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  • Title: Urethral retro-resistance pressure: association with established measures of incontinence severity and change after midurethral tape insertion.
    Author: Roderick T, Paul M, Christopher M, Douglas T.
    Journal: Neurourol Urodyn; 2009; 28(1):86-9. PubMed ID: 18671296.
    Abstract:
    AIMS: Our study explored the relationship between URP and established measures of incontinence severity. We also report on change in URP after insertion of midurethral tape (MUT). METHODS: All participants had incontinence secondary to urodynamic stress incontinence only. URP was measured using the Monitorr (Gynecare) device prior to and 3 months after MUT insertion. The following measures of incontinence severity were completed before and 3 months after insertion of MUT: 24-hour pad test; International Consultation on Incontinence Questionnaire for evaluating symptoms and impact of urinary incontinence; King's Health Questionnaire for evaluating disease-specific quality of life and a 3-day urinary dairy with episodes of incontinence recorded. RESULTS: Preoperative URP and measures of incontinence severity were available for 100 women. Mean URP bore no relationship to the severity of urine loss assessed by 24-hour pad loss. There was no correlation between URP and other measures of incontinence severity. Pre and postoperative URP was available in 73 women. Although 84.9% were objectively cure (24-hour pad test of <5 g) after surgery, pre and postoperative URP was not significantly different [62.7 (+/-19.4) cmH(2)O vs. 61.2 (+/-204) cmH(2)O; p = 0.57]. CONCLUSIONS: Urethral retro-resistance pressure is not a useful measure of urethral function.
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