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The correlation of urethral resistance pressure with maximum urethral closure pressure and stress incontinence
Annette Kuhn1, Peter Kuhn, Ekkehard Dreher
1Department of Urogynaecology, Frauenklinik, Inselspital Bern, Switzerland. annette.kuhn@insel.ch
Objective:
Aim of the study was to correlate urethral retro resistance pressure with the maximum urethral closure pressure (MUCP) and functional urethral length (FUL) in patients with urinary incontinence and healthy individuals.
Study Design:
Two hundred and twenty patients with the complaint of urinary incontinence had a urodynamic examination including urethral pressure profiles and URP. Additionally, 15 healthy individuals without the complaint of any incontinence had their URP and urethral pressure profiles measured. The correlation of MUCP, FUL and URP were calculated using Graph Pad Instat 4.0 for windows.
Results:
URP correlates well with the diagnosis of urodynamic stress incontinence. Correlation coefficient between URP and MUCP is 0.9262. Healthy individuals have significantly higher values for URP and MUCP.
Conclusion:
URP is a valuable less invasive test than conventional urethral function tests for the diagnosis of urodynamic incontinence with an excellent correlation of MUCP and URP.
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