PTU - Polskie Towarzystwo Urologiczne
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Article published in Urologia Polska 1998/51/1.


Andrzej Preisner, Piotr Radziszewski, Wojciech Szewczyk
I Katedra i Klinika Urologii ¦l±skiej AM w Katowicach
Kierownik Kliniki: dr hab. n. med. A. Preisner


urethra urethral pressure profilometry urinary incontinence


Objectives. This paper deals with the urethral pressure profilometry in the
different types of the female urinary incontinence.
Patients and methods. The study included 189 women in the age from 18
to 74 years (mean 45.8), who undergone urethral pressure profilometry in
laying position, during rest and when coughing.
Results. Urinary incontinence was proved and classified in 164 patients, in
121 (73.8%) it was classified as genuine stress incontinence, in 15 (9.1%) as
urge incontinence and in 28 (17.1%) as mixed urinary incontinence (stress
and urge incontinence). All pressure parameters, it means maximum urethral
pressure (Puramax) and urethral closure pressure (Puradiff) were the lowest in
stress and mixed urinary incontinence. Puramax was equal 50.8 ? 10.2 cm H2O and
41.2 ? 13.1 cm H2O, respectively, and Puradiff was equal to 39.2 ? 10.1 cm H2O and
29.8 ?12.7 cm H2O, respectively. The functional profile length was also significantly
shorter in stress and mixed urinary incontinence and was equal to 2.7 and 2.8 cm,
Conclusions. The types of urinary stress incontinence, including these
coexisting with urgency, are characterized by low urethral pressure parameters
and short functional profile length.
Urethral pressure profilometry, performed in the laying position, has the
limited value in the differential diagnostic of the female urinary incontinence.


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