[Anamnestic, clinical and urodynamic comparative data from a group of patients with urinary stress incontinence].
Two hundred and seventy seven patients presenting genuine USI were divided into 3 groups based on a positive history for USI (group I), positive history and clinic for USI (group II), and positive history, clinic and urethral profile of USI (group III). When compared to a group of women without USI, the values for the FL and MUCP diminish progressively from group I to group III, giving evidence of increasingly severe impairment of the muscular-elastic environment in the urethra. Only in group III is the transmission factor (F) reduced, attesting a loosening/distension of the posterior pubo-urethral ligaments. The tonomeric values calculated for the patients with recurring USI following previous surgical correction (group IV) are comparable to values for group III. A scoring of severity of USI is proposed serving as a basis for establishing the criteria determining the indication for surgery and the post-operative prognosis before an intervention to correct USI is undertaken.
Meyer
S
S
Département de Gynécologie-Obstétrique, CHU Vaudois, Suisse.
de Grandi
P
P
D005260:Female; D006801:Humans; D008487:Medical History Taking; D010808:Physical Examination; D011379:Prognosis; D012720:Severity of Illness Index; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D014563:Urodynamics
Données anamnestiques cliniques et tonométriques comparées d'un collectif de patientes souffrant d'incontinence d'effort.