[New aspects of the Heidenreich and Beck perfusion method in urodynamics. II: Effect of examination position on parameters of urethral pressure profile].
The perfusion urethrotonometry was used in this study in 34 patients both in lying and upright position as paired comparisons. The following problems could be solved: 1. Using the complex urodynamic unit of the authors examinations are possible in vertical position successfully. 2. The urethral pressure profiles are equivalent qualitatively in both examination positions. 3. The analysis of the profiles of both positions on principles demonstrates the same valuation. In case of incontinence the relevant parameters for diagnosis (functional length of urethra in stress profile, electronically registered urethral closure pressure in stressful situation, transmission and depression factor and stress quotient) show clearer in the upright position than in the lying one. In continent women the change of position has no significant influence. If the criteria in lying position are not well defined, the urethral pressure profile in upright position should be done as additional examination.
D005260:Female; D006801:Humans; D008297:Male; D008365:Manometry / Q000295:instrumentation*; D010477:Perfusion / Q000295:instrumentation; D011187:Posture; D014521:Urethra / Q000503:physiopathology; D014546:Urinary Catheterization / Q000295:instrumentation*; D014549:Urinary Incontinence / Q000175:diagnosis* / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000175:diagnosis; D014563:Urodynamics
Neue Aspekte der Perfusionsmethode nach Heidenreich und Beck in der Urodynamik. Teil II: Der Einfluss der Untersuchungsposition auf die Parameter des Urethradruck-Profils.