Google Scholar 

  19. Sultana CJ (1995) Urethral closure pressure and leak-point pressure in incontinent women. Obstet Gynecol 86: 839–42

    Article  PubMed  CAS  Google Scholar 

  20. Swift SE, Ostergard DR (1995) A comparison of stress leak-point pressure and maximal urethral closure pressure in patients with genuine stress incontinence. Obstet Gynecol 85: 704–08

    Article  PubMed  CAS  Google Scholar 

  21. Theofrastous JP, Cundiff GW, Harrus RL, et al. (1995) The effects of increasing vesical volume on Valsalva leak point pressure (VLPP) in women with pure genuine stress urinary incontinence (GSI). Neurourol. Urodyn 14: 409–10

    Article  Google Scholar 

  22. Bump RC, Coates KW, Cundiff GW, et al. (1997) Diagnosing intrinsic sphincteric deficiency: comparing urethral closure pressure, urethral axis and Valsalva leak point pressures. Am J Obstet Gynecol 177: 303–10

    Article  PubMed  CAS  Google Scholar 

  23. Haab F, Ciofu C (2000) Place du Valsalva leak point pressure (VLPP) dans l’exploration de l’incontinence urinaire de la femme. In: Amarenco G, Serment G (ed.), L’insuffisance sphinctérienne de la femme. Elsevier, Paris, pp 143–52

    Google Scholar 

  24. Hermieu JF, Boccon-Gibod L (1999) Le Valsalva Leak Point Pressure (VLPP). RGO 6: 123–26

    Google Scholar 

  25. Bonney V (1923) On diurnal incontinence of urine in women. J Obst Gynec Brit Emp 30: 358–65

    Google Scholar 

  26. Awad SA, Downie JW (1976) Relative contribution of smooth muscles to the canine urethral pressure profile. Br J Urol 48: 347–54

    PubMed  CAS  Google Scholar 

  27. Hermieu JF (2000) Sphinctérométrie: techniques, paramètres, interprétation. In: Amarenco G, Serment G (ed.), L’insuffisance sphinctérienne de la femme. Elsevier, Paris, pp 121–36

    Google Scholar 

  28. Brown M, Wickham J (1969) The urethral pressure profile. Br J Urol 41: 211–17

    Article  PubMed  CAS  Google Scholar 

  29. Edwards L, Malvern J (1974) The urethral pressure profile: theoretical considerations and clinical applications. Br J Urol 46: 325–36

    PubMed  CAS  Google Scholar 

  30. Van Geelen JM, Doesburg WH, Martin CB (1984) Female urethral pressure profile; reproducibility, axial variation and effects of low dose oral contraceptives. J Urol 131: 394–98

    PubMed  Google Scholar 

  31. Susset J, Plante P, Servot-Viguier D (1977) Rôle du profil de pression uréthrale chez la femme dans l’évaluation de l’élasticité de l’urèthre et de différents traitements visant au contrôle de l’incontinence ou de la dysurie. J Urol Nephrol (Paris) 83(suppl 2): 563–70

    Google Scholar 

  32. Abrams P (1979) Perfusion urethral profilometry. Urol Clin North Am 6: 103–10

    PubMed  CAS  Google Scholar 

  33. Griffiths DJ (1973) The mechanics of the urethra and of micturition. Br J Urol 45: 497–507

    PubMed  CAS  Google Scholar 

  34. Karlson S (1953) Experimental studies on the function of female urinary bladder and urethra. Acta Obstet Gynecol Scand 32: 285–307

    PubMed  CAS  Google Scholar 

  35. Obrink A, Bunne G, Ulmsten U (1977) Intra-urethral and intravesical pressure in continent women. Acta Obstet Gynecol Scand 56: 525–29

    Article  PubMed  CAS  Google Scholar 

  36. Tanagho EA, Miller ER, Meyers FH, et al. (1966) Observations on the dynamics of the bladder neck. Br J Urol 38: 72–84

    PubMed  CAS  Google Scholar 

  37. Bhatia NN, Ostergard DR (1982) Urodynamics in women with stress urinary incontinence. Obstet Gynecol 60: 552–59

    PubMed  CAS  Google Scholar 

  38. Mayer R, Wells TJ, Brink CA, et al. (1994) Correlations between dynamic urethral profilometry and perivaginal muscle activity. Neurourol Urodyn 13: 227–35

    Article  PubMed  CAS  Google Scholar 

  39. Sorensen S (1992) Urethral pressure variations in healthy and incontinent women. Neurourol Urodyn 11: 549–91

    Article  Google Scholar 

  40. Toews HA (1967) Intraurethral and intravesical pressures in normal and stress incontinent women. Obstet Gynecol 29: 613–24

    PubMed  CAS  Google Scholar 

  41. Cadogan M, Awad S, Field C, et al. (1988) A comparison of the cough and standing urethral pressure profile in the diagnosis of stress incontinence. Neurourol Urodyn 7: 327–41

    Article  Google Scholar 

  42. Schussler B, Hesse U, Lentsch P, et al. (1987) Artefacts in urethrometry caused by marked genital prolapse. Neurourol Urodyn 6: 154–55

    Google Scholar 

  43. Iosif CS, Ingemarsson I (1980) Urodynamic studies in normal pregnancy and in puerperium. Am J Obstet Gynecol 137: 696–700

    PubMed  CAS  Google Scholar 

  44. Cotelle O (1983) Accouchement et incontinence urinaire. Rééducation urogynécologique post-natale. Thèse, Paris

  45. Aranda B, Letzt-Ribinik P (1991) Effect of voluntary attention on urethral pressure. Neurourol Urodyn 10: 571–78

    Article  Google Scholar 

  46. Bump RC, Huang KC, McClish DK, et al. (1991) Effect of narcotic anesthesia and skeletal muscle paralysis on passive and dynamic urethral function of stress continent and incontinent women. Neurourol Urodyn 10: 523–32

    Article  Google Scholar 

  47. Faysal MH, Constantinou CE, Rother LE, et al. (1981) The impact of bladder neck suspension on the resting and stress urethral pressure profile: a prospective study comparing controls with incontinent patients pre operatively and post operatively. J Urol 125: 55–60

    PubMed  CAS  Google Scholar 

  48. Shaw J (1991) Urethral pressure profile. In: Krane RJ, Siroky MB (ed.), Clinical Neuro-Urology. Little, Brown and Company, Boston, pp 185–99

    Google Scholar 

  49. Reid RE, Laor E, Tiola BM, et al. (1985) Intraoperative profilometry. J Urol 133: 203–04

    PubMed  CAS  Google Scholar 

  50. Henriksson L, Ulmsten U, Andersson KE (1977) The effect of changes of posture on the urethral closure pressure in healthy women. Scand J Urol Nephrol 11: 201–06

    Article  PubMed  CAS  Google Scholar 

  51. Colstrup H (1985) Voluntary contractions in the female urethra. J Urol 134: 902–06

    PubMed  CAS  Google Scholar 

  52. Bruskewitz R, Raz S (1979) Urethral pressure profile using microtip captheter in females. Urology 14: 303–07

    Article  PubMed  CAS  Google Scholar 

  53. Plante P, Susset J (1980) Studies of female urethral pressure profile. Part I. The normal urethral pressure profile. J Urol 123: 64–9

    PubMed  CAS  Google Scholar 

  54. Plante P (1987) L’uréthromanométrie. In: Buzelin JM, Richard F, Susset J (ed.), Physiologie et pathologie de la dynamique des voies urinaires. FIIS, Paris, pp 184–90

    Google Scholar 

  55. Plevnik S, Janez J (1983) Urethral pressure variations. Urology 21: 207–09

    Article  PubMed  CAS  Google Scholar 

  56. Blaivas JG, Chancellor MB (1996) Urethral pressure profiles. In: Blaivas JG, Chancellor MB (ed.), Atlas of urodynamics. Williams — & Wilkins, Baltimore, pp 77–87

    Google Scholar 

  57. Mac Guire EJ (1995) Urodynamic evaluation of stress incontinence. Urol Clin N Amer 22: 551–55

    Google Scholar 

  58. Richardson DA (1986) Value of the cough pressure profile in the evaluation of patients with stress incontinence. Am J Obstet Gynecol 155: 808–11

    PubMed  CAS  Google Scholar 

  59. Weil A, Reyes H, Bischoff P (1984) Modifications of the urethral rest and stress profiles after different types of surgery for urinary stress incontinence. Br J Obstet Gynaecol 91: 46–55

    PubMed  CAS  Google Scholar 

  60. Enhorning G (1961) Simultaneous recording of intravesical and urethral pressure. A study on urethral closure in normal and stress incontinent women. Acta Chir Scand 276: 1–68

    Google Scholar 

  61. Bump RC, Copeland WE, Hurt WG, et al. (1988) Dynamic urethral pressure profilometry pressure transmission ratio determinations after continence surgery: understanding the mechanism of success, failure, and complications. Am J Obst Gynecol 159: 749–55

    CAS  Google Scholar 

  62. Heidler H, Wolk H, Jonas U (1979) Urethral closure mechanism under stress conditions. Eur Urol 5: 110–12

    PubMed  CAS  Google Scholar 

  63. Beco J, Serilas M, Schaaps JP (1988) « Toux maximale » et pression de clôture résiduelle: leur importance dans le bilan urodynamique Sifud (montréal), 26–29 Mai

  64. Richardson DA, Ramahi A (1993) Reproducibility of pressure transmission ratios in stress incontinent women. Neurourol Urodyn 12: 123–30

    Article  PubMed  CAS  Google Scholar 

  65. Constantinou CE (1988) Urethrometry: considerations of static, dynamic, and stability characteristics of the female urethra. Neurourol Urodyn 7: 521–39

    Article  Google Scholar 

  66. Constantinou CE (1985) Resting and stress urethral pressures as a clinical guide to the mechanism of continence in the female patient. Urol Clin North Am 12: 247–58

    PubMed  CAS  Google Scholar 

  67. Cundiff GW, Harris RL, Theofrastous JP, et al. (1997) Pressure transmission ratio reproducibility in stress continent and stress incontinent women. Neurourol Urodyn 16: 161–66

    Article  PubMed  CAS  Google Scholar 

  68. Amarenco G, Le Cocquen A, Bosc S, et al. (1996) Reproductibiliité DT intra et interexaminateur du calcul de ratio de transmission chez les femmes incontinentes à l’effort. Société internationale francophone d’urodynamique, Marrakech, 1996, 11–13 Avril

    Google Scholar 

  69. Schick E (1994) Regarding « reproducibility of pressure transmission ratios in stress incontinent women ». Neurourol Urodyn 13: 81–83

    Article  PubMed  CAS  Google Scholar 

  70. Meyer S, de Grandi P, Caccia G, et al. (1997) Pressure transmission ratio: is it a reliable parameter in increased urethrovesical junction mobility. Neurourol Urodyn 16: 277–84

    Article  PubMed  CAS  Google Scholar 

  71. Constantinou CE, Govan DE (1982) Spatial distribution and timing of transmitted and reflexly generated urethral pressure in healthy women. J Urol 127: 964–69

    PubMed  CAS  Google Scholar 

  72. Rosenzweig BA, Bhatia NN, Nelson AL (1991) Dynamic urethral pressure profilometry pressure transmission ratio: what do the numbers really mean? Obstet Gynecol 77: 586–90

    PubMed  CAS  Google Scholar 

  73. Bergman A, Ballard CA, Koonings PP (1989) Comparison of three different surgical procedures for genuine stress incontinence: prospective randomized study. Am J Obstet Gynecol 160: 1102–06

    PubMed  CAS  Google Scholar 

  74. Abrams P, Blaivas JG, Stanton SL, et al. (1988) Standardisation of terminology of lower urinary tract function. Neurourol Urodyn 7: 403–27

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinique urologique, CHU Bichat, 46, rue Henri-Huchard, F-75018, Paris, France

    J. -F. Hermieu

Authors
  1. J. -F. Hermieu
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to J. -F. Hermieu.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hermieu, J.F. Évaluation urodynamique des résistances urétrales chez la femme. Pelv Perineol 2, 99–104 (2007). https://doi.org/10.1007/s11608-007-0104-6

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11608-007-0104-6

Mots clés

Keywords

Search

Navigation