Urodynamic and ultrasound characteristics of incontinence after radical hysterectomy

Susanne Maigaard Axelsen, Karl Moeller Bek, Lone Kjeld Petersen

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Resumé

AIMS: To test whether symptoms of urinary incontinence after radical hysterectomy could be objectified with urodynamics and ultrasound.

METHODS: This case-control study comprised 100 women who underwent radical hysterectomy for cervical cancer without post-operative radiotherapy. Fifty women reporting urinary incontinence were matched with 50 women reporting continence. All women were assessed with ultrasound of the bladder neck movements and urodynamics.

RESULTS: No differences were found in ultrasound or urodynamic findings regarding mobility of the bladder neck, maximal detrusor pressure, post-voiding residual urine, flow of urine, or bladder capacity. A significant reduction in urethral pressure at rest and at contraction among the incontinent women was, however, demonstrated. Among urge-incontinent women, urethral pressure at rest was significantly lower than among continent and stress-incontinent women, respectively. Stress-incontinent women had significantly lower urethral pressure at contraction than did urge-incontinent and continent women.

CONCLUSIONS: No differences in urodynamic or ultrasound findings were observed between the two groups, except for an overall difference in the intraurethral pressure. A decrease in the urethral pressure could contribute to the characterization of incontinence after radical hysterectomy, indicating that the urethral sphincter mechanism plays a role in the pathophysiology. In this study design, the mobility of the bladder neck did not play any role.

OriginalsprogEngelsk
TidsskriftNeurourology and Urodynamics
Vol/bind26
Udgave nummer6
Sider (fra-til)794-9
Antal sider6
ISSN0733-2467
DOI
StatusUdgivet - 2007

Fingeraftryk

Urodynamics
Urine
Urethra
Uterine Cervical Neoplasms
Case-Control Studies

Citer dette

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title = "Urodynamic and ultrasound characteristics of incontinence after radical hysterectomy",
abstract = "AIMS: To test whether symptoms of urinary incontinence after radical hysterectomy could be objectified with urodynamics and ultrasound.METHODS: This case-control study comprised 100 women who underwent radical hysterectomy for cervical cancer without post-operative radiotherapy. Fifty women reporting urinary incontinence were matched with 50 women reporting continence. All women were assessed with ultrasound of the bladder neck movements and urodynamics.RESULTS: No differences were found in ultrasound or urodynamic findings regarding mobility of the bladder neck, maximal detrusor pressure, post-voiding residual urine, flow of urine, or bladder capacity. A significant reduction in urethral pressure at rest and at contraction among the incontinent women was, however, demonstrated. Among urge-incontinent women, urethral pressure at rest was significantly lower than among continent and stress-incontinent women, respectively. Stress-incontinent women had significantly lower urethral pressure at contraction than did urge-incontinent and continent women.CONCLUSIONS: No differences in urodynamic or ultrasound findings were observed between the two groups, except for an overall difference in the intraurethral pressure. A decrease in the urethral pressure could contribute to the characterization of incontinence after radical hysterectomy, indicating that the urethral sphincter mechanism plays a role in the pathophysiology. In this study design, the mobility of the bladder neck did not play any role.",
keywords = "Adult, Aged, Atrophy, Cesarean Section/statistics & numerical data, Delivery, Obstetric/statistics & numerical data, Female, Humans, Hysterectomy/adverse effects, Middle Aged, Postoperative Complications/physiopathology, Pregnancy, Ultrasonography, Urinary Bladder/diagnostic imaging, Urinary Bladder, Overactive/physiopathology, Urinary Incontinence/diagnostic imaging, Urodynamics/physiology, Uterine Prolapse/physiopathology",
author = "Axelsen, {Susanne Maigaard} and Bek, {Karl Moeller} and Petersen, {Lone Kjeld}",
note = "(c) 2007 Wiley-Liss, Inc.",
year = "2007",
doi = "10.1002/nau.20431",
language = "English",
volume = "26",
pages = "794--9",
journal = "Neurourology and Urodynamics",
issn = "0733-2467",
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Urodynamic and ultrasound characteristics of incontinence after radical hysterectomy. / Axelsen, Susanne Maigaard; Bek, Karl Moeller; Petersen, Lone Kjeld.

I: Neurourology and Urodynamics, Bind 26, Nr. 6, 2007, s. 794-9.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Urodynamic and ultrasound characteristics of incontinence after radical hysterectomy

AU - Axelsen, Susanne Maigaard

AU - Bek, Karl Moeller

AU - Petersen, Lone Kjeld

N1 - (c) 2007 Wiley-Liss, Inc.

PY - 2007

Y1 - 2007

N2 - AIMS: To test whether symptoms of urinary incontinence after radical hysterectomy could be objectified with urodynamics and ultrasound.METHODS: This case-control study comprised 100 women who underwent radical hysterectomy for cervical cancer without post-operative radiotherapy. Fifty women reporting urinary incontinence were matched with 50 women reporting continence. All women were assessed with ultrasound of the bladder neck movements and urodynamics.RESULTS: No differences were found in ultrasound or urodynamic findings regarding mobility of the bladder neck, maximal detrusor pressure, post-voiding residual urine, flow of urine, or bladder capacity. A significant reduction in urethral pressure at rest and at contraction among the incontinent women was, however, demonstrated. Among urge-incontinent women, urethral pressure at rest was significantly lower than among continent and stress-incontinent women, respectively. Stress-incontinent women had significantly lower urethral pressure at contraction than did urge-incontinent and continent women.CONCLUSIONS: No differences in urodynamic or ultrasound findings were observed between the two groups, except for an overall difference in the intraurethral pressure. A decrease in the urethral pressure could contribute to the characterization of incontinence after radical hysterectomy, indicating that the urethral sphincter mechanism plays a role in the pathophysiology. In this study design, the mobility of the bladder neck did not play any role.

AB - AIMS: To test whether symptoms of urinary incontinence after radical hysterectomy could be objectified with urodynamics and ultrasound.METHODS: This case-control study comprised 100 women who underwent radical hysterectomy for cervical cancer without post-operative radiotherapy. Fifty women reporting urinary incontinence were matched with 50 women reporting continence. All women were assessed with ultrasound of the bladder neck movements and urodynamics.RESULTS: No differences were found in ultrasound or urodynamic findings regarding mobility of the bladder neck, maximal detrusor pressure, post-voiding residual urine, flow of urine, or bladder capacity. A significant reduction in urethral pressure at rest and at contraction among the incontinent women was, however, demonstrated. Among urge-incontinent women, urethral pressure at rest was significantly lower than among continent and stress-incontinent women, respectively. Stress-incontinent women had significantly lower urethral pressure at contraction than did urge-incontinent and continent women.CONCLUSIONS: No differences in urodynamic or ultrasound findings were observed between the two groups, except for an overall difference in the intraurethral pressure. A decrease in the urethral pressure could contribute to the characterization of incontinence after radical hysterectomy, indicating that the urethral sphincter mechanism plays a role in the pathophysiology. In this study design, the mobility of the bladder neck did not play any role.

KW - Adult

KW - Aged

KW - Atrophy

KW - Cesarean Section/statistics & numerical data

KW - Delivery, Obstetric/statistics & numerical data

KW - Female

KW - Humans

KW - Hysterectomy/adverse effects

KW - Middle Aged

KW - Postoperative Complications/physiopathology

KW - Pregnancy

KW - Ultrasonography

KW - Urinary Bladder/diagnostic imaging

KW - Urinary Bladder, Overactive/physiopathology

KW - Urinary Incontinence/diagnostic imaging

KW - Urodynamics/physiology

KW - Uterine Prolapse/physiopathology

U2 - 10.1002/nau.20431

DO - 10.1002/nau.20431

M3 - Journal article

VL - 26

SP - 794

EP - 799

JO - Neurourology and Urodynamics

JF - Neurourology and Urodynamics

SN - 0733-2467

IS - 6

ER -