[Urethrovesical morphology in continent women in spinal anesthesia].
OBJECTIVE
To assess the influence of spinal anesthesia on bladder neck position and a clinical stress test in continent women.


METHODS
In a prospective investigation, 14 women underwent urodynamic, sonographic and clinical assessment during spinal anesthesia. Results were compared to those obtained immediately preoperatively in the same patient.


RESULTS
During spinal anesthesia, the bladder neck was found to be located significantly lower and more posterior, and in 4/7 parous patients (0/7 nullipara) the clinical stress test was positive.


CONCLUSIONS
These data provide additional evidence for the importance of neuromuscular function in the etiology of pelvic floor dysfunction and genuine stress incontinence.
D000328:Adult; D000775:Anesthesia, Spinal; D005260:Female; D006801:Humans; D008875:Middle Aged; D009469:Neuromuscular Junction / Q000187:drug effects / Q000503:physiopathology; D010298:Parity; D017773:Pelvic Floor / Q000294:innervation / Q000503:physiopathology; D001743:Urinary Bladder / Q000187:drug effects / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000503:physiopathology; D014563:Urodynamics / Q000187:drug effects* / Q000502:physiology
Urethrovesikale Morphologie bei kontinenten Frauen in Spinalanästhesie.