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Reflex urethral instability.

British Journal of Urology

|May 1, 1978

Summary

This summary is machine-generated.

Reflex urethral relaxation causes urinary incontinence in patients with large residual urine volumes. This condition may be linked to bladder overdistension.

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Area of Science:

Urology
Nephrology

Background:

Urinary incontinence and large post-voiding residual urine volumes are common clinical findings.
The underlying mechanisms of incontinence in such cases require further elucidation.

Purpose of the Study:

To investigate the urodynamic basis of urinary incontinence in patients with large post-voiding residual urine volumes.
To explore the potential role of bladder overdistension in this condition.

Main Methods:

Urodynamic techniques were employed to study eleven patients presenting with incontinence and elevated post-voiding residual urine volumes.
Ancillary evidence was gathered to support the proposed etiological links.

Main Results:

Urodynamic findings identified reflex urethral relaxation as the primary cause of urinary incontinence in the studied cohort.

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Evidence suggested a probable association between this syndrome and bladder overdistension.

Conclusions:

Reflex urethral relaxation is a significant factor contributing to urinary incontinence in patients with large residual urine volumes.
Bladder overdistension is a likely contributing factor to the development of this urodynamic abnormality.