Urodynamic findings in female patients with urinary incontinence with intrinsic sphincteric deficiency.
BACKGROUND
The aim of the study was to evaluate differences in urodynamic findings in women with urinary incontinence between subjects with or without intrinsic sphincter deficiency (ISD).


METHODS
Sixty consecutive female patients with a history and urodynamically confirmed diagnosis of pure urinary incontinence were evaluated. Patients were divided into two groups according to their abdominal Valsalva leak-point pressure (AVLPP) values using a cutoff of 60 cm H(2)O: group A patients with AVLPP </=60 cm H(2)O and group B patients with AVLPP >60 cm H(2)O.


RESULTS
Qmax and Qave in group A were higher than in group B; flow time was significantly shorter in group A than in group B. PVR in group A was lower than in group B. In pressure flow study, all detrusor findings in group A had a pressure value lower than in group B. MUCP in patients with AVLPP </=60 cm H(2)O was significantly lower than in group B, but the degrees of specificity and sensitivity in group A and B were 90% and 43.3%, respectively.


CONCLUSIONS
The results of this study confirm a more efficient bladder emptying in patients with AVLPP </=60 cm H(2)O.
Vecchioli-Scaldazza
Carlo
C
Divisions of Urology, Jesi Hospital, Jesi, Italy. cascave@alice.it
Morosetti
Carolina
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D014521:Urethra / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology*; D014556:Urine / Q000502:physiology; D014563:Urodynamics