Sex differences in the determination of abdominal leak point pressure in patients with intrinsic sphincter deficiency.
OBJECTIVE
We determined the effect of a urethral catheter on abdominal leak point pressure in men and women with intrinsic sphincter deficiency.


METHODS
A total of 21 consecutive men treated with prostatectomy and 19 women with intrinsic sphincter deficiency underwent abdominal leak point pressure measurements with a rectal catheter before and after removal of a 10F urethral catheter.


RESULTS
Of the 19 women 2 had leakage only when the urethral catheter was removed, while 17 had excellent correlation between abdominal leak point pressures before and after catheter removal (r = 0.83). In contrast, 10 of 21 men had leakage only when the urethral catheter was removed and 11 had weak correlation between abdominal leak point pressures before and after catheter removal (r = 0.46).


CONCLUSIONS
An indwelling 10F urethral catheter is much more likely to invalidate abdominal leak point pressure measurement in men than in women with intrinsic sphincter deficiency.
Flood
H D
HD
Division of Urology, University of Pittsburgh Medical Center, Pennsylvania, USA.
Alevizatos
C
C
Liu
J L
JL
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011312:Pressure; D012727:Sex Characteristics; D014521:Urethra; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000503:physiopathology*