Abstract
The American Urological Association has published guidelines for the surgical management of female stress urinary incontinence (1). According to these guidelines, the objective demonstration of stress urinary incontinence should be documented prior to initiating surgical therapy. This can be accomplished with physical examination (filling the bladder and observing stress incontinence with cough or Valsalva maneuver) or with urodynamic testing. This chapter reviews the various urodynamic techniques used to assess the presence and severity of female stress urinary incontinence.
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Leach GE, Dmochowski RR, Appell RA, et al. Female Stress Urinary Incontinence Clinical Guidelines Panel summary report on surgical management of female stress urinary incontinence. J Urol 1997;158: 875–880.
McGuire EJ, Fitzpatrick CC, Wan J, et al. Clinical assessment of urethral sphincter function. J Urol 1993;150(5 pt 1):1452–1454.
Stiltberg H, Larsson G, Victor A. Reproducibility of a new method to determine cough-induced leak-point pressure in women with stress urinary incontinence. Int Urogynecol J 1996;7:13–19.
Bump RC, Elser DM, McClish DK. Valsalva leak point pressures in adult women with genuine stress urinary incontinence: reproducibility, effect of catheter caliber, and correlations with passive urethral pressure profilometry. Neurourol Urodyn 1993;12:307–308.
Rud T, Andersson KE, Asmussen M, Hunting A, Ulmsten U. Factors maintaining the intraurethral pressure in women. Invest Urol 1980;17:343–347.
Bonney V. On diurnal incontinence of urine in women. J Obstet Gynaecol Br Emp 1923;30:358–365.
Lose G, Griffiths D, Hosker G, et al. Standardisation of urethral pressure measurement: report from the Standardisation Sub-Committee of the International Continence Society. Neurourol Urodyn 2002;21:258–260.
Weber AM. Is urethral pressure profilometry a useful diagnostic test for stress urinary incontinence? Obstet Gynecol Surv 2001;56:720–735.
Bump RC, Copeland WE, Jr, Hurt WG, Fantl JA. Dynamic urethral pressure/profilometry pressure transmission ratio determinations in stress-incontinent and stress continent subjects. Am J Obstet Gynecol 1988;159:749–755.
Slack M, Culligan P, Tracey M, Hunsicker K, Patel B, Sumeray M. Relationship of urethral retroresistance pressure to urodynamic measurements and incontinence severity. Neurourol Urodyn 2004; 23:109–114.
Slack M, Tracey M, Hunsicker K, Godwin A, Patel B, Sumeray M. Urethral retro-resistance pressure: a new clinical measure of urethral function. Neurourol Urodyn 2004;23:656–661.
Diokno AC, Dimaculangan RR, Lim EU, Steinert BW. Office based criteria for predicting type II stress incontinence without further evaluation studies. J Urol 1991;161:1263–1267.
Weber AM, Taylor RJ, Wei JT, Lemack G, Piedmonte MR, Walters MD. The cost-effectiveness of preoperative testing (basic office assessment vs urodynamics) for stress urinary incontinence in women. BJU Int 2002;89:356–363.
Liapis A, Bakas P, Salamalekis E, Botsis D, Creatsas G. Tension-free vaginal tape (TVT) in women with low urethral closure pressure. Eur J Obstet Gynecol Reprod Biol 2004;116:67–70.
Paick JS, Ku JH, Shin JW, Son H, Oh S, Kim SW. Tension-free vaginal tape procedure for urinary incontinence with low Valsalva leak point pressure. J Urol 2004;172:1370–1373.
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© 2007 Humana Press Inc., Totowa, NJ
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Maxwell, K.M., Clemens, J.Q. (2007). Urodynamic Evaluation of Female Stress Urinary Incontinence. In: Goldman, H.B., Vasavada, S.P. (eds) Female Urology. Current Clinical Urology. Humana Press. https://doi.org/10.1007/978-1-59745-368-4_4
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DOI: https://doi.org/10.1007/978-1-59745-368-4_4
Publisher Name: Humana Press
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