title: Can intrinsic sphincter deficiency be diagnosed by urodynamics?
abstract: Intrinsic sphincter deficiency (ISD) is a pathologic condition that is diagnosed by using urodynamics to measure Valsalva leak point pressure and maximal urethral closure pressure. The diagnosis can be difficult to reach given natural discrepancies in these values in women of different age groups and with varying degrees of incontinence. By standardizing urodynamic methodologies and interpretations to better diagnosis women with ISD, it may be possible to improve preoperative planning and outcomes for these patients treated surgically with synthetic midurethral slings.
authors: Division of Urology, Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors: Lisa M
authors: LM
authors: Parrillo
authors: Division of Urology, Department of Surgery, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA; Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104, USA.
authors: Parvati
authors: P
authors: Ramchandani
authors: Division of Urology, Department of Surgery, Perelman School of Medicine, 800 Walnut Street, Floor 19, Philadelphia, PA 19104, USA. Electronic address: Ariana.smith@uphs.upenn.edu.
authors: Ariana L
authors: AL
authors: Smith
mesh_terms: D006801:Humans; D008279:Magnetic Resonance Imaging; D017773:Pelvic Floor / Q000503:physiopathology; D011312:Pressure; D019919:Prosthesis Implantation / Q000379:methods; D015203:Reproducibility of Results; D053825:Suburethral Slings; D014521:Urethra / Q000503:physiopathology; D014550:Urinary Incontinence, Stress / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D014563:Urodynamics
keywords: Intrinsic sphincter deficiency; Maximal urethral closure pressure; Stress urinary incontinence; Urodynamics; Valsalva leak point pressure