Changes in the lower urinary tract in continent women and in women with stress urinary incontinence, according to menopausal status

Changes in the lower urinary tract in continent women and in women with stress urinary incontinence, according to menopausal status

Autor Wakavaiachi, VMB Google Scholar
Girao, MJBC Google Scholar
Sartori, MGF Google Scholar
Baracat, E. C. Google Scholar
Lima, G. R. de Google Scholar
Novo, N. F. Google Scholar
Instituição Universidade Federal de São Paulo (UNIFESP)
Resumo The aim of this study was to assess the impact of the postmenopausal period on clinical and urodynamic parameters and on the mobility of the bladder neck in continent women and in women with stress urinary incontinence. Fifty-seven postmenopausal women were studied: 30 were continent and 27 had stress urinary incontinence. They were subdivided according to postmenopausal stage into groups A (<5 years) and B (>5 years). Five years was a good marker to separate those women with mild and severe estrogen deficiency. Fifteen premenopausal incontinent women were selected for bladder neck ultrasound as controls. All underwent history, general physical and gynecologic examinations, LH and FSH determinations, type 1 urine and uroculture, circadian voiding diary, cotton-swab test, bladder neck ultrasound and urodynamic investigations. Analysis of the voiding diaries revealed a higher frequency of daytime micturition in both groups of incontinent patients than in the continent ones. Increased bladder neck mobility was also found, both in the cotton-swab test and an ultrasound, in group A and an ultrasound in the premenopausal incontinent women. Urodynamic investigation showed decreased bladder capacity at the first micturition urge, as well as decreased urinary volume in the group A patients compared to the continent ones. Decreased urethral closure maximum pressure was also found in group B patients in relation to the continent ones. We concluded that the effect of hypoestrogenism, manifested postmenopause, causes changes in the lower urinary tract of women, particularly those who are incontinent.
Palavra-chave hypoestrogenism
menopause
stress urinary incontinence
Idioma Inglês
Data de publicação 2001-06-01
Publicado em International Urogynecology Journal and Pelvic Floor Dysfunction. Godalming: Springer-verlag London Ltd, v. 12, n. 3, p. 156-160, 2001.
ISSN 0937-3462 (Sherpa/Romeo, fator de impacto)
Publicador Springer
Extensão 156-160
Fonte http://dx.doi.org/10.1007/s001920170057
Direito de acesso Acesso restrito
Tipo Artigo
Web of Science WOS:000169705600003
Endereço permanente http://repositorio.unifesp.br/handle/11600/26566

Exibir registro completo




Arquivo

Arquivo Tamanho Formato Visualização

Não existem arquivos associados a este item.

Este item está nas seguintes coleções

Buscar


Navegar

Minha conta