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[Are age and urodynamic data correlated in women with stress urinary incontinence (SUI)?]
F A Valentini1, G M Audonnet, P P Nelson
1Laboratoire d'urodynamique et de neuro-physiologie vésicale, UPRES 2393, université Paris 6, service de rééducation, hôpital Jean-Rostand, 39-41, rue Jean Le Galleu, 94200 , Ivry-sur-Seine, France
Purpose:
Our aim was to evaluate the impact of age on lower urinary tract function in women by means of urodynamics and modelized analysis of the recorded free uroflow curves.
Material And Methods:
One hundred and fifty three women (age range: [30-93 years]; 6 decades A to F) with only SUI complaint underwent a urodynamic evaluation which included initial free uroflow, urethral pressure profile, cystometry and final free uroflow at bladder functional capacity. Modelized analysis was performed using the VBN mathematical micturition model; from comparison between recorded and computerized theoretical flow curves this model allows to determine two characteristic parameters: one of urethral obstruction and one of detrusor efficiency.
Results:
No age-related changes were found in bladder capacity, peak flow rate in the first void and post residual volume. A significant increase of peak flow rate was noted in the second void for D and older. Bladder compliance decreased only from E. As usually described a decrease with age of the maximum urethral closure pressure occurred while the functional urethral length decreased only from E. A flat distribution of the VBN parameters was observed.
Discussion-Conclusion:
This study shows the absence of age-associated changes in both urodynamic data and VBN parameters in a population of women with SUI and without any other disease. These findings reinforce the idea that chronological age does not strongly correlate with the physiological status.