Tanagho E A
J Urol. 1979 Aug;122(2):200-4. doi: 10.1016/s0022-5347(17)56329-6.
More than 500 female patients with urinary incontinence were studied in our urodynamic laboratory by simultaneous recordings of urethral pressure at 2 levels, bladder pressure, intra-abdominal pressure, and by uroflowmetry and cine-fluoroscopy. Urethral pressure profile under basal conditions was compared to that in patients with a full bladder, under the stress of sharp or sustained increase in intra-abdominal pressure, voluntary perineal muscle activity and patient's position. From these studies stress and urge incontinence, and neurogenic varieties (or a combination of several types) could be differentiated. The clinical application of our findings will be discussed.
我们的尿动力学实验室对500多名女性尿失禁患者进行了研究，同时记录了两个水平的尿道压力、膀胱压力、腹内压，并进行了尿流率测定和荧光透视检查。将基础条件下的尿道压力分布图与膀胱充盈患者、腹内压急剧或持续升高、自主会阴部肌肉活动及患者体位等应激状态下的分布图进行了比较。通过这些研究，可以区分压力性尿失禁、急迫性尿失禁以及神经源性尿失禁（或几种类型的组合）。我们将讨论这些研究结果的临床应用。
