Tests for ‘detrusor instability’ in women: These mainly measure the urethral resistance created by pelvic floor contraction acting against a premature activation of the micturition reflex

P. E. Papa Petros, U. Ulmsten

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

The principal aim of this study was to analyse the siniultaneous pressure readings derived from bladder and urethra during a handwashing test. A total of 163 patients with urinary incontinence were studied. It was demonstrated that contraction of the pelvic floor stretches the vagina. In many patients. this appeared to inhibit the micturition reflex, possibly by supporting the nerve endings at bladder neck, thereby inhibiting their premature activation. There was also evidence that this stretching activated reflex contraction of the urethra, the vagina‐urethral (coital) reflex. thereby increasing the urethral resistance. On further analysis, it was concluded that urodynamic testing does not detect ‘detrusor instability’ per se. It detects the urethra's attempts at closure. 1993 Acta Obstet Gynecol Scand

Original languageEnglish
Pages (from-to)661-667
Number of pages7
JournalActa Obstetricia et Gynecologica Scandinavica
Volume72
Issue number8
DOIs
Publication statusPublished - Nov 1993
Externally publishedYes

Fingerprint

Dive into the research topics of 'Tests for ‘detrusor instability’ in women: These mainly measure the urethral resistance created by pelvic floor contraction acting against a premature activation of the micturition reflex'. Together they form a unique fingerprint.

Cite this