Mechanisms of continence during raised intra-abdominal pressure.
Patients undergoing Stamey endoscopic bladder neck suspension were investigated urodynamically to ascertain the contribution of passive and active components in the maintenance of continence. Transmission of pressure to the proximal urethra was improved by the procedure even under muscular paralysis. This suggests that passive effects due to intra-abdominal replacement of the urethra are most significant.
Department of Urology, Ham Green Hospital, Bristol.
J A
JA
Massey
R S
RS
Anderson
P
P
Abrams
D000005:Abdomen / Q000503:physiopathology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000777:Anesthetics; D005260:Female; D006801:Humans; D008875:Middle Aged; D009466:Neuromuscular Blocking Agents / Q000494:pharmacology; D011312:Pressure; D014521:Urethra / Q000187:drug effects / Q000503:physiopathology* / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000503:physiopathology* / Q000601:surgery; D014563:Urodynamics
D000777:Anesthetics; D009466:Neuromuscular Blocking Agents