Neuro-Urology Department, Tenon Hospital, APHP East Hospital Group, Paris, France.
GRC-UPMC 01 GREEN, Neuro-urology Department, Sorbonne Université, Paris, France.
Neurourol Urodyn. 2019 Sep;38(7):1953-1957. doi: 10.1002/nau.24098. Epub 2019 Jul 10.
To evaluate if urethrovaginal reflux (UVR) is an underestimated cause of insensible or postmicturition incontinence in adult women.
An observational and retrospective study was carried out on the computerized records of a neuro-urology department. Female patients who had insensible or postmicturition incontinence were investigated. Retrograde and voiding urethrocystography (UCG), urodynamic evaluation, urethral pressure profilometry, and anamnestic and clinical examination had to be available.
Among the 79 adult female patients with insensible or postmicturition incontinence in whom the whole set of required evaluations was achieved, 16 had a UVR (mean age 47 ± 15 years). There were no urethral diverticula, urethrocele, vesicovaginal, or urethrovaginal fistula on their UCG. All of them also had a cystoscopy and a CT urography which did not establish any abnormality.
UVR is not an exclusive pathology of children. This mechanism seems to be an underestimated cause of urinary incontinence in adult women. Retrograde and voiding UCG appears to be the gold standard to confirm the intravaginal reflux.
评估尿道阴道反流（UVR）是否是成人女性非感觉性或排尿后尿失禁被低估的原因。
对神经泌尿科的计算机化记录进行了一项观察性和回顾性研究。对存在非感觉性或排尿后尿失禁的女性患者进行了调查。需要有逆行和排尿性尿道膀胱造影（UCG）、尿动力学评估、尿道压力描记术以及病史和临床检查。
在完成了所有必需评估的 79 名存在非感觉性或排尿后尿失禁的成年女性患者中，有 16 名存在 UVR（平均年龄 47±15 岁）。她们的 UCG 上均无尿道憩室、尿道膨出、膀胱阴道瘘或尿道阴道瘘。她们均还进行了膀胱镜检查和 CT 尿路造影，未发现任何异常。
UVR 并非儿童的特有疾病。这种机制似乎是成人女性尿失禁被低估的一个原因。逆行和排尿性 UCG 似乎是确认阴道内反流的金标准。
