Aortic occlusion and lower extremity exercise induced stress urinary incontinence.
An unusual case of intermittent stress urinary incontinence associated with lower extremity exercise in a patient with aortoiliac occlusive disease is reported. Preoperative noninvasive vascular testing revealed severe compromise of lower extremity and pelvic blood flow. Fluoroscopically guided preoperative urodynamic evaluation without exercise revealed a competent urethral sphincter mechanism that became incompetent following exercise sufficient to induce claudication. The claudication and exercise-induced incontinence resolved after aortobifemoral bypass, and postoperative urodynamic studies were normal.
Swierzewski
S J
SJ
Department of Surgery, University of Michigan Hospitals, Ann Arbor.
McGuire
E J
EJ
Podrazik
R M
RM
Stanley
J C
JC
D000368:Aged; D001012:Aorta, Abdominal; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D001157:Arterial Occlusive Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D015444:Exercise; D006801:Humans; D007083:Iliac Artery; D007383:Intermittent Claudication / Q000209:etiology*; D008297:Male; D011859:Radiography; D014521:Urethra / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000209:etiology*; D014563:Urodynamics / Q000502:physiology