Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-76fb5796d-5g6vh Total loading time: 0 Render date: 2024-04-27T19:38:57.901Z Has data issue: false hasContentIssue false

Chapter 10 - The Assessment of Urethral Function

Supplementary Investigations

Published online by Cambridge University Press:  10 April 2020

By
Ivilina Pandeva  and
Mark Slack
Edited by
Ranee Thakar ,
Philip Toozs-Hobson  and
Lucia Dolan
Ranee Thakar
Affiliation:
Croydon University Hospital
Philip Toozs-Hobson
Affiliation:
Birmingham Women’s Hospital
Lucia Dolan
Affiliation:
Belfast City Hospital
Get access

Summary

The urethra is a complex organ essential for the maintenance of urinary continence. It has always been suggested that as long as the urethral pressure exceeds the one generated by the bladder, continence is maintained. This is a plausible explanation when the patient is at rest but cannot fully explain how this pressure differential is maintained during periods of raised intra-abdominal pressure.

Type
Chapter
Information
Manual of Urodynamics for Gynaecologists , pp. 79 - 84
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

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(3):258–60.CrossRefGoogle ScholarPubMed
Wan, J, McGuire, EJ, Bloom, DA, et al. Stress leak point pressure: a diagnostic tool for incontinent children. J Urol. 1993;150(2 Pt 2):700–2.CrossRefGoogle ScholarPubMed
Slack, M, Culligan, P, Tracey, M, et al. Relationship of urethral retro-resistance pressure to urodynamic measurements and incontinence severity. Neurourol Urodyn. 2004;23(2):109–14.Google Scholar
Slack, M, Tracey, M, Hunsicker, K, et al. Urethral retro-resistance pressure: a new clinical measure of urethral function. Neurourol Urodyn. 2004;23(7):656–61.Google ScholarPubMed
Kohorn, EI, Scioscia, AL, Jeanty, P, et al. Ultrasound cystourethrography by perineal scanning for the assessment of female stress urinary incontinence. Obstet Gynecol. 1986;68(2):269–72.Google ScholarPubMed
Denson, L, Shobeiri, SA. Three-dimensional endovaginal sonography of synthetic implanted materials in the female pelvic floor. J Ultrasound Med. 2014;33(3):521–9.CrossRefGoogle ScholarPubMed
van Veelen, A, Schweitzer, K, van der Vaart, H. Ultrasound assessment of urethral support in women with stress urinary incontinence during and after first pregnancy. Obstet Gynecol. 2014;124(2 Pt 1):249–56.CrossRefGoogle ScholarPubMed
Dietz, HP. Pelvic floor ultrasound: a review. Am J Obstet Gynecol. 2010;202(4):321–34.Google Scholar
Dietz, HP. Ultrasound imaging of the pelvic floor. Part I: two-dimensional aspects. Ultrasound Obstet Gynecol. 2004;23(1):80–92.CrossRefGoogle ScholarPubMed
Lose, G, Colstrup, H, Saksager, K, et al. New probe for measurement of related values of cross-sectional area and pressure in a biological tube. Med Biol Eng Comput. 1986;24(5):488–92.CrossRefGoogle Scholar

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×