2016, Number 1
<< Back Next >>
An Med Asoc Med Hosp ABC 2016; 61 (1)
Urodynamic parameters in women with dysfunctional voiding and overactive pelvic floor muscles. Evidence in the pressure-flow study
Solano SSR, Maldonado MEP
Language: Spanish
References: 14
Page: 20-24
PDF size: 318.94 Kb.
ABSTRACT
Background: Dysfunctional voiding is characterized by an intermittent and/or fluctuating urinary flow due to involuntary intermittent contractions of the periurethral striated or levator muscles during voiding in neurologically normal women. The aim of this study is to determine if an evaluation of the pelvic floor muscles in women with dysfunctional voiding symptoms may help to make clinical decisions as conducting a urodynamic study.
Method: Cross-sectional and analytical design to compare the urodynamic parameters obtained during the pressure-flow study in women with and without overactive pelvic floor muscles and the urodynamic parameters obtained in women with and without dysfunctional voiding.
Results: We studied 90 women. The statistical technique t-test for independent samples was used. The behavior of the pelvic floor muscles showed statistically significant differences among the groups.
Conclusion: Surface pelvic floor electromyography is a noninvasive test to initially assess women with dysfunctional voiding; however, it does not replace the multichannel urodynamic study.
REFERENCES
Karmakar D, Sharma JB. Current concepts in voiding dysfunction and dysfunctional voiding: A review from a urogynaecologist’s perspective. J Midlife Health. 2014; 5 (3): 104-110.
González MI, Flores O, Velázquez PI, Martínez CJ, Márquez R, Aquino JL. Prevalencia de disfunción de vaciado vesical y hallazgos clínico-urodinámicos en dos unidades uroginecológicas. Ginecol Obstet Mex. 2005; 73: 596-603.
Haylen BT, de Ridder D, Freeman RM, Swift SE, Berghmans B, Lee J et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010; 21 (1): 5-26.
Faubion SS, Shuster LT, Bharucha AE. Recognition and management of nonrelaxing pelvic floor dysfunction. Mayo Clin Proc. 2012; 87 (2): 187-193.
Solano SR, Maldonado EP. Efecto de la estimulación nerviosa eléctrica transcutánea en el piso pélvico evaluada mediante trazo electromiográfico en mujeres con dispareunia superficial antes y después del tratamiento. An Med. 2015; 60 (2): 104-109.
Glazer HI, Romanzi L, Polaneczky M. Pelvic floor muscle surface electromyography. Reliability and clinical predictive validity. J Reprod Med. 1999; 44 (9): 779-782.
Stephen BH, Steven MC, Warren SB. Diseño de investigaciones clínicas. 3.a ed. Barcelona: Lippincott, Williams & Wilkins; 2008: 73-95.
De Oliveira E, Robson-Pinheiro L, Poli M, Takano CC, De Aquino R, Ferreira MG et al. Parâmetros da urofluxometria e do estudo fluxo/pressão em pacientes uroginecológicas. Rev Assoc Med Bras. 2008; 54 (2): 139-141.
Babu R, Gopinath V. Role of uroflowmetry with electromyography in the evaluation of children with lower urinary tract dysfunction. Indian J Urol. 2015; 31 (4): 354-357.
Faasse MA, Nosnik IP, Diaz-Saldano D, Hodgkins KS, Liu DB, Schreiber J et al. Uroflowmetry with pelvic floor electromyography: inter-rater agreement on diagnosis of pediatric non-neurogenic voiding disorders. J Pediatr Urol. 2015; 11 (4): 198.e1-6.
Gärtner M, Krhut J, Juráková M, Bajsová S, Navrátilová M, Němec D et al. Intraindividual variability of uroflowmetry in women. Ceska Gynekol. 2014; 79 (4): 321-325.
Krhut J, Gärtner M, Sýkora R, Hurtík P, Burda M, Luňáček L et al. Comparison between uroflowmetry and sonouroflowmetry in recording of urinary flow in healthy men. Int J Urol. 2015; 22 (8): 761-765.
Gärtner M, Krhut J, Zvarová K, Juráková M, Navrátilová M, Zvara P. Importance of uroflowmetry in lower urinary tract symptoms diagnostics. Ceska Gynekol. 2015; 80 (3): 204-209.
Mueller ER, Litman H, Rickey LR, Sirls L, Norton P, Wilson T et al. Comparison of flow rates and voided volumes during non-instrumented uroflowmetry and pressure-flow studies in women with stress incontinence. Neurourol Urodyn. 2015; 34 (6): 549-553.