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Clinical Evaluation of Urinary Incontinence
Nidhi Sharma1, Sudakshina Chakrabarti1
1Departments of Obstetrics and Gynaecology and Anatomy, Saveetha Medical College, Saveetha University, Chennai, Tamil Nadu, India.
Journal of Mid-Life Health
|July 3, 2018
Summary
Pelvic organ prolapse involves pelvic floor organ descent, affecting many women. Understanding its anatomy and urodynamic testing guides effective management strategies.
Area of Science:
- Urogynecology
- Anatomy
- Physiology
Background:
- Pelvic organ prolapse (POP) is the descent of pelvic floor organs.
- Prevalence ranges from 3-6%, reaching 50% with vaginal examination definition.
- Anatomical and physiological control of continence is complex.
Purpose of the Study:
- To elaborate on the anatomical concepts of pelvic support structures.
- To discuss the physiological mechanisms of urinary continence.
- To explain the role of clinical and urodynamic tests in POP assessment and management.
Main Methods:
- Review of anatomical concepts including pelvic diaphragm and vaginal attachments.
- Discussion of autonomic and voluntary continence control mechanisms.
- Explanation of various clinical and urodynamic tests: uroflowmetry, cystometry, urethral pressure profile, postvoid urine measurement, leak point pressure (LPP) test, video urodynamic tests, and pelvic floor electromyography.
Main Results:
- Detailed anatomical descriptions of pelvic support are provided.
- Autonomic and voluntary continence mechanisms are elucidated.
- The diagnostic utility of multiple urodynamic tests for guiding POP management is explained.
Conclusions:
- A comprehensive understanding of pelvic anatomy and continence physiology is crucial.
- Urodynamic testing is integral to the assessment and management of pelvic organ prolapse.
- Clinical and urodynamic evaluations guide effective treatment strategies for POP.
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