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  • Title: Urodynamic findings in female patients with urinary incontinence with intrinsic sphincteric deficiency.
    Author: Vecchioli-Scaldazza C, Morosetti C.
    Journal: Med Sci Monit; 2006 Aug; 12(8):CR345-50. PubMed ID: 16865067.
    Abstract:
    BACKGROUND: The aim of the study was to evaluate differences in urodynamic findings in women with urinary incontinence between subjects with or without intrinsic sphincter deficiency (ISD). MATERIAL/METHODS: Sixty consecutive female patients with a history and urodynamically confirmed diagnosis of pure urinary incontinence were evaluated. Patients were divided into two groups according to their abdominal Valsalva leak-point pressure (AVLPP) values using a cutoff of 60 cm H(2)O: group A patients with AVLPP </=60 cm H(2)O and group B patients with AVLPP >60 cm H(2)O. RESULTS: Qmax and Qave in group A were higher than in group B; flow time was significantly shorter in group A than in group B. PVR in group A was lower than in group B. In pressure flow study, all detrusor findings in group A had a pressure value lower than in group B. MUCP in patients with AVLPP </=60 cm H(2)O was significantly lower than in group B, but the degrees of specificity and sensitivity in group A and B were 90% and 43.3%, respectively. CONCLUSIONS: The results of this study confirm a more efficient bladder emptying in patients with AVLPP </=60 cm H(2)O.
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