Navegando por Palavras-chave "urinary stress incontinence"

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    Parâmetros da urofluxometria e do estudo fluxo/pressão em pacientes uroginecológicas
    (Assoc Medica Brasileira, 2008-03-01) Oliveira, Emerson de [UNIFESP]; Bezerra, Leonardo Robson Pinheiro Sobreira [UNIFESP]; Araujo, Maíta Poli de [UNIFESP]; Takano, Claudia Cristina [UNIFESP]; Castro, Rodrigo de Aquino [UNIFESP]; Sartori, Marair Gracio Ferreira [UNIFESP]; Baracat, Edmund Chada [UNIFESP]; Girão, Manoel João Batista Castello [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE. The purpose was to evaluate urine flow rates in an urodynamic study (US) of patients with symptoms of lower urinary tract dysfunction and to record effects of final urodynamic diagnosis and age on these variables.METHODS. Retrospective analysis of 205 women who had undergone urogynecological investigation, Patients were divided Into three age groups: A (< 45 years), B (45 - 60 years) and C(> 60 years). Comportment of urine flow rates and opening detrusor pressure with increasing age were studied and resulting charts recorded Comparison of maximum and average urine flow rates, opening detrusor pressure and detrusor pressure at the maximal flow according to final urodynamic diagnostic were also made.RESULTS. There was a decline of urine flow rates with increase of age, which was more significant between groups A X C and B X C There was also a decline in opening detrusor pressure with aging, which was significant between groups A X C When analyzing opening detrusor pressure according to final urodynamic diagnosis, a significant decline of this variable was observed in patients with urinary stress incontinence and intrinsic sphincter deficiency in relation to those who were asymptomatic.CONCLUSION. Urine flow rates decreased with age. Women with urinary stress incontinence and intrinsic sphincter deficiency void at a lower detrusor pressure.
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    Ultrasonographic and Doppler velocimetric evaluation of the levator ani muscle in premenopausal women with and without urinary stress incontinence
    (Elsevier B.V., 2007-08-01) Oliveira, Emerson; Castro, Rodrigo A.; Takano, Cldudia C.; Bezerra, Leonardo R. P. S.; Sartori, Marair G. F.; Lima, Geraldo R.; Baracat, Edmund C.; Girao, Manoel J. B. C.; Universidade Federal de São Paulo (UNIFESP)
    Objectives: the objective was to evaluate the cross-sectional area (CSA) and the Doppler velocimetric parameters of the levator am muscle vessels in premenopausal women with and without urinary stress incontinence.Study design: Sixty-three premenopausal women constituted three groups: GI (nulliparous), GII (continent multiparous), and Gill (incontinent multiparous). the patients had undergone transperineal ultrasound in which the CSA was measured and Doppler velocimetry was performed. the examination was repeated by a second observer using the same procedure.Results: There was a statistically significant correlation between the measurements of the observers I and II regarding all the parameters studied, except for the A/B ratio in Gill. the CSA was significantly greater in GI and GII than in Gill. As far as Doppler velocimetry is concerned there were no differences in the Doppler velocimetric indices among the three groups. Concerning the absent end diastolic shift, it was observed that there was a significantly greater incidence of such findings in GI + GII (continent women) towards GIII (incontinent women).Conclusions: the CSA evaluation and the Doppler velocimetry of the levator ani muscle vessels were highly reproducible. the CSA was higher in continent women and the frequency of the absent end diastolic shift was higher in incontinent women. (C) 2006 Elsevier Ireland Ltd. All rights reserved.