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Related Experiment Videos

Does the menstrual cycle influence cystometry?

S Shimonovitz1, A K Monga, S L Stanton

  • 1Hadassah University Hospital, Mount Scopus, Jerusalem, Israel.

International Urogynecology Journal and Pelvic Floor Dysfunction
|January 1, 1997
PubMed
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The menstrual cycle impacts bladder and urethra function. Cystometric diagnosis timing is crucial, as results vary significantly between the follicular and luteal phases, affecting diagnosis accuracy.

Area of Science:

  • Urogynecology
  • Reproductive Endocrinology

Background:

  • Hormonal changes during the menstrual cycle may affect lower urinary tract function due to shared embryological origins with genital tract.
  • Understanding these fluctuations is key for accurate urodynamic assessments.

Purpose of the Study:

  • To investigate the influence of the menstrual cycle on cystometric diagnosis outcomes.
  • To determine if specific phases of the menstrual cycle are associated with particular diagnostic findings.

Main Methods:

  • Retrospective case note review of 687 patients at a tertiary urogynecology center.
  • Analysis of cystometric data from 57 women with regular menstrual cycles, categorizing by symptom influence and cycle phase.

Main Results:

Related Experiment Videos

  • Normal cystometric diagnoses were more frequent in the luteal phase for both premenstrually influenced (45.5%) and uninfluenced (38.5%) groups.
  • Genuine stress incontinence and detrusor instability diagnoses were more common in the follicular phase.
  • Higher rates of normal diagnoses were observed in symptom-influenced patients (36.8%) versus uninfluenced (21%).

    • Conclusions:

    • The phase of the menstrual cycle can significantly influence cystometric diagnostic results.
    • The luteal phase may not be optimal for accurate diagnosis, particularly in patients whose symptoms fluctuate with their cycle.
    • Timing cystometric evaluation relative to the menstrual cycle is recommended for improved diagnostic accuracy.