Uninhibited urethral relaxation: an unusual cause of incontinence.
Obstet Gynecol
; 68(5): 645-8, 1986 Nov.
Article
en En
| MEDLINE
| ID: mdl-3763077
ABSTRACT
Uninhibited urethral relaxation appears to be a clinically distinct cause of urinary incontinence. It was found in 11 of 534 incontinent women who had multichannel urodynamic evaluation, and in 2 of these it was the sole cause of incontinence. This diagnosis should only be made after careful scrutiny has ruled out a low pressure detrusor contraction, cough, valsalva, or heel bounce as the cause of the urethral relaxation. Because the majority of patients had a voiding mechanism that included a detrusor contraction, it is unlikely that uninhibited urethral relaxation represents a variant of detrusor instability in patients unable to generate a detrusor contraction. It most likely reflects an exaggeration of urethral instability due to relaxation of the smooth and/or striated urethral musculature.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Uretra
/
Incontinencia Urinaria
Límite:
Humans
Idioma:
En
Revista:
Obstet Gynecol
Año:
1986
Tipo del documento:
Article