INTRODUCTION AND HYPOTHESIS: The pathophysiology of stress urinary incontinence (SUI) is multifactorial. The aim of this study was to explore the factor determining the symptom severity of SUI. METHODS: One hundred twenty-four women with SUI were retrospectively investigated. Clinical data for analyses included demographics, pelvic organ prolapse quantification, SUI severity using a 4-point Likert scale, ultrasound, 1-h pad tests, and urodynamic studies. Data were analyzed using the Spearman's rho test and Kruskal-Wallis test. RESULTS: The symptom severity was not correlated with risk factors of SUI or the morphologic manifestations representing urethral support defect, but was significantly correlated with urine loss on 1-h pad test, Valsalva leak point pressure (VLPP) grading, and maximum urethral closure pressure (MUCP). Women with higher SUI severity had greater urine loss on 1-h pad tests, worse VLPP grading, and lower MUCP. CONCLUSIONS: Urethral sphincter function appears to be an important determinant for the symptom severity of SUI.
INTRODUCTION AND HYPOTHESIS: The pathophysiology of stress urinary incontinence (SUI) is multifactorial. The aim of this study was to explore the factor determining the symptom severity of SUI. METHODS: One hundred twenty-four women with SUI were retrospectively investigated. Clinical data for analyses included demographics, pelvic organ prolapse quantification, SUI severity using a 4-point Likert scale, ultrasound, 1-h pad tests, and urodynamic studies. Data were analyzed using the Spearman's rho test and Kruskal-Wallis test. RESULTS: The symptom severity was not correlated with risk factors of SUI or the morphologic manifestations representing urethral support defect, but was significantly correlated with urine loss on 1-h pad test, Valsalva leak point pressure (VLPP) grading, and maximum urethral closure pressure (MUCP). Women with higher SUI severity had greater urine loss on 1-h pad tests, worse VLPP grading, and lower MUCP. CONCLUSIONS: Urethral sphincter function appears to be an important determinant for the symptom severity of SUI.
Authors: Paul Abrams; Linda Cardozo; Magnus Fall; Derek Griffiths; Peter Rosier; Ulf Ulmsten; Philip Van Kerrebroeck; Arne Victor; Alan Wein Journal: Urology Date: 2003-01 Impact factor: 2.649
Authors: Michael Albo; Lisa Wruck; Jan Baker; Linda Brubaker; Toby Chai; Kimberly J Dandreo; Ananias Diokno; Patricia Goode; Stephen Kraus; John W Kusek; Gary Lemack; Jerry Lowder; William Steers Journal: J Urol Date: 2007-05 Impact factor: 7.450
Authors: Jennifer L Melville; Elizabeth A Miller; Michael F Fialkow; Gretchen M Lentz; Jane L Miller; Dee E Fenner Journal: Am J Obstet Gynecol Date: 2003-07 Impact factor: 8.661
Authors: Chi Chiung Grace Chen; Christopher M Rooney; Marie Fidela R Paraiso; Steven D Kleeman; Mark D Walters; Mickey M Karram; Matthew D Barber Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2008-04-15
Authors: Christina Lewicky-Gaupp; John T Wei; John O L Delancey; Dee E Fenner; Edward J McGuire; Daniel M Morgan Journal: Am J Obstet Gynecol Date: 2008-10-30 Impact factor: 8.661
Authors: Amie Kawasaki; Jennifer M Wu; Cindy L Amundsen; Alison C Weidner; John P Judd; Ethan M Balk; Nazema Y Siddiqui Journal: Int Urogynecol J Date: 2012-03-09 Impact factor: 2.894
Authors: Chang Hee Kim; Tae Beom Kim; Jin Kyu Oh; Sang Jin Yoon; Khae Hawn Kim; Kwang Taek Kim Journal: Int Neurourol J Date: 2013-03-31 Impact factor: 2.835
Authors: D C Damasceno; Y K Sinzato; A Bueno; A O Netto; B Dallaqua; F Q Gallego; I L Iessi; S B Corvino; R G Serrano; G Marini; F Piculo; I M P Calderon; M V C Rudge Journal: J Diabetes Res Date: 2013-06-26 Impact factor: 4.011