PDF(Pubmed)
Abstract：
According to the International Continence Society, stress (static) urinary incontinence is defined as any involuntary loss of urine on effort or physical exertion, due to which intravesical pressure overcomes urethral pressure, with no detrusor activity. Urodynamic testing accurately assesses the function of the bladder and urethra. The urodynamic assessment includes three tests: cystometry, uroflowmetry and profilometry (determination of urethral pressure profile). Prior to urodynamic assessment, it is mandatory to rule out urinary tract infection since it is an invasive test. Urethral profilometry is a technique that measures pressure in the urethra and bladder at rest, during stressful actions, and during the act of miction. Its main purpose is to evaluate the sphincter mechanism. During the examination, a special catheter is used, which is being slowly pulled out from the bladder neck throughout the urethra, with continuous recording of intraurethral pressure. In addition to measuring urethral pressures, stress urinary incontinence is also very successfully proven by the cough test and Bonney test. If, on forced cough, the urine escapes uncontrollably, and continence is restored by finger lifting the neck of the bladder, the diagnosis of static incontinence is confirmed. At our urogynecologic clinic, urodynamic examination is being routinely performed. In the present study, we included patients previously treated for urinary stress incontinence and compared their results of urodynamic assessment to the results of Bonney test. Of the 43 subjects in whom stress incontinence was proven with Bonney test, we recorded an appropriate profilometry result in 13 cases.
摘要：
根据国际连续性协会的说法，压力性（静态）尿失禁被定义为任何不自主的尿液损失的努力或体力消耗，由于膀胱内压力克服了尿道压力，没有逼尿肌活动。尿动力学测试可准确评估膀胱和尿道的功能。尿动力学评估包括三项测试：膀胱测压，尿流图和轮廓术（尿道压力曲线的测定）。在尿动力学评估之前，必须排除尿路感染，因为这是一种侵入性检查。尿道轮廓术是一种测量尿道和膀胱在休息时的压力的技术，在紧张的行动中，在行动中。其主要目的是评估括约肌机制。在考试期间,使用了特殊的导管，从膀胱颈慢慢拉出整个尿道，连续记录尿道内压力。除了测量尿道压力,压力性尿失禁也非常成功地证明了咳嗽测试和Bonney测试。如果,关于强迫咳嗽，尿液失控地逸出，通过手指抬起膀胱的颈部来恢复节制，诊断为静态性尿失禁。在我们的泌尿妇科诊所,正在常规进行尿动力学检查。在本研究中,我们纳入了之前接受过尿失禁治疗的患者,并将他们的尿动力学评估结果与Bonney试验结果进行了比较.在43名通过Bonney测试证实压力性尿失禁的受试者中，我们记录了13例适当的轮廓测量结果。
