SciELO - Scientific Electronic Library Online

 
vol.63 número3Cólico nefrítico en el servicio de urgencias: Estudio epidemiológico, diagnóstico y etiopatogénico índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Servicios Personalizados

Articulo

Indicadores

Links relacionados

  • En proceso de indezaciónCitado por Google
  • No hay articulos similaresSimilares en SciELO
  • En proceso de indezaciónSimilares en Google

Compartir


Archivos Españoles de Urología (Ed. impresa)

versión impresa ISSN 0004-0614

Resumen

RICCI, Paolo; SOLA, Vicente  y  PARDO, Jack. Occult urinary incontinence in women with severe prolapse evidenced by a minimally invasive test. Arch. Esp. Urol. [online]. 2010, vol.63, n.3, pp.188-194. ISSN 0004-0614.

Objectives: To evaluate the urodynamic changes when a severe cystocele is correct by a vaginal valve to identify occult urinary incontinence. Method: Prospective study in 70 women at the Urogynecology and Vaginal Surgery Unit, in Clínica Las Condes. Inclusion Criteria: Symptomatic cystocele degree III or IV. Exclusion criteria: antecedent of incontinence and/o genital prolapse surgery; presence of urinary incontinence symptoms. In all patients the urethra retroresistance pressure was measured by a non-multichannel urodynamic test with and without cystocele reduction by a vaginal Bresky valve. Additionally a cystometry was realized. Results: In all patients the URP was normal when the severe cystocele was not reduced. When the severe cystocele was reduced in 50 (71.4%) women the URP was altered. The cystometry identify asymptomatic overactive detrusor in 8 women. Occult urinary incontinence in the 50 women was: Type I in 1, type II in 27, type III in 1, type II+III in 21. Conclusion: When a severe cystocele is reduced by a vaginal valve, urodynamic changes can be detected and women with occult urinary incontinence may be identified. These women may express symptoms of urinary incontinence when a prolapse surgery is realized.

Palabras clave : Severe cystocele; Urodynamic; Occult urinary incontinence.

        · resumen en Español     · texto en Español     · Español ( pdf )

 

Creative Commons License Todo el contenido de esta revista, excepto dónde está identificado, está bajo una Licencia Creative Commons