|Abstract||AIM OF STUDY:
|POPULATION AND METHODS:
To search for a urodymamical parameter and/or a VBN parameter (deduced from a modelized analysis of uroflows) which could characterize the voiding dysfunctions due to a uterine fibroid
Thirty women (31-69 years) with a uterine fibroid
(exclusion criteria: neurological disease, diabetes mellitus
, previous pelvic surgery, grade > I prolapse
) underwent one urodynamic session which included the successive tests: free uroflow, urethral profilometry, cystometry and, if possible, a second free uroflow. Twenty-eight patients complained from stress urinary incontinence
. Modelized analysis of the flow curves was performed in order to determine the value of two VBN parameters: urethral parameter g and recruitment ratio rr (which quantify the ratio of firing motor neurons during detrusor contraction).
(known for 23 subjects) was detected during gynaecological examination in seven cases. No significant change of the value of one urodynamical parameter which could be linked to the uterine fibroid
rather than the urinary disorder has been found. Some urethral constrictive obstruction exists for 18 patients (g = 0.40 +/- 0.15) but is not meaningful. In the whole population, an effective abdominal pressure is found in 78% of the analyzed micturitions.
Some urinary disorders result from the presence of a uterine fibroid
; they are significantly improved by simple hysterectomy
. If urodynamics does not have any specificity, concomitant physical examination allows to detect fibroids
with only urinary symptomatology.
|Authors||G M Audonnet, F A Valentini, P P Nelson, J Breheret
(Affiliation: Service de médecine physique et réadaptation, centre hospitalier de Niort, 79021 Niort cedex, France.)
|Journal||Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique
(Ann Readapt Med Phys)
ISSN: 0168-6054 [Print] France
|Vernacular Title||Urodynamique et fibrome utérin. Existe-t-il un paramètre spécifique?
(Publication Type: English Abstract, Journal Article)
- Middle Aged
- Models, Biological
- Physical Examination
- Urethral Obstruction
- Urinary Incontinence, Stress
- Uterine Neoplasms